International Student
Confidential Financial Statement
Laramie County Community College
1400 E. College Drive
Cheyenne, WY 82007
Every applicant to Laramie County Community College must have sufficient funds to meet his or her
educational needs. For this reason, we ask you to complete the following Confidential Financial Statement.
This form must be completed before an I-20 form can be obtained for a visa to allow entry into the United
States. This is in compliance with the regulations of the United States Immigration and Naturalization Service.
This also applies if you plan to transfer to Laramie County Community College from another institution within
the United States.
The estimated financial cost for one academic year (9 months) is:
Tuition, books and supplies
Room and board
Personal expenses
Transportation
(Does not include travel from home country)
Total .............................................................. $ 19,500
Name of student applicant: _________________________________________________________________
Dependents: See reverse
Financial guarantee: State below the amount (in U.S. dollars at the current exchange rate) available
per year while you will be in the U.S. Do not include travel funds, anticipated
earnings or uncertain funds:
Amount available per calendar year: $_________________
This amount is guaranteed by (name of person): ___________________________
Relationship to student applicant: _______________________________________
Statement of guarantor: I hereby state I am willing and able to guarantee the financial support of
________________________________________ during the entire time of
(student applicant)
his or her studies at Laramie County Community College.
_________________________________________ _______________________
Signature of guarantor Date
Address __________________________________________________________
City State or Province ZIP
Bank verification: This is to certify that the sponsor listed above is financially capable of meeting his
or her commitment, and, if the funds are outside of the United States, he or she is
permitted to do so under your nation’s present regulations.
_________________________________________ _______________________
Signature of bank official Date
Title ______________________________________________________________
Bank address ______________________________________________________
City State or Province ZIP
Student: If you are receiving a scholarship from your government or from an institution in
your country, please attach a copy of the award notice to this form.
