Fillable WESTERN TEXAS COLLEGE VERIFICATION OF FINANCIAL SUPPORT immigration (Western Texas College)

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WESTERN TEXAS COLLEGE VERIFICATION OF FINANCIAL SUPPORT immigration (Western Texas College)

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VERIFICATION OF FINANCIAL SUPPORT
You are required by United States
immigration regulations to verify that you will have sufficient funds available to
pay your educational, living, and other expenses while you are studying at Western Texas College.
The estimated cost for the 2020-2021 academic year is US $15,550.00. The estimate includes tuition, fees, books,
and insurance for one academic year of study (nine months) and living expenses for one year. An additional US
$2,900.00 is required if you plan to study at Western Texas College during the summer.
If you plan to bring dependents (spouse and/or children) with you, you must verify that you have an additional US
$5,000.00 available for the support of each of such dependents.
International students at Western Texas College are required to have medical insurance coverage for the duration
of their study. It is recommended that all dependents have medical insurance coverage also.
APPLICANT INFORMATION
N
ame as printed in your passport:_________________________________________________________________
(family name) (first name) (middle name)
City and country of birth: ___________________________________ Country of citizenship:___________________
Date of Birth: ______/_____/_____ Marital Status: Single ____ Married____ Gender: Male____ Female____
Month Day Year
Please provide the following information for each dependent who will live with you in the United States:
Full Name Date of Birth
(FAMILY NAME, First name) Relationship to Student (month/day/year) Place of Birth
______________________________ ___________________ ______________ ___________________
______________________________ ___________________ ______________ ___________________
APPLICANT’S STATEMENT
My signature affirms that:
1. I understand the financial support requirements and confirm that all information on this form is tr
ue and
c
orrect and that the attached supporting financial documents are true and correct.
2. My sponsor or I will make arrangements to have necessary funds transferred to the United States when
needed.
3. I understand I am obligated to pay any portion of my bill not covered by scholarship and that failure to do so
will cause me to be dropped from courses and therefore be out of status with my student visa.
4. I understand I am required to have medical insurance coverage for the duration of my time at Western
T
exas College and understand that insurance is not included in any scholarship offer from WTC.
5. I understand that I will not be allowed to enroll in classes without insurance coverage on file.
A
pplicant’s signature: _____________________________________________ Date: ______________________
WESTERN TEXAS COLLEGE
Office of International Student Services
6200 College Avenue
Snyder, TX 79549
Financial Breakdown
for International Students:
Tuition/Fees $5,160
Living expenses $7,390
Books, med.ins. $3,000
Total $15,550
Financial Breakdown for Intl. Students with Competitive Waiver:
*Applies to those receiving minimum scholarship of $1,000
Tuition/Fees $4,200
Living expenses $7,390
Books, med.ins. $3,000
Total $14,590
Applicant’s Name: __________________________________________ Verification of Financial Support, page 2
SOURCES OF FINANCIAL SUPPORT
In the section below please indicate every source from which you will receive financial support and the
amount you will receive. Supporting documents must be no more than six months old and must be
attached for each source you have indicated on this form, as follows:
• Applicant’s personal funds: Copy of official bank statement for checking or savings accounts, certificates
of deposit, or other accessible funds, such as stocks, bonds, or mutual funds.
• Family funds: Completed Sponsor’s Statement (below) and copy of bank statement for checking or
savings accounts, certificates of deposit, or other accessible funds, such as stocks, bonds, or mutual funds.
• Government sponsor: Official letter of sponsorship.
• Western Texas College scholarship: Copy of offer/award letter from department.
• Other: Cash deposited with Western Texas College; or if other sponsor, Sponsor Statement and bank
statement for checking or savings accounts, certificates of deposit, or other accessible funds, such as
stocks, bonds, or mutual funds.
Statements from a bank, government, or other sponsor must be on official letterhead and must be signed by an
official representative.
COMPLETION OF THIS SECTION IS REQUIRED:
_____ Personal Funds (bank statement must be attached)
$___________
_____ Family Funds (sponsor’s statement and bank statement must be attached)
$___________
_____ Government sponsor (sponsorship letter must be attached)
$___________
_____ Other source (description_______________________________________________)
$___________
_____ Western Texas College Scholarship (attach a copy of award letter from department)
$___________
TOTAL funds available per academic year
$___________
(*Total funds must equal at least USD $15,550 or $14,590 for those receiving WTC Scholarship.)
SPONSOR’S STATEMENT
My signature as sponsor affirms that:
1. I am the financial guarantor for _________________________________________ (applicant’s name).
2. I have read the information given by the applicant, and it is true and correct.
3. I will make available to ___________________________________________ (applicant’s name) the
amount stated above during each academic year he/she attends Western Texas College.
4. I am capable of providing such support, and the required funds will be available when needed.
5. I have provided a statement from my bank to verify my capability to provide the stated funds.
Sponsor’s Name: ______________________________________________________________________________
Relationship to Applicant:________________________________________________________________________
Address: _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Sponsor’s Signature:____________________________________________________ Date:__________________
(This form is valid for six months from date of applicant’s signature.)
(Rev. 5/20)
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WESTERN TEXAS COLLEGE VERIFICATION OF FINANCIAL SUPPORT immigration (Western Texas College)

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Completed 4 February 2021

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