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PAGE 1 OF 2 Undergraduate Certification of Finances The U.S. Citizenship and Immigration Services (USCIS) agency requires the University of San Francisco to verify that international students have sufficient financial support to pay for their expenses while studying in the United States. The USF Certification of Finances is used to obtain complete and accurate information about the financial resources available to international applicants. Financial verification of sufficient funds must be made prior to institutional issuance of a Certificate of Visa Eligibility (or Form I-20), which will be used to apply for an F-1 (Student) Visa. Admission to USF is ultimately dependent upon your ability to demonstrate sufficient financial support to cover the total projected costs of your undergraduate education. APPLICATION FOR SEMESTER BEGINNING SPRING: JANUARY 2016 FALL: AUGUST 2016 SPRING: JANUARY 2017 APPLICANT'S PERSONAL INFORMATION (PLEASE ENTER YOUR LEGAL NAME AS IT APPEARS ON YOUR PASSPORT): LEGAL NAME LAST/FAMILY COUNTRY OF BIRTH FIRST/GIVEN DATE OF BIRTH / MM / DD / / MIDDLE NAME COUNTRY OF CITIZENSHIP YY ADDRESS CITY PROVINCE OR STATE PHONE NUMBER / COUNTRY CODE POSTAL CODE / / CITY CODE / COUNTRY E-MAIL ADDRESS NUMBER PLEASE WRITE E-MAIL ADDRESS CLEARLY Estimated Cost of Attendance at the University of San Francisco for 2016-2017 is $66,875 The estimated cost of attendance at USF for the 2015-2016 academic year is $64,428. These annual costs are anticipated to increase each year. The estimated cost for the 2016-2017 academic year is $66,875. Your Certification of Finances therefore must provide evidence of the availability of $66,875 to support your educational and living expenses for 2016-2017. FOR 2015-2016 Tuition $42,180 Fees $454 Room and Board $13,650 Health Insurance $2,744 Books $1,600 Miscellaneous/Travel For 2016-2017 $66,875 $3,800 Total $64,428 Assured Funds in U.S. Dollars Endorsement of the Certification of Finances by you and your parent or sponsor certifies that $66,875 will be available for 2016-2017, and that at least this amount will be available for each remaining year of your academic program. Required Verifications In order for the Certification of Finances to be complete, you, your parent, sponsor, or bank official must sign in the appropriate section(s) on the following page, confirming that the Assured U.S. Dollar Amount listed is available. In addition, the relevant bank official must provide either a bank statement OR a signed letter verifying the exact amount of funds available. Return This Form and Accompanying Documents Via Postal Mail To: University of San Francisco Office of International Admission Records 2130 Fulton Street San Francisco, CA 94117-1088 USA Via E-Mail To: [email protected] OFFICE OF INTERNATIONAL ADMISSION, 2130 FULTON STREET, SAN FRANCISCO, CALIFORNIA 94117-1088, USA • TEL +1 (415) 422–6563 • FAX +1 (415) 422–6888 PAGE 2 OF 2 Undergraduate Certification of Finances Assured U.S. $ Amount Per Year of Academic Program Sources of Funds Applicant’s Personal Funds U.S. $ BANK NAME BANK LETTER ENCLOSED BANK STATEMENT ENCLOSED This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available. BANK OFFICIAL’S SIGNATURE DATE BANK OFFICIAL’S NAME BANK OFFICIAL’S TITLE Parent's Funds U.S. $ PARENT'S NAME MOTHER FATHER This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available. PARENT’S SIGNATURE DATE BANK NAME BANK LETTER ENCLOSED BANK STATEMENT ENCLOSED This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available. BANK OFFICIAL’S SIGNATURE DATE BANK OFFICIAL'S NAME BANK OFFICIAL'S TITLE Sponsor's Funds U.S. $ SPONSORS'S NAME RELATIONSHIP TO APPLICANT This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available and will be provided as indicated. SPONSOR’S SIGNATURE DATE BANK NAME BANK LETTER ENCLOSED BANK STATEMENT ENCLOSED This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available. BANK OFFICIAL’S SIGNATURE DATE BANK OFFICIAL'S NAME BANK OFFICIAL'S TITLE Government or Private Scholarship or Loan U.S. $ Please Note: A signed copy of your award letter must accompany this form. AGENCY NAME AWARD LETTER ENCLOSED Total Assured Amount From All Sources Reported In US Dollars U.S. $ MUST TOTAL AT LEAST $66,875 FOR 2016-2017 Current Exchange Rate: AMOUNT CURRENCY = 1.00 U.S.D. DATE MM Applicant Endorsement / / DD U.S. $ I certify that the information on this form is true, correct, and, complete. I understand that any misrepresentation may be cause for refusing or revoking admission. APPLICANT'S SIGNATURE DATE APPLICANT'S LEGAL (PASSPORT) NAME LAST/FAMILY FIRST/GIVEN MIDDLE NAME OFFICE OF INTERNATIONAL ADMISSION, 2130 FULTON STREET, SAN FRANCISCO, CALIFORNIA 94117-1088, USA • TEL +1 (415) 422–6563 • FAX +1 (415) 422–6888 / /YY