Georgia Southwestern State University

2017-18 International Student

Declaration Certification of Finances

Requirements:

United States (U.S.) universities are required by law to verify that students entering the U.S. have adequate financial resources to meet the expenses of their programs of study. You must complete this form in order to receive a Certificate of Eligibility (Form I-20 or DS-2019) from Georgia Southwestern State University, which you will use to apply for your U.S. student visa. Signatures and documentation provided must be dated within six months. Support may come from any combination of sources, including personal, family, scholarships, or sponsored funds. You must provide documentation for each source of funding. Your available funds must be equal or greater to the amounts listed below.

In order to receive an I-20 or DS-2019, please submit the following information:

Financial documentation showing funds available for one academic year’s (two semesters) worth of expenses

ANNUAL EXPENSES / Undergraduate (15 hours/sem) / Graduate (12 hours/sem) / ELI
Tuition (academic year) / $18,032 / $18,106 / $8,400
Fees / $1,340 / $1,340 / $1,340
On-Campus Room (double occupancy) / $3,970 / $3,970 / $3,970
Meal Plan (15 meal-plan) / $3,730 / $3,730 / $3,730
Health Insurance / $878 / $878 / $878
Books and Miscellaneous / $1,000 / $1000 / $1000
TOTAL / $28,950 / $29,024 / $19,318

·  The above amounts are estimates and may not include expenses related to specific majors (such as lab fees, etc.).

·  An original Bank Certification Letter that is current, in English, on official bank paper; or an official Bank Certification Letter with an official Bank stamp or seal, or an official Bank statement balance translated into US Dollars (USD), and clearly indicating the currency used.

·  Scanned copies of required financial documents are accepted.

Please explain how you will provide funding during your stay at Georgia Southwestern State University. Please list amounts by source. Only enter scholarship amounts that can be supported by GSW award letters that you have already received, signed, and returned.

Personal Funds Family Funds Sponsor

GSW Athletic Scholarship

GSW Academic Scholarship USG Out-of-State Waiver TOTAL

ALL STUDENTS MUST COMPLETE THIS SECTION

I, _, certify from the sources noted within this document

that a minimum of - please check one:

$28,950 for undergraduate study OR $29,024 for Graduate Study OR $19,318 for ELI

is available for my first year of studies at Georgia Southwestern State University. Further, I realize that this amount may increase in subsequent semesters.

Student’s Signature: Date:

(Month/Day/Year)

Please use the VERIFICATION of SUPPORT section below to provide proof of personal and family funds. You must submit an additional VERIFICATION of SUPPORT for each individual or entity providing financial support. Students receiving a non-GSW scholarship must provide a letter of support on that organization’s letterhead.

VERIFICATION of SUPPORT

Further, this is to certify that I ______, will

guarantee funding for ______in the amount of

USD $ for each year to cover the all costs associated with this student’s education. (Please attach a copy of your financial documentation).

Relationship to the student: (example: parent, friend, employer, etc.).

Sponsor’s Full Name:

Signature: Date

Included with this document is an official statement from my financial institution attesting to my ability to assume this financial responsibility.

Bank Certification Letter

You may substitute an Affidavit of Support letter on Bank Letterhead, which verifies the same information required below. (All documents must be translated into English and include an official conversion of currency to U.S. Dollars).

This confirmation in no way obligates our institution to provide any support of any kind. Name and address of bank/financial institution:

In compliance with the request of ______we wish to advise

that at the close of business on (day/month year), the above-mentioned depositor’s account balance is sufficient to support the above guarantee for

______’s studies at Georgia Southwestern State University.

This account was opened (date) ______(day/month/year)

Name and Title of Bank Official ______

Date: ______(day/month/year)

Official

Signature of Bank Official: ______

BANK SEAL: