Fillable Financial Support Form - Miami University printable pdf download

I N T E R N A T I O N A L S T U D E N T

F I N A N C I A L S U P P O R T F O R M

Complete and submit the following information. Return this form together with a photocopy or a digital scanned copy of bank statement to the

Miami University Office of Admission. You may scan/e-mail the completed page to internationaladmission@muohio.edu OR fax to 1-513-529-0682.

Do not send duplicate materials unless specifically requested.

Note: Applicants in a visa status other than F-1 or J-1 are not required to show proof of financial support. Contact the Office of Admission and

provide ONE of the following forms of documentation: a copy of current immigration status such as the I-797 Notice of Action, I-94 arrival card,

OR visa page in the passport. The Office of Admission reserves the right to request additional documentation.

Applicant information

1. Legal name: ___________________________________________________________________________________________________________

Family name

Given name

Middle/maiden name

2. Date of birth:

month ____________ day _____________ year_______________

3. Application term:

r Spring 2013 (January)

r Fall 2013 (August)

4. Application type (select one):

r First-year (Freshman)

r Transfer

r Exchange/non-degree

5. Country of birth: ______________________________________________________________________________________________________

6. Country of citizenship: __________________________________________________________________________________________________

7. Have you ever held F-1 status in the U.S.?

r Yes

r No

If so, what is/was your last date of enrollment as an F-1 student? _____________________________________________________________

8. Are you currently in the U.S.?

r Yes

r No

If so, what is your visa status? _________________________________________________________________________________________

Do you plan to travel outside the U.S. before school starts?

r Yes

r No

9. Indicate expected visa type while studying at Miami: _________________________________________________________________________

10. Sources of financial support (check all that apply, indicate approximate amounts, and include proof of financial support for EACH)

r Self-supporting ........................................................................................................................................... Amount: $ ___________________________

r Sponsored by another individual (name and relationship: ______________________________ ) Amount: $ ___________________________

r Sponsored by my government or other organization ........................................................................... Amount: $ ___________________________

(A certified copy of the scholarship letter should be included.)

By my signature, I attest that all information provided on this form is complete and accurate and that I am ultimately responsible for all

anticipated expenses for the length of my stay in the U.S. Any omission or falsification may result in my being denied registration or in

action leading to dismissal from Miami University.

Signature of applicant: ____________________________________________________________ Date: __________________________________

Sponsor affidavit of support