St. Cloud State University
Undergraduate Financial Information Form
APPLICANT’S NAME: WRITE YOUR NAME AS IT APPEARS ON YOUR PASSPORT:
____
______________________ ______________________________ ____________________
Last or Family Name First or Given Name Middle Name
F
UNDING SOURCES
Choose the appropriate category (1,2,3) and state the source of your yearly financial resources in U.S. dollars with which
you will pay for all your expenses.
1) P
ersonal savings: I have personal savings in the equivalent of U.S. $ ______________
2) Parent or Sponsor resources: My sponsor has the equivalent of U.S. $ ______________
_________________________________ ______________________________________
Name of Parent, Relative, or Sponsor Signature of Parent, Relative, or Sponsor
List the name exactly as it is on the Bank Account
Sponsor’s relationship to student: __________________________
Are you currently sponsoring any other student studying in the US? ___Yes ___No
School the other student is attending: _______________________________
3) Financial support from a government agency, private foundation, university or business. Enclose a signed and
certified letter of your award. This letter may not be more than six (6) months old. The letter must state that you
have already been approved to receive the support for study at St. Cloud State University and the amount of
support you will receive.
____
_____________________________
Name of Agency, Foundation, Business U.S. $ ______________
Total must equal at least $22,300 to receive the I-20 document for the visa.
TOTAL OF 1, 2, 3 U.S. $ ______________
DEPENDENT INFORMATION
If applicable: List any dependents (Spouse or children)
who will be accompanying you and should be included on your
I-20: You will need $6,500 additional financial for you first dependent and $4,000 for each additional dependent.
N
AME As it appear on passport Relationship Country Country Date of
To applicant of citizenship of birth birth
mm/dd/yyyy
_____________________________ ____________ ____________ ____________ _____________
_____________________________ ____________ ____________ ____________ _____________
READ CAREFULLY! You are required to submit financial certification indicating you have documented support for the estimate of
annual expenses of $22,300. These include tuition and fees, living expenses, personal expenses, books, and health insurance.
International travel expenses are not included in the annual estimated funding required. If you plan to bring dependents
(spouse and/or children), you must submit additional certification (see next page).
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