Financial Statement For International Applicants
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1
2FINANCIAL STATEMENT
FOR INTERNATIONAL APPLICANTS
Mr. _____________________________________________________________________________________________________________________
I
Last
First
Middle
1. Name:
Miss
I
Mrs. _____________________________________________________________________________________________________________________
I
Country of Birth
Country of Citizenship
Social Security Number
2. Number of dependents with age and relationship of each _________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
3. Will a member of your family accompany you?
Yes
No
I
I
If yes, indicate name, date and place of birth, and citizenship: ______________________________________________________________________________
4. Can you pay your round-trip travel to the United States?
Yes
No
I
I
Can you pay travel expenses for each member of your family who will accompany you?
Yes
No
I
I
Anticipate an additional $5,000 for each member of your family who will accompany you.
5. The estimated expense of a student for one academic year is approximately $46,000 (bachelor’s); $35,000 (master’s)
or $45,000 (doctoral) in addition to cost of travel to and from home country. State the yearly resources,
in U.S. dollars, which you will have to cover these expenses.
a. From savings ______________________________________________________________________________________
$ ________________________
Bank
City
(amount)
Enclose financial statement signed by bank official.
b. From family _______________________________________________________________________________________
$
________________________
(amount)
Complete affidavit of support notarized by legal official. It must be accompanied by evidence that the family member
has adequate financial resources, in the form of a bank statement.
c. Salary while on leave of absence from employer
$ ________________________
(amount)
Name and address of employer _________________________________________________________________________
________________________________________________________________________________________________________
Enclose validated letter from employer.
d. Financial aid from any government agency, private foundation or bank
$ ________________________
(amount)
Name of agency _______________________________________________________________________________________
Enclose validated copy of the award from your sponsoring agency.
e. Other financial aid __________________________________________________________________________________
$ ________________________
State Source and Duration
(amount)
Validated copy or affidavit from authorized person or organization must be completed and sent to Robert Morris University.
TOTAL $ ________________________
6. No application from a sponsored or self-financed person will be considered unless accompanied by proper
certification in the form of a bank statement, guarantee from sponsor, affidavit of support, etc.
7. By signing my name to this form, I agree that the information is a correct statement of my arrangements
for financing my studies at Robert Morris University.
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