Financial Cercate: Personal Informaon
Students not requesting a Form I-20 should complete page one to provide their biographical
and immigration information.
.
After you sign the form and submit a copy of your passport, you are done with this form. If
you are requesting a Form I-20 F-1 status, please read the following instructions and complete
page 3. Certificate of Eligibility Forms I-20 are issued only when all admission procedures have
been satisfied. International student applicants requesting F-1 immigration status, including
students transferring in F-1 status from another U.S. school, are required by United States
federal regulations to certify that they have sufficient funds to pay for all expenses at Guilford
Technical Community College for the entire length of studies. Please note, however, that an-
nual North Carolina state-mandated tuition increases often occur just prior to registration. In
computing your expenses, you should bear in mind that students in Student (F) immigration
status will not be authorized to work off-campus except under extraordinary circumstances.
Therefore, the applicant should not look to employment, either part-time during the academic
year or full-time during the summer, as a significant means of support while at GTCC.
Esmated Costs for 2015–2016
Tuion and fees $5757.00
Required health insurance $1680.00
Room/board, books, and $6800.00
Personal Expenses
Total for Academic Year $14, 157
Please add $12,000 for dependents.
Full Name (please print name as it appears on passport): _____________________________ _______________________ _______________________
family/surname rst/given middle
Date of birth (MM/DD/YYYY): _________________ Place of Birth: (city) ____________________ (country) ___________________ Male
Female
Current Mailing Address (for all correspondence between January and August 2015; please nofy us in wring if there are any changes)
Address: _____________________________________________________________________________ ________________________________________
street address or post oce box city
District or province: ________________________________ Country:_____________________________________ Postal Code:______________________
At this address unl (MM/DD/YYYY): __________________________
Permanent Foreign Address (students who require a student visa must enter a complete physical address; no post oce box numbers will be
accepted)
Address: _____________________________________________________________________________ _________________________________________
street address city
District or province: ________________________________ Country:_____________________________________ Postal Code:______________________
Addional Informaon
Country of cizenship: ____________________________________________ Country of permanent residence:___________________________________
Are you currently in the U.S.?
Yes No If yes, what is your current immigraon status? (examples: F-1, H4, Pending Permanent Resident, TD)
________________________________
Do you require a Cercate of Eligibility Form I-20 (for F-1 visas) issued by GTCC? Yes No, I plan to aend GTCC using my current immigraon
status. Email Address:_____________________________________________________
(please add nlbynum@gtcc.edu to your safe contact list so we may
contact you with quesons)
If you plan on bringing dependents with you to the U.S. in F-2 please add $12,000 to your expense esmates.
I am applying for admission to GTCC for Fall 20____ Spring 20____ Summer I 20____
I am applying as a First-year
Transfer Readmied Student
I expect my program of study to require _____ years.
Applicant’s Signature: ___________________________________________________________________________ Date: __________________________
If you are not requesng a Form I-20 from GTCC and plan to aend school using your current immigraon status, you do not need to complete page three or
aach any nancial documents. Aer you sign the form and submit a copy of you passport, you are done with this form. If you are requesng a Form I-20 for
F-1 status, please read the following instrucons and complete page
3. In order to receive a Cercate of Eligibility Form I-20 from GTCC, a prospecve student requesng F-1 immigraon status must demonstrate that sucient
nancial support is available for the enre length of the academic program. Financial documentaon (for example, an ocial award leer or a bank cerca-
on) must be submied verifying that at least the Total Esmated Costs (as listed above) are immediately available for the rst year of your program. On the
following page, enter the amount and source(s) of funds available for your rst year at GTCC. The total Esmated Costs are subject to increase each academic
year.
Note: Please obtain two originals of each type of nancial documentaon. Send one set of originals with your nancial cercate, in order for GTCC to issue
the Form I-20. Also, keep one set of originals for yourself because they will be required at the U.S. Embassy or Consulate when you apply for your visa, and
they may be required again upon entry to the U.S. during immigraon inspecon.
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signature
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