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Financial Statement for International Applicants
Important: United States immigration regulations require that certification of admission be based upon both academic acceptance
and satisfactory evidence of adequate funds to meet all expenses that will be incurred during the student’s proposed course of study.
Please complete ALL ITEMS (front and back) on this form, carefully, in English. Use typewriter or print neatly in ink. Incomplete
forms will be returned unprocessed. Graduate applicants must submit this form even though an assistantship has been requested
(see reverse).
Please send documents to support your financial declaration. Supporting documentation is needed for each person or party who will
be contributing to the cost of your education. The documents should reflect the person’s financial status over time. All
documentation should be in English or be accompanied by an English translation. Examples of supporting documentation include:
several months’ bank statements or an official letter, on bank stationery, indicating the amount of funds available. All documents
must be officially translated into English and the monetary amounts expressed in U.S. dollars. Students need to keep a duplicate set of
all documentation. They will be necessary to apply for a visa and to enter the United States.
Student Name
Family Name First Middle
Current Address
Valid Until
Phone Number Email Address
Country of Citizenship Country of Permanent Residence
City of Birth ___________________________________ Country of Birth ______________________________________________
Proposed Course of Study
Degree Major
How many years do you plan to study in the United States?
If married, give full name of spouse
Spouse’s citizenship
If you come to this country, will any of your family members come with you? ( ) Yes ( ) No
If yes, list name of person and relationship to you.
(You must have guaranteed finances to support your dependents, as they cannot legally work. It is strongly recommended that family
members wait to travel to Alaska until the student has secured suitable housing.)
If already in the United States, please attach a copy of your Form I-94 Arrival-Departure Record and a copy of Form I-20, DS
2019, or other documentation indicating your date of arrival, current visa status, and expiration date of status.
If you have been corresponding with anyone at UAF (other than the Office of Admissions), please list here:
Briefly, please explain your reasons for applying to UAF (use additional sheet if needed).
Return this form and proper verification of funding to:
UNIVERSITY OF ALASKA FAIRBANKS
Office of Admissions
PO Box 757480
Fairbanks, AK 99775-7480
(907) 474-7500
admissions@uaf.edu
INTLFINSTATDEC_1011.doc 10/09
Print Form
FINANCIAL STATEMENT
Estimated Expenses1 for International Students Fall 2010-Spring 2011
Nine-Month Academic Year, September through May
Undergraduate Graduate
Living Expenses: 12,300.00 12,300.00
Tuition: 12,280.00 12,440.00
Fees: 1,075.00 1,030.00
Health Insurance (required): 1,020.00 1,020.00
TOTAL: $26,675.00 $26,790.00
The costs listed above are approximate costs for one academic year (9 months). Add approximately $4,500.00 for summer living
expenses. Transportation costs are not included. If you are bringing family members with you, you must have approximately
$6,000.00 in additional support per dependent to cover the increased cost of room, board, and insurance.
Residents of countries which hold approved Sister City/Sister Province agreements, qualify for resident tuition. Undergraduate
resident tuition is approximately $3,805.00. Graduate resident tuition is approximately $6,085.00 for the nine-month academic year.
1
Estimated expenses are subject to change. For the most up-to-date information, go to http://www.uaf.edu/admissions/pdf/intl_financial.pdf
How will you fund your studies in the U.S.?
I am requesting financial assistance from UAF. However, if no assistance is awarded:
I will not be able to attend.
I will be able to attend using personal funds.
I have adequate personal funds, and do not request an assistantship from UAF.
List amount of money and sources of your financial support below (ALL applicants must sign and date this box):
Source of Funding: Required Documents to be attached: Guaranteed Support – U.S. $
Personal Savings Original copy of bank statement
signed by bank official $
Parent or Sponsor Signed affidavit (below) and
original copy of bank statement $
Your government Original or certified copy of
other agency award letter $
UAF funding (anticipated amount of funding) $
I certify that the information provided is correct and that I shall notify the University of Alaska Fairbanks of any changes
in my financial circumstances or academic status.
Print and sign here
Date: Signature:
AFFIDAVIT OF SUPPORT (to be completed by parent or sponsor):
“I, _____________________________________ certify that I will provide each year, financial support in the amount of
$ _____________________, payable in U.S. dollars for the educational expenses of _______________________________________,
who is my _________________________.”
(Relationship to student)
Documentation of my financial ability is attached. (Your financial statement cannot be evaluated unless financial documentation is
attached.)
Print and sign here
(Printed Name) (Signature of Sponsor) (Date)
(Address of Sponsor)
INTLFINSTATDEC_1011.doc 10/09
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