The Graduate School
Initial I-20 Transfer from US school
Change of status
Confidential Financial Statement for International Students
To be completed by persons initially pursuing, currently in or wishing to change to an F-1 visa classification
INSTRUCTIONS: This form must be typed or printed in ink. Answer the questions as accurately as possible. If part of your
funds will come from some sponsor, have the sponsor certification on page 2 completed before the form is mailed to the
Graduate School. The statement must be completed, signed, and returned to the Graduate School before a form I-20 may be
Complete Legal Name
Date of Birth
NOTE: Please list name exactly as it appears on passport or will appear on your passport application.
NIU department to which you are
Country of Birth
Permanent address in home country
Address to which I-20 should be mailed (if different from above)
Indicate in the following table the sources and amounts of money in United States dollars that you expect to have available
for the first year to meet necessary expenses after you arrive in the United States. (If you are awarded an assistantship or
tuition waiver, you must send a copy of the award letter to the Graduate School.)
Source of Funding*
Other sources (please specify)
* Please attach copies of bank statements, affidavit of support, and/or award letter
How much money in United States dollars do you expect to have when you arrive at Northern Illinois University?
Do you hope to supplement these funds from sources in United States after arrival? Yes
If your answer is yes, describe these plans in detail, indicating source and amounts of supplemental funds.