CONFIDENTIAL REPORT ‘Souther llinois University Carbondale Financial Statement for Graduate international Students NOTICE: This form must be submitted with the application form. Until you show that you have satisfactory arrangements to meet your financial obligations at SIU, you will not be admitted. Om. Student Name: E1Ms. Nationality Diwes. Family Namay Fey ‘Weey Current Address: Dianuary Oune Proposed Departe: Enrollment Date: August Year Have you previously attended SIU? C] Yes []No Degree(s) sought’ C]Masters (Pho. ‘Are you resident Alen? DLYes [No you are now inthe United States, what type of visa do you hold? Gistudent'F Visa, T)Exchange‘y' Visa, O) Visitor Visa, CL] other: NOTE: 1. Before you can be fully admitted, itis necessary fr you to indicate that a minimum of U.S. $42,500.00 will be available to to you for each year of your proposed course of study at SIU. 2. Bue to currency exchange difficulties, we require certain students to advance atleast one year's expenses tothe university. We will notify students who fall nto this category. ‘Source of Funds: Please complete section A, B, or C below. ‘The persons responsible for financing your education (A or B below) must sign this form on the appropriate line below and furnish us vith oficial decumentation of funds and amounts via a recent bank statement or letter from the sponsoring organization, ‘A. Personal Sources: (Parents, Friends, or Relatives) This is to corti that will provide funds inthe amount of uss, per year for uring hisiher studies at SIU. ‘(Wame of Student) Signature of sponsor: Relationship ‘Adress: 8. Organization furnishing financial assistance: (Government grants or other sources) A scholarship or fellowship Effective Dates: Amount of award: US$ From___ To, Source of funding ©. SIU Assistantshio: ‘Are your studies totally dependent upon award? ‘(Department to which you have applied) Oyes TNo Dependents/Health Insurance ‘Are you []Maried, (] Unmarried? If married, do you plan to bring your spouse andlor children to the U.S.? C] Yes [No IMPORTANT: If you-bring your family to the U.S., we require that you show proof to the U.S. Consulate of financial resources for thelr ‘support in the amount of U.S. $6,000 per year for a spouse and U.S. $2,500 per year for each child. SIU also requires that you purchase heath insurance for any dependents that join you in the U.S. for the duration of ther stay. (For more information, contact the Center for Intemational Education.) *To.be signed by student | certify thatthe statements given by me in this form are complete and accurate. Furthermore, | take all financial responsibilties should my source of funding (as specified above) stop, (Signature of Stident) (Date) Please note: If you have any questions pertaining to the requirements for obtaining a financial clearance for admission, please contact Ms.Tina Sickingor at [email protected] or 618-453-5774. Her fax # Is (618) 453-7660.Southern Illinois University SIU CARBONDALE Graduate School Information Sheet for Application for Admission International Forms Please review thoroughly the general information provided below. ‘The Campus ‘Southem Ilinois University Carbondale is 100-miles southeast fof St, Louis, Missouri. ‘The University was chartered in 1869, ‘and is fully accredited by the North Central Association of Colleges and Secondary Schools. There are approximately 416,000 students enrolled. Intemational students total more than 1,300 representing 103 countries. Educational Records ‘All applicants must submit official transcripts ofall universes attended. U.S, schools must send their transcript declly to the Department. A transcript from a foreign schoo! must be certified by an offcer in the Registrars Office of the school issuing the document. Photocopies without this certifcation will not be accepted. Applicants are advised to maintain contact with their major department. Failure to do this may make it impossibie for the department to take any action on your application. PLEASE USE THE SAME FAMILY NAME ON ALL MATERIALS AND CORRESPONDENCE SUBMITTED. TOEFL All graduate students whose primary spoken language is not English must obtain a score of 550 or better on the TOEFL in crder to be considered for admission. A 600 TOEFL is required in a few programs, Completion of an intensive English program will not substitute forthe TOEFL, The TOEFL ‘must have been taken no more than 24 manthe prior to the ‘semester for which the applicant is seeking admission. If foreign-bom applicant has recently completed at least 100 Semester hours of graded coursework at an accredited Institution in the United States of America, the applicant will be given the same consideration for admission to @ graduate egree program as a USS. citizen, in regard to the use of English as a foreign language. For information on the TOEFL. write to : Test of English as a Foreign Language, Box 899, Princeton, New Jersey 08540, U.S.A. Center for International Education Center for Intemational Education provides wide range of ‘services and programs for international students. They are located at 860 Lincoln Drive in the Northwest Annex, Wing 8, Carbondale, Ilinois 62901, and may be contacted about housing, nancial, and other general questions. Financial Resources You should have assured financial resources of not less than {$42,500.00 (United States dollars) for each year you are to be ‘student at the University. Estimated minimum expenses (exclusive of travel cost) are Room and Board (12 months) (varies) $13,300.00 Tuition and Fees "$28,200.09 Total {$42,500.00 Graduate Students from abroad will be considered for assistantship awards in open competion with American students on the basis of scholarship. These awards provide financial support in varying amounts for the academic year plus remission of tution but not other fees, Assistantships. are ‘subject to income taxation. Applications forms for either ‘award may be requested from the major department and must be returned to the major depariment. Admission Procedure Your application for admission to SIU should Include the {ollowing information: 4. An application form 2. Financial Statement (reverse side ofthis page). 3. Your official academic credential, 4. Official TOEFL report, if required, sent from Educational Testing Servic. 5. Three letters of recommendation from your major professors ifrequested by the department. 6. Other information as deemed necessary by the Graduate ‘School and your major department. APPLICANTS ARE ADVISED TO SUBMIT THEIR APPLICATIONS AT LEAST SIX MONTHS PRIOR TO THE TERM IN WHICH THEY ARE SEEKING ADMISSION, FAILURE TO DO'SO MAY RESULT IN YOUR NOT BEING ADMITTED FOR THE TERM IN WHICH YOU ARE SEEKING ADMISSION.