Graduate Studies Office
Center for Business 115
International Student Agreement
By signing this form, I certify that I understand and accept the following conditions and agree to ab ide by them. As a
condition of my admission, I agree to the following:
I understand that I am required to pay ALL tuition and fees by the designated payment deadline EACH semester.
If I do not pay by the deadline date, I understand my classes will be CANCELLED. If my classes are cancelled, I
am in USCIS violation.
I will have available sufficient funds for tuition, fees and living expenses for each year I study at Minnesota State
University Moorhead. I recognize that the cost of living is high, that financial aid from the university is not
available and that international students are not permitted to work off campus. There may be limited on-campus
employment; however, MSUM does not guarantee employment. My chances of working on campus the first year
are low and I understand that not a
ll students who look for work will get a job. I understand that my sponsor will
be expected to cover my expenses for the entire duration of my schooling.
I am responsible for understanding and abiding by the rules and regulations of being on a student visa in the
United States.
I authorize Minnesota State University Moorhead to release to any U.S. government officer information required
to determine my compliance with U.S. immigration laws. Further, I understand the university will report all
information required by the U.S. Citizen & Immigration Service (such as students who are not registered, are
not pursuing a full course of study or are not meeting the minimum academic standards of the university.)
I agree to purchase the Minnesota State Colleges and Universities System Health Insurance Plan as a condition of
admission and continued enrollment. Exemptions maybe granted to students with governmental insurance,
though these students must obtain a qualifying letter from their government. Annual payment will be required at
the beginning of Fall Semester and on a sliding scale the following semester. I give permission to allow MSUM to
release my date of birth to the insu
rance company.
I will arrive on or before the reporting date on my Form I-20.
I will attend the mandatory Orientation at the beginning of my first semester at Minnesota State University
Moorhead or a hold will be placed on my MSUM account. I will then have to resolve this hold issue with
International Student Services i n order to register for classes.
I declare that all the information I have submitted for my application is true, correct and complete.
I understand I will comply with all of the requirements as stated on this agreement. I understand that falsification
of any information will jeopardize the issuance of a Form I-20 and/or may result in Minnesota State University
Moorhead revoking its decision to enroll me as a student.
If I am a transfer student from another U.S. college or university, I will bring an up-to-date, current copy of my
Form I-20 to International Student Services upon my arrival to Minnesota State University Moorhead.
Printed Name
of Applicant:
First Name Middle Name Last Name/Surname
Signature of