The Declaration And Certification Of Finances Page 4

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TO BE COMPLETED BY A CSU OFFICIAL ONLY:
Approved: __________ Denied: _________ Signature: __________________________ Date:________
FINANCIAL INFORMATION:
Certified original letters(s) must accompany this form. Acceptable letters(s) must come from a bank, your
government, or an organization or association, depending on which of the categories you check below.
The letter(s) must verify that the amount specified for your situation in your annual estimate of costs is
available for your studies. The letter(s) must verify all statements checked below. Letters must be in
English and figures must be stated in U.S. currency. Please indicate  how you will be funded:
I am planning to support myself through personal savings. I have attached a certified letter from my
bank which verifies that I have U.S. $ _________________ in my personal savings account, enough
to support myself through my degree program at CSU.
I will be supported by my parents or a sponsor, who lives outside the U.S. I have attached a certified
letter from the bank of my parents/sponsor which verifies that U.S. $ _________________ are
available for me to study at Cleveland State University. Also, attached is a certified letter which
verifies my parents'/sponsor's commitment to make these funds available to me.
I will be supported by my parents or a sponsor who lives in the US. I have attached a certified letter
from the bank of my parents/sponsor which verifies that U.S. $ _________________ are available for
me to study at Cleveland State University. Also, attached is a certified letter which verifies my
parents'/sponsor's commitment to make these funds available to me and documentation that my parent
and/or sponsor is a U.S. citizen or permanent resident
My government is sponsoring my studies. I have attached a certified letter from my government which
verifies that U.S.$_________________ are available for me to study at Cleveland State University.


I will be supported by an award, which I will be receiving from _____________________________
The amount of this award is U.S. $ _________________ I have attached a certified letter which
verifies their commitment to support me in my studies at Cleveland State University.

In case of emergency, I will have other sources available. Name of other source: _________________
IMPORTANT:
I certify that the total amount of money (excluding travel funds) available to me for my first academic
year of study in the United States is U.S. $ ________________ and that the total amount for each
subsequent academic year of study is U.S. $___________________.
Further, I certify that all information provided by me on this form is complete and correct.
Student's Signature: _____________________________________ Date: ________________________
(DCF Form: Page 2 of 2)
Revised 04/18/2012

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