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Please print clearly or type; incomplete statements will not be accepted. Return completed form to: Thomas College - Admissions Office 180 West River Road, ME 04901 USA International applicants must certify that they possess sufficient funds to cover costs of tuition, fees, living expenses amount of money available in U.S. dollars. Only official, original statements in English will be accepted. Your application is not complete and the form I-20 will not be issued unless this information is submitted. The U.S. Consulate also may request financial statements when the student applies for the visa and/or at the Port of Entry into the United States. Therefore, it is advisable to keep copies of all financial statements with the student's passport. Section A. Student Name: _________________________________________________________________________________________________________ ___________ Surname/family name first or given name middle name Country of Birth: _________________________ Date of Birth: ___________________ Country of Citizenship: ___________________________ Month/Day/Year What will be the total amount of money available to you each year to attend Thomas College? Please specify the amount in U.S. dollars: $ ______________________________________________________ Section B. Please indicate how you will pay for your education at Thomas College. (check all that apply) ___ Personal savings (fill out Sections A, B, C and bank official from your bank must complete Section D) ___ Parents or family (parents or family members must complete Section C and have a bank official from their bank complete Section D) ___ A private sponsor (private sponsor must complete Section C and have a bank official from their bank complete Section D) ___ A scholarship from Thomas College ___ A government agency or scholarship from other organization (complete the following and attach an official, original letter from the government agency or organization) Contact Person's Name: ___________________________________________________________________________________ Address: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 1. For what costs does the scholarship pay? (for example: tuition, fees, housing, books, insurance, etc.) __________________________________________________________________________________________________ ________ __________________________________________________________________________________________________ ________ 2. How frequently will you receive the funds? (for example: monthly, each semester, etc.) __________________________________________________________________________________________________ ________ __________________________________________________________________________________________________ ________ Section C. Student Name: _________________________________________________________________________________________________________ __ Surname or family name first or given name middle name Name of parent, relative, or sponsor: ___________________________________________________________________________________ (Must be identical to name on sponsor's bank statement) Relationship to applicant: _____________________________ Position or Occupation: ______________________________________ This confirms that I will financially support the applicant named in this application. I guarantee that the money specified in the Bank Statement will be available to this applicant during the entire period of study at Thomas College. Signature: ____________________________________________________________________________ Date: ____________________________ Section D. The U.S. Immigration & Naturalization Service requires Thomas College to maintain in its files verification that the applicant, family member, and/or sponsor have adequate funds in the bank for the applicant's studies at Thomas. This financial statement must be notarized or sealed as original with an official bank stamp or seal. _____________________________________________________________________________________________________________________________ I certify that the applicant or the sponsor named in item Section C possesses adequate funds to meet the financial requirements of Thomas College and is permitted to do so under present monetary and governmental regulations. The total amount of money (in U.S. dollars) currently in the sponsor's account or, in the case of sponsorship by a government agency, the funds available to the applicant is $________________________________. Signature of Bank Official: _______________________________________________________ __________________________ Name printed or typed: _________________________________________________ ___________________________________ Name of Bank: __________________________________________________________ Title: Date: Bank Mailing Address: ______________________________________________________________________________________________ ____________________________________________________________________________________ __________ ____________________________________________________________________________________ __________ If it is not possible for a bank official to complete this statement, Thomas College will accept an original letter from the bank official, written in English on bank stationary, stating that the required amount of money is currently in the account. After reviewing this application and financial declaration I certify that the information is true and that the financial statements submitted on my behalf are valid. I further certify that I have the necessary funds to pay all of my expenses for as long as I am a student at Thomas College. Applicant's Signature: _______________________________________________ _____________________________________ Date: Month/day/year