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					University of Minnesota Duluth                                                                    2009-2010 Academic Year
Financial Certification Statement for International Students
U.S. government regulations require that the University maintain records showing that you have met its financial requirements, as well
as its academic and language proficiency requirements. You are responsible for demonstrating that you have sufficient funds to meet
all educational and personal expenses for the duration of your F-1 status at the University. You must fill out all the information on
this form before the University of Minnesota will issue you an I-20A-B. If you are a resident of Manitoba, Canada, please request the
financial certification statement for Manitoba residents.

You must certify that you have at least the amount necessary to cover your tuition, fees, and living expenses for your first academic
year (12 months). If you attend summer session and/or bring your spouse or other dependents with you to the United States, you must
certify that you have the additional amount necessary to cover those costs.

Return this form to: International Student Adviser, 237 Kirby Student Center, 1120 Kirby Drive, Duluth MN 55812-3085

  Expenses estimated for 12-months at the University of Minnesota Duluth                                         Non-resident *
                                                        Tuition and fees at 26 credits per year                $13,004.00
                                                                          Books and supplies                     1,348.00
                                             Health insurance (mandatory for all students)                       1,814.00
                                                         Living expenses (including summer)                      8,176.00
                                                                                       Subtotal                $24,342.00
                                                                 Personal expense allowance                       2,600.00
                                                                    Total annual expenses                     $26,942.00

  List your resources in U.S. dollars — attach supporting documentation (e.g., bank statement, income verification letters).

  Personal funds                                                                                    $

      Family funds       Name of source
       from abroad
                                                                                                    $
                         Their relationship to you

      Scholarship,       Name of source
     grant, or loan
                         Address of source                                                          $


      Funds from         Specify type of funds
   another source
                         Name of source
                                                                                                    $
                         Address of source



  Your total resources should equal or exceed your “ Total annual expenses” above.                 $

  I certify the above information is complete, accurate, and true. I take full financial responsibility for all of my
  educational and personal expenses. I understand that the University of Minnesota accepts no responsibility for my
  financial needs.

  Applicant’s name (please print)

  Applicant’s signature


* The university will establish the new tuition and fee structure for the 2009-2010 academic year during the latter part of
  June.
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