Financial Certification Form printable pdf download

International

University of Cincinnati

PO Box 210640

Cincinnati, OH 45221-0640

Room 3134, Edwards One

Phone (513) 556-4278

Fax (513) 556-2990

Financial Certification Form

Personal Information: Please put your name in full as it appears in your passport.

Family/Surname:___________________________________________________________________________

First/Given: ______________________________________ Middle: __________________________________

Country of Birth

Date of Birth

Country of Citizenship

_____________________________

______/______/______

____________________________________

month

day

year

Are you currently in the United States? ___YES ___NO If yes, list immigration status:_____(F1, H1B, etc.)

If Yes, and the immigration status is not F-1, the Form I-20 or DS-2019 will not be issued until you have

made an appointment with us for assistance with a change of status application. If you are not eligible for

a change of status, the form will only be issued for travel to your home country.

E-mail: __________________________________________ Telephone: _______________________________

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

Mailing Address for I-20 or DS-2019: Street Address:_____________________________________________

__________________________________________________________________________________________

City:_______________________________________ Province ______________________________________

State/Country______________________________________ Zip/Postal Code: _________________________

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

Funding Information: The total support necessary for first year of study must be documented and

available. The support necessary for subsequent years of study must be reasonably attainable and

documented through bank statements, employment letters, tax returns, investments, etc.

Employment/salary letters and investments are the most reliable sources of support. If any funds are

being provided by a sponsor, the sponsor must complete the Affidavit of Sponsorship on the back of this

form. If personal funds are being used, bank statements must be attached in the student’s name and be

sufficient for all years of study, not just the first year.

The total amount of money that I have available for each academic year of study is $_________________.

This amount includes the following:

$ __________

personal funds

$___________sponsor(s)

$ __________

funds from University of Cincinnati. Type: ______________________________________

$ __________

other, please specify: ________________________________________________________

I certify that the above information provided is correct and complete and that I shall notify the University

of Cincinnati of any change in my financial circumstances.

Student's Signature _________________________________________

Date_______________________

-over-

Financial Certification Form

Related Articles

Related forms

Related Categories