Download incomplete statements will not be accepted

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