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 email@example.com. For more information or questions, contact the Admissions ofﬁce at 860-512-3204 or by email to
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.
First Name MI Last Name Date of Birth
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?
No Are you transferring from another US institution?
Are you currently in the US on a
If yes, how do you plan to acquire F-1 student visa status?
different visa status?
A visa application at a US embassy or US consulate overseas
A change in status through USCIS
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
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.
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