Fall 2013 Financial Certification Form

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FINANCIAL CERTIFICATION FORM
FOR INTERNATIONAL STUDENTS ADMITTED FOR FALL 2013
Graduate School, Yale University
Last/Family Name: _________________________ First Name: ____________________ Date of Birth: ________ City of Birth:_________________
(mm/dd/yy)
Please respond to all below:
1.
I am receiving funding from Yale University. ___ yes ____ no. If yes, please indicate amount: __________
2.
I will be coming to Yale by myself ___ with spouse ____ with children ___ (indicate #)
3.
I will attend a summer program at Yale prior to beginning my graduate studies. ___ yes ___ no If yes, please indicate which
program:_______________.
You must submit documentation that you will have available the minimum sum of $63,220 for the first year of your academic program at Yale University, plus
additional funds if your spouse and/or child will accompany you to Yale.
If you plan to bring dependents with you to the U.S. you must submit proof of an additional $10,355 for your spouse or $24,400 for a family with children above
the estimated expenses for a single student. (Remember dependents in F-2 status cannot work in the U.S.)
In order to assure that you will have sufficient time to receive your I-20 and apply for your visa, please submit your financial documents by no later than June 1,
2013.
Acceptable Forms of Financial Certification
The following forms of financial certification are acceptable:
1.
An original bank statement (or certified copy) on bank stationery in your or your family’s name. The statement must be issued within the last six (6) months and
include your current balance in US dollars.
2.
A photocopy of a scholarship letter in your name for study at Yale University.
3.
If you are going to be supported by a US citizen or US permanent resident family member of friend, your sponsor must complete A U.S. Affidavit of Support
Form (USCIS form I-134) accompanied by original financial documentation as required on the form.
2013-2014
ESTIMATED EXPENSES FOR THE ACADEMIC YEAR
Estimated Expenses
Single Student
Student w/Spouse
Tuition
$36,500
$36,500
Living Expenses
$25,100
$30,425
Required Health Insurance
$1,620
$6,650
TOTAL
$63,220
$73,575
PLEASE IDENTFY THE SOURCES AND AMOUNTS OF FINANCIAL SUPPORT
FOR DURATION OF ACADEMIC PROGRAM - SEE CHART ABOVE FOR TOTAL OF FUNDS REQUIRED
If your program is a two year program, indicate the anticipated source of funding for both years.
Sources of Funding
Year #1
Year #2
Year #3
Year #4
1.
2.
TOTALS
I certify that I have truthfully stated the financial arrangements to support my studies at Yale University.
Signature:
Date:
RETURN WITH THE REQUIRED FINANCIAL DOCUMENTATION BY EMAIL TO: graduate.admissions@yale.edu
PLEASE INSERT THE FOLLOWING INTO THE SUBJECT LINE OF YOUR EMAIL: FINANCIAL FORM
DEPARTMENT USE ONLY:
Expected
Expected
Degree Program: _______________________________________
Start Date: ________________
Graduation Date: ______________
Admissions Officer Name: __________________________________ Initials: ___________________
Review Date: _________________

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