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International Student Finance Form

This document is a financial statement form for international applicants to provide information about their financial resources and ability to cover educational and living expenses. It requests the applicant's personal information, as well as information about any dependents accompanying them. The applicant must show they have sufficient funds to cover expenses for themselves and any dependents for each year of their academic program. The sources of funding are listed, such as personal savings, family contributions, scholarships. Sponsor(s) must verify the amount and years of support being provided and attach supporting documents such as bank statements. Both applicant and sponsor signatures are required to confirm the accuracy of the information and the applicant's acceptance of financial responsibility.

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161 views1 page

International Student Finance Form

This document is a financial statement form for international applicants to provide information about their financial resources and ability to cover educational and living expenses. It requests the applicant's personal information, as well as information about any dependents accompanying them. The applicant must show they have sufficient funds to cover expenses for themselves and any dependents for each year of their academic program. The sources of funding are listed, such as personal savings, family contributions, scholarships. Sponsor(s) must verify the amount and years of support being provided and attach supporting documents such as bank statements. Both applicant and sponsor signatures are required to confirm the accuracy of the information and the applicant's acceptance of financial responsibility.

Uploaded by

hojik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Financial Statement for International Applicants

Student’s name:
(FAMILY/SURNAME) (FIRST/GIVEN) (MIDDLE)

Birthdate: Gender Male Female


(MM/DD/YYYY):

City of birth: Citizenship country:

Country of birth: Country of residence:

If family members will accompany you to the US on F-2 or J-2 visa(s), you must show that you have sufficient funds to cover their living expenses.
Provide the information below for the visa eligibility form, and attach copies of their passports.

RELATION SEX LAST NAME, FIRST NAME BIRTHDATE BIRTH CITY & COUNTRY CITIZENSHIP

Spouse

Child

Child

If you will hold a J-1 visa, please check the box below that best describes your last activity in your home country. (If you are already in the U.S. on a J-1
visa, include a photocopy of your current DS-2019 Form in your supporting materials.)

Student: Secondary Undergrad. Graduate; Teacher: Secondary University; Employed: Gov’t. Private Other (complete below):

Position title: Name of employer:

INSTRUCTIONS: Please indicate below the financial sources and amounts in US dollars that you will have to cover all educational and living expenses
for you and any dependents accompanying you for each year of attendance. Your sponsor(s) must also indicate how many years they will support you
by checking the appropriate box under “Years Provided” using the following estimates: Bachelor’s–4 yrs; Master’s–2 yrs; PhD–5 yrs; Nondegree and
IEOP–1 yr; Certificate–1 yr. Private sponsors should attach a bank statement or certificate of balance showing readily available funds sufficient to cover
the first year’s expenses. If you are applying for a scholarship, the scholarship award letter should indicate the amount and length of the award, and
may be attached. If the award letter has not yet been issued, please indicate the name of the expected scholarship.

SOURCE(S) OF SUPPORT AMOUNT PROVIDED ANNUALLY YEARS PROVIDED

Self (bank statement must have full funds for all years) $ 1 2 3 4 5

Parent or other family (attach bank statement of 1 year’s funds) $ 1 2 3 4 5

Private sponsor (non-family) (attach bank statement of 1 year’s funds) $ 1 2 3 4 5

Scholarship (list organization) $ 1 2 3 4 5

Other (please provide details) $ 1 2 3 4 5

Total: (Must equal the estimate of expenses for one academic year.) $
DECLARATION OF SUPPORT FROM SPONSOR (IF YOU HAVE MORE THAN ONE SPONSOR, PHOTOCOPY THIS FORM.)

This is to certify that I, will provide funds in the amount of $ per year
(PLEASE TYPE OR PRINT NAME CLEARLY)
for the above-named applicant during his/her studies at Iowa State University. I have attached official documentation of the funds. My signature below
certifies that all information provided on this form is accurate, that I will provide the funds I have promised above, and that the student will not incur any
debt with the university.
Sponsor’s signature: Sponsor’s relationship to student: Date

Sponsors living in U.S. must check appropriate status: U.S. citizen Immigrant Nonimmigrant (visa type:

Applicant: My signature certifies that all information provided on this form is complete and accurate, and that I accept responsibility for all expenses I
and my dependents incur (including required family health insurance) during my attendance at Iowa State. With the exception of any financial
assistance already offered to me by the university, I do not expect Iowa State to provide me with financial assistance or employment.

Applicant’s signature: Date


05/15

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