Financial Guarantee And Personal Data For Foreign Nationals

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Financial Guarantee and Personal Data for Foreign Nationals
Submit this form if you are neither a citizen nor a permanent resident of the United States. We cannot issue a Certificate of Eligibility (I-20) for
the F-1 Student Visa until you complete this form in its entirety, sign it, and return it with the application for admission (or as soon after as possible)
to the Office of Admissions. Be sure to include all required affidavits of support and official bank letters. We invite you to submit an optional
photograph in addition to this form.
Biographical Information
Full Name (as on passport) Family Name/Surname:
First:
Middle:
Suffix (Jr., II):
Sex:
Female
Male
H
H
Mailing Address:
Valid until (date):
/
/
Telephone (with country code):
Fax (with country code):
Email:
Date of Birth:
/
/
City/Country of Birth:
Native/First Language:
Citizenship:
Name/location of last educational institution attended
Dates attended: from
/
/
to
/
/
Type of diploma received:
English Language Proficiency
Foreign nationals whose first language is not English are required to present the official result of a current Test of English as a Foreign Language
(TOEFL) through the Educational Testing Service (ETS). You must have the test score sent directly from ETS to ECSU be sure to use our correct
college code (
).
TOEFL SCORE: Subscore I:
Subscore II:
Subscore III:
Total Score:
TWE (if taken):
Test date:
/
/
Visa Information
Admission of foreign national applicants to ECSU is subject to the regulations of the Bureau of Citizenship & Immigration Service (BCIS).
A prospective non-immigrant student applying to enter ECSU is personally responsible for complying with BCIS regulations. A prospective
international student must have an appropriate, current, valid, and legal non-immigrant status before he or she can be offered final admission
to Elizabeth City State University.
If you currently live in the U.S., specify your visa status:
If you have F-1 or J-1 status now, attach a photocopy of your 1020 or IAP-66.
Date when you first entered the U.S.:
/
/
Expiration date of current I-94:
/
/
Bureau of Citizenship and Immigration Services (BCIS) Regulations on Financial Capability
Under BCIS regulations, any foreign national coming to the U.S. for full-time study, or transferring from one institution to another for the purpose
of study, must demonstrate capability to meet all anticipated expenses for the course of study. An I-20 can be issued for an F-1student visa
application if these affidavit and bank statements (on back) are accepted. The consulate or embassy will also request this information.
For 2006-2007, the minimum for financial certification is U.S. $17,000.

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