Financial Statement

FINANCIAL STATEMENT FOR INTERNATIONAL STUDENTS This is a statement of financial resources for educational purposes. The U.S. Citizenship and Immigration Services will not always permit an international student to work while in the United States on a student visa. In addition, Tarrant County College does not have educational scholarships or other funds available for international students; therefore, the completion of this form is necessary. AFFIDAVITS USED TO SUPPORT THIS FINANCIAL STATEMENT MUST ACCOMPANY THIS FORM. Please complete all items below. Proper completion of this form is required before an I-20 (Certificate of Eligibility) can be issued.

Date of Birth (MM/DD/YY): _____/_____/______ Student’s Name: ________________________________________________________________________________________ (Last)

(First)

(Middle)

Other Names Appearing on Academic Documents: _____________________________________________________________ STUDENT EXPENSES Cost of living expenses will vary with individual students. The following is a conservative estimate and does not include items such as out-of-town travel or support for dependents. Fall and Spring Summer Tuition/Fees $4, 050 $1,800 Books/Supplies $1,409 $705 Living Expenses $6,134 $2,045 Local Transportation $2,251 $750 $607 Miscellaneous Expenses $1,821 ____________________________________________ $5,907 $15,665 Total for Academic Year: $21,572

For each dependent accompanying the F-1 student to the U.S., please provide the following information. You must add $1,000 for each dependent to the $21,572 cost of living figure shown above. LAST NAME

FIRST

DATE OF BIRTH

RELATIONSHIP

COUNTRY OF BIRTH

______________________________________________________________

_____/_____/_____

_______________

_________________________________

______________________________________________________________

_____/_____/_____

_______________

_________________________________

______________________________________________________________

_____/_____/_____

_______________

_________________________________

STATEMENT OF RESOURCES

EVERYONE WILL BE REQUIRED TO COMPLETE A BANK AFFIDAVIT FORM NOTE: ALL bank statements must be original, in English, in U.S. dollars, and no older than 6 months.

Indicate below the source of your funds:

_____A.

Student Funds

Submit one or more of these documents to equal the required funds: * Bank statement for checking, savings and/or other accessible bank account * Certificates of deposit; mutual, stock or bond funds; and/or other accessible funds

_____B. Family or Friends

A sponsor’s statement and bank documents are required of all sponsors. The sponsor statement should include the following: * A statement that the sponsor will financially support the student * Student’s name * Sponsor’s name * Sponsor’s signature and date The sponsor must submit one or more of these documents to equal the required funds: * Bank statement for checking, savings or other accessible account * Certificates of deposit; mutual, stock or bond funds; and/or other accessible funds * U.S. sponsor must complete Form I-134

_____C. Private Company

The following items will be required: * A statement on company letterhead verifying that the business will financially support the student. The statement should include the student’s name and the responsible official’s signature. * A bank letter showing name of sponsor as an account holder for the business

I certify that the information provided on this form is true and correct. I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offers of assistance, cancellation of enrollment and/or appropriate disciplinary action. I agree to notify the Designated School Official of this institution of any changes in the information I have provided. _______________________________________________________________________ Signature

____________________________________ Date

THIS FORM WILL BE RETURNED TO THE APPLICANT IF NOT COMPLETED IN ITS ENTIRETY. Tarrant County College is an Equal Opportunity Institution that provides educational and employment opportunities on the basis of merit and without discrimination because of race, color, religion, sex, age, national origin, veteran status or disability.