Download USF Certification of Finances Form – 2016-2017

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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
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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
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/YY