International Student
Certification of Finances
INSTRUCTIONS: Complete this form with requested documentation, initial, sign, date and mail to MCC Admissions, Great Path, MS #12, P.O. Box 1046, Manchester, CT 06045-
1046 or drop off in SSC L156 or email to ma-international@manchestercc.edu. For more information or questions, contact the Admissions office at 860-512-3204 or by email to
ma-international@manchestercc.edu.
Answer all questions completely. For Available Financial Resources (page 2), in the first column, indicate the source(s) of your funding. In the column headed Year 1, indicate the
amount (in US dollars) available for each year of study. Each sponsor must verify these amounts by signing the form. Be sure to include supplementary documents as indicated
and provide official documentation of funding. Please note that if you send originals by mail, you must retain a set of originals for your visa interview at a US Embassy or US
Consulate in your home country. The originals sent to Manchester Community College will not be returned.
All documentation must be dated within six months of the date of initial enrollment at MCC.A more current version may be requested by MCC to verify funding. MCC has provided
you with an estimate of the annual education and living costs for international students. You must document financial support equal to or greater than this amount.Tuition and fees
estimates, as well as cost of living expenses, are subject to change without notice and will usually increase each year. Students must be prepared to meet these increases.
STUDENT INFORMATION
First Name MI Last Name Date of Birth
Marital Status
n
Single
n
Married
Country of Birth Country of Citizenship
Address in Home Country
Street Address Apt. #
City State/Province Country Postal Code
Address in the United States
Street Address Apt. #
City State Zip
Are you currently overseas?
n
Yes
n
No Are you transferring from another US institution?
n
Yes
n
No
Are you currently in the US on a
If yes, how do you plan to acquire F-1 student visa status?
different visa status?
n
Yes
n
No
n
A visa application at a US embassy or US consulate overseas
n
A change in status through USCIS
n
Unsure
ESTIMATED ANNUAL EXPENSES
Students must provide official financial documents demonstrating the financial ability to cover the cost of their education. The estimated expenses and financial
commitment are:
ESTIMATED LIVING EXPENSES FOR STUDENTS LIVING INDEPENDENTLY
ESTIMATED EXPENSES WHEN ROOM AND BOARD ARE PROVIDED
Tuition and Fees: $13,508 Tuition and Fees: $13,508
Room and Board: $12,500 Room and Board: $0
Books, Health Insurance,Transportation, etc: $6,000 Books, Health Insurance,Transportation, etc: $6,000
TOTAL ESTIMATED ANNUAL EXPENSES: $32,008* TOTAL ESTIMATED ANNUAL EXPENSES: $19,508**
* Bank letter or bank statement should reflect $32,500.00 to cover costs of ** Bank letter or bank statement should reflect $20,000.00 to cover costs of
one full year. one full year.
March 2020/PR
Page 1 of 3
AVAILABLE FINANCIAL RESOURCES
Complete all that apply. Enter amount of assured financial support for the first year in US Dollars. These funds, plus expected increases, are required to be available for
each year of study in the United States by the students funding source/sponsor.
SOURCE OF FUNDS – REQUIRED DOCUMENTATION: Please provide in English and in US Dollars.
Personal/Family: Signatures of sponsors on this form. Bank verification on both this form and in a separate bank letter or bank statement.
Scholarship: Official scholarship letter from the institution awarding the scholarship.The award letter must contain the name of the student, the amount of
finances available for each year of study, the duration of the award (including beginning and ending dates), and the degree and major field of study for the award,
while studying at MCC. International students are not eligible for Manchester Community College scholarships in their first semester.
Government or Employer: Official letter indicating amount of financial support. The official award letter must contain the name of the student, the amount of
finances available for each year of study, the duration of the award (including beginning and ending dates), and the degree and major field of study for the award,
while studying at MCC.
Loans: Official letter from credit institution indicating approval of the loan and the amount approved.
Please note that all funds must be liquid assets. Stock/mutual/retirement accounts/properties are not considered liquid assets.
SOURCE OF FUNDS
PERSONAL SAVINGS
Name of Bank: _________________________________________
Account Holder: ________________________________________
FAMILY/RELATIVE/SPONSOR
Name: _______________________________________________
SCHOLARSHIP/LOAN
Awarded by: ___________________________________________
GOVERNMENT/EMPLOYER/OTHER
Name of Sponsor: _______________________________________
Other (specify source and type of support):
____________________________________________________
____________________________________________________
____________________________________________________
YEAR 1 AVAILABLE FUNDING REQUIRED VERIFICATION (PAGE 3)
$
$
$
$
1. Bank statement/letter from bank on official
bank letterhead.
2. Complete (A) and (C).
1. Bank statement/letter from bank on official
bank letterhead with sponsor’s full name
and address.
2. Complete (A), (B) and (C).
1. Official award letter. (See above).
2. Loan approval letter. (See above).
3. Complete (C).
1. Official letter of support. (See above).
2. Bank statements, affidavits or sworn
statements.
3. Complete (C).
Total Funds:
This amount should be equal or greater than the
TOTAL ESTIMATED ANNUAL EXPENSES
FUNDING INFORMATION
$
Does your country restrict dollar exchange?
n
Yes
n
No
What is the maximum dollar amount permitted for a student?
$
Do you have a source within the U.S. for emergency
funds once you arrive in this country?
n
Yes
n
No
If Yes, name source
Amount available in U.S.
$
Page 2 of 3
STATEMENT OF UNDERSTANDING
Please initial each line below to show that you understand and have read the following:
_____
I understand that as an F-1 visa international student I will be paying out-of-state tuition for the duration of my degree program.
_____
I understand that under the immigration regulations pertaining to F-1 visa holders, I must register for AND complete a full-time course load every
semester and maintain a minimum 2.0 GPA.
_____
I understand that Manchester Community College does not offer any financial aid for international students and is not responsible for finding me
on-campus employment.
_____
I understand that a tuition payment is due at the time of course registration. Students who do not make timely tuition payments may risk being
withdrawn from their classes.
REQUIRED VERIFICATION
A. This is to certify that the funds indicated on previous page are on deposit or are being held in the name of the listed account holder, family member or sponsors
(named on previous page) at the savings institution named below.Verification of amounts is without liability for the bank or its officials.Attach separate statement of
accounts on official bank letterhead or with official signature/seal.
Name of Bank
Name of Bank Official Email
Title of Bank Official
Signature of Bank Official or Seal Date
B. This is certify that I the undersigned have agreed to provide the funds indicated to the applicant for the purpose of full-time study at Manchester Community College
and that I am submitting bank statements indicating the availability of these funds. I further understand that MCC cannot provide ANY financial assistance to the ap-
plicant and that I must provide these funds for the duration of the applicants course of study. If the commitment is not met, the student may be subject to dismissal
from MCC for non-payment.
If the student has more than one sponsor, please provide the names, signatures and relationship information on a separate page.
Name of Sponsor Relationship to Student
Telephone Email
Street Address Apt. #
City State Zip
Signature of Sponsor Date
C. This is to certify that the information given on this form is complete and accurate to the best of my knowledge. I am fully aware that any false or
misleading statement will result in an automatic denial of admission, or cancellation of registration following enrollment.
Student Signature Date
Page 3 of 3
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