INTERNATIONAL STUDENT FINANCIAL STATEMENT
Thank you for applying to Ursinus College. The following information is required of all applicants without United
States citizenship or US Permanent Resident status. Your application to Ursinus will not be processed until Ursinus
Office of Admission receives this form (or the College Board’s International Certification of Finances Form)
complete with accompanying financial documentation.
NAME______________________________________________________________________________________
MAILING ADDRESS____________________________________________________________________________
HIGH SCHOOL________________________________________________________________________________
BIRTH DATE_________________________________________________________________________________
EMAIL______________________________________________________________________________________
COUNTRY OF CITIZENSHIP______________________________________________________________________
You are required to check one of the following two boxes:
My family is able to fully support all expenses for the four years I attend Ursinus College. I understand
that total costs to attend Ursinus for 2018-2019 are $64,800 plus transportation, books, supplies, and
incidentals. I also understand that costs will rise over the four years I attend Ursinus and that my family is
responsible for all cost increases.
Attached is financial documentation certifying the amount of my financial support.
My family is not able to fully support all expenses for the four years I attend Ursinus College. I understand
that total costs to attend Ursinus for 2018-2019 are $64,800 plus transportation, books, supplies, and
incidentals. I also understand that costs will rise over the four years I attend Ursinus. I can contribute:
First Year $ Second Year $
Third Year $ Fourth Year $
Attached is financial documentation certifying the amount of my financial support.
Signature of Student __________________________________________ Date _____________
Signature of Parent/Guardian ___________________________________Date _____________
601 East Main Street, Collegeville, PA 19426-1000 USA
Telephone: 610.409.3200 Fax: 610.409.3197
Email: admission@ursinus.edu
