Declaration & Certification Of Finances For Undergraduate Students

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Student and Scholar Immigration Services
immigration@uakron.edu
Fax: (330) 972-6475
Declaration & Certification of Finances for Undergraduate Students
In order to receive an I-20 or DS-2019, please submit the following information:
1.
Financial documentation showing funds available for at least one year’s worth of expenses (refer to the table below).
2.
Copy of your passport.
Tuition & Fees
$22,028
Based on one academic year; two semesters for a full-time student.
On-Campus Room
$8,165
Based on the average cost of a standard double room.
Meal Plan (15 meal-plan)
$3,558
Other meal plans: 12-meal plan $3,428 and 19-meal plan $3,948
Health Insurance
$1,145
Student health insurance for one year.
Books
$1,000
Estimated cost of books for one academic year; two semesters full-time.
TOTAL
$35,896
1.
The above amounts are estimates and may not include expenses related to specific majors (such as lab fees, etc.).
2.
If you bring dependents (spouse and/or child(ren)), you will need to add $4,060 per dependent to the total.
3.
The bank statement or letter from a bank must be current, in English, and on bank letterhead or official bank paper.
4.
If the balance is not listed in US Dollars (USD), it should clearly indicate the currency used.
5.
Scanned copies and faxes are accepted but must be of good quality and easily readable.
PART 1 (TO BE COMPLETED BY THE STUDENT):
Name of Student:
Student ID# (if known):
(First name, Last name as it appears on your passport)
Date of Birth:
Yes  No 
Are you currently in the USA?
If yes, what is your current visa status:
Check each box that applies to you:
 I have my own funds to support my studies. The amount of funding is $
USD, and I will be able
to provide this amount each year.
(Attach a copy of your financial documentation).
 I will be supported by a sponsor(s).
(Your sponsor(s) must complete Part 2 of this form and submit a copy of their financial documentation).
 I have a scholarship (government, athletic, academic, etc.).
(Include a copy of your scholarship letter).
 I am planning to bring dependent(s).
(Complete Part 3).
I certify that the information provided on this form is correct and complete and that I shall notify the Office of International
Programs of any changes in this information or in my financial circumstances.
Student’s Signature:
Date:

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