The Graduate School

ADVERTISEMENT

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
issued.
Complete Legal Name
Date of Birth
NOTE: Please list name exactly as it appears on passport or will appear on your passport application.
MM/DD/YYYY
(Reference SEVIS)
Last (Family)
First
NIU department to which you are
Degree sought
Gender
Country of Birth
Country of
applying
citizenship
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*
Personal
Parental
Graduate
Tuition waiver
Other sources (please specify)
savings
support
Assistantship
First year
20____-______
$
$
$
$
$
* 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
No
If your answer is yes, describe these plans in detail, indicating source and amounts of supplemental funds.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2