Graduate School,
1020 Main Campus Drive, Room 2300A
Raleigh, NC 27695-7102
Office Number: +(1) 919 515-2872
Fax: +(1) 919 515-2873
graduate-school@ncsu.edu
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NC STATE UNIVERSITY
2020 Certificate of Financial Responsibility (CFR)
3+X GTI Program
FINANCIAL GUIDELINES
Please complete the following form and upload it with supporting documentation to your online application. Your application will be incomplete
and we will be unable to proceed until this form and the supporting bank documents have been received.
You must document sufficient funds available for the 3+X GTI Program. We will accept a personal bank statement or letter which
demonstrates the exact amount of liquid assets currently on deposit in the account. If you are not using personal funds, please indicate how
you will be supported in the space provided in Section II below, listing a relative, friend, employer, government or institution funding and submit
their financial documentation in the form of a Bank Statement or Letter.
Sponsorship by non-immigrants in a visa status which does not allow employment (such as F-2, TD, etc.) may not be acceptable and may
require further information.
The Bank Statement OR Bank Letter:
•Must certify that the money is currently on deposit in liquid assets.
-May include checking or savings accounts, certificate of deposits, or money market accounts. However, value assessments of properties or
stocks/investments, salary information, mortgages, etc. are not acceptable.
-Must be in English or translated to English.
-Date of issuance must be clearly listed on the document, and the date must be within 6 months from the receipt date at NC State University.
-Bank letters must include the printed name, job title, and original signature of a bank representative.
Applicants who will be financially sponsored by his/her employer, home government or university must provide an Official Letter of support
from his/her scholarship or fellowship source with the current date and a signature indicating the amount and duration of the award. The
letter should also include the applicant’s name and state that it is valid specifically for enrollment in the 3+X GTI Program. Estimated Cost of
Attendance : (Standard I-20 issuance is for one semester)
Summer 20
$4,315
$365
Tuition and fees:
Health Insurance:
Living expenses:
$2,840
Total:
$7,520
Health Insurance is a requirement for F-1 students. All students will be enrolled in the Student Insurance Plan administered by Student Blue,
Blue Cross Blue Shield of North Carolina. Some students may qualify for a waiver of the plan: https://healthypack.dasa.ncsu.edu/.
** Please note that applicants will need to submit another CFR when they are ready to move into the master's program after completion of the
GTI program. Applicants will have to be able to demonstrate a new amount based on the new Fall 2020 fees. Our current fees for the general
graduate program is $47,037 in support- $26,243 for tuition, $15,393 for living expenses (9 months for F-1) which includes Rent, Fees, Food,
Books and Personal expenses. J-1 students must show at least $53,968 in support- $27,725 for living expenses (12 months for J-1) per each
year as listed on the DS-2019. Part-time or full-time employment during summers should not be expected to be a significant means of support.
Please keep in mind that this is an estimate calculated well in advance of the actual start of the semester and these estimates are subject to
change. An increase per year of 3-6% can be expected. Applicants to premium tuition programs will demonstrate additional funding due to higher
tuition rates/fees.
Spring OR
Fall 2019
(One
semester)
Tuition and fees: $6,254
Health Insurance: $1,424
Living expenses: $7,697
Total: $15,375
Spring Semester
Tuition and fee: $14,610
Health Insurance: $ 1,313
Living expenses : $7,681
Total: $23,604
If no, skip to Section II.
Surname
Given Name
Date of Birth
Certificate of Financial Responsibility (CFR)
Graduate School,
1020 Main Campus Drive, Room 2300A
Raleigh, NC 27695-7102
Office Number: +(1) 919 515-2872
Fax: +(1) 919 515-2873
graduate-school@ncsu.edu
NC STATE UNIVERSITY
If a sponsor (relative or friend) will provide financial support for the applicant, the sponsor must sign above attesting that they will provide the amount
listed to the student for the first year and an amount equal or greater for each subsequent year of the program. The sponsor will also provide a bank
statement in English to be uploaded along with the CFR. If an account is jointly held, each account holder listed on a bank statement is required to sign
as a sponsor. If there is more than one sponsor, make additional copies of this page of the form so that all sponsors can sign this section. ALL
ACCOUNT HOLDERS MUST SIGN AS SPONSORS, EXCEPT THE APPLICANT. Please keep in mind that this is only an estimate calculated well in
advance of the start of the semester.
3+X GTI Certificate of Financial Responsibility (CFR)
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Country of Citizenship
City and Country of Birth
Country of Permanent Residence
Signature
Relationship
List your permanent residential address in home country.
SECTION IV - APPLICANT SIGNATURE
I certify that I have attached the required documents to request a I-20 as well as the financial documents to reflect the necessary
funding necessary to request my I-20 form. The information given above by me is true and accurate to the best of my knowledge.
I understand that the Graduate School financial requirement will be higher than the 3+X GTI.
Intended term(s) of enrollment:
Applicant Signature
Date mm/dd/yyyy
SECTION I - IMMIGRATION INFORMATION
Are you currently in the United States? Yes
No
Date leaving U.S.:
If currently in U.S., list address:
Phone Number
Current status: F-1
J-1 SEVIS ID:
List the current school or university you are attending:
Planning to leave the U.S. before attending NC State?
No Yes
Email address
Sponsor/Parent/Employer Name
SECTION II - FUNDING INFORMATION
If showing personal funds for full amount, attach bank statement with CFR and continue to Section III
Gender Male Female
SECTION III - RESIDENTIAL ADDRESS
Street City State/Province
Country
Postal Code
Standard I-20 issuance is for two semesters.
One Semester - $23,604
click to sign
signature
click to edit
click to sign
signature
click to edit
City of BirthRelationship to F-1/ J-1
Country of BirthLast Name
CitizenshipFirst Name
Country of ResidenceDate of Birth
Sex
Email
3+X GTI Certificate of Financial Responsibility (CFR)
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SECTION V - DEPENDENT INFORMATION
Do not complete or include this page if there are no accompanying dependents. For an accompanying spouse and/or
child(ren), additional funding ($7,200 for your spouse and $4,500 for each child per month) must be shown. For more than 4
dependents, an additional copy of this page may be used.
City of BirthRelationship to F-1/ J-1
Country of BirthLast Name
CitizenshipFirst Name
Country of ResidenceDate of Birth
Sex
Email
City of BirthRelationship to F-1/ J-1
Country of BirthLast Name
CitizenshipFirst Name
Country of ResidenceDate of Birth
Sex
Email
City of BirthRelationship to F-1/ J-1
Country of BirthLast Name
CitizenshipFirst Name
Country of ResidenceDate of Birth
Sex
Email
spouse or child
spouse or child
Select one
Select one
spouse or child
Select one
spouse or child
Select one