Apartment Financial Statement

Document Sample
Apartment Financial Statement Powered By Docstoc
					                                     INTERNATIONAL LANGUAGE INSTITUTE
                                           FINANCIAL STATEMENT
                                                     (print or type information except for signature)

Applicant’s Name: __________________________________________________________________________________________
                                   (Family Last Name, First Name, Middle Name)
Permanent Address: _________________________________________________________________________________________
 (Home Country)                                 (Street Address, Apartment #)
                                      (City, State, Zip Code, Country)
Country of Birth: _______________________________ Country of Citizenship: ______________________________________

Date of Birth: _______________________ Semester & Year Applying for: ___________________________________________
                 (Month/ Date/ Year)

Program/Course Interest: _______ESL_____________________ □ intensive (morning)                          □ semi-intensive (evening)

International applicants who are not United States Citizens or Permanent Resident Aliens of the United States must complete all
sections of this form. Accompanying this form must be a bank statement certifying you or your sponsor to have sufficient funds as
stated below and a letter of sponsorship from the party who will financially support you if the bank statement is not under your name.
The letter should certify the sponsor’s commitment to pay your educational, living, health, and personal expenses until completion of
the program. These documents are required to process an I-20 form. Documents must be original and dated six months prior to your
first enrollment according to the following dates:

            Fall - January 1 or after              Summer Session I - October 1 or after
            Spring - May 1 or after

The following are the amounts a student must show on the bank statement(s):

                                          8-week intensive program                1 academic year
International Students residing on campus       $4,249.00                          $16,513.00
Nuevo Laredo, Mexico Resident (commuter)        1,691.00                           6,281.00

                                            16-week semi-intensive                1 academic year
Nuevo Laredo, Mexico Resident (part-time)        $1,691.00                        $3,382.00

1.      Indicate Immigration form you will need, if not currently holding a visa:
        □ I need an I-20 form for an F-1 student visa from Texas A&M International University.

             for Mexican citizens only (check one):
              I plan to study full-time and live on-campus or Laredo.
              I plan to study full-time and commute from Mexico (full-level).
              I plan to study part-time and commute from Mexico (half-level).

        □ I am not requesting a student visa from Texas A&M International University because I currently
        have a Visa Type: ____________________Expiration Date: ________________
        (Provide a complete copy of your visa with this form. Upon arrival, original visa must be presented at the ILI Office
        for verification.)

                               Texas A&M International University – International Language Institute
                                 5201 University Boulevard - Laredo, Texas 78041-1900 - U.S.A.
                                   (956) 326-2136 - Fax (956) 326-2909 - www.tamiu.edu/dip/ili
2.      Sponsor’s Certification Statement
        To be completed by the person who will financially support your educational, living, health, and personal
        expenses while at Texas A&M International University. The sponsor must submit an original letter of

        This is to certify that I have read and understood the information given by the applicants and that it is true and accurate.
        I also certify that the funds are available and that the necessary amount will be provided .

        Sponsor’s Name (please print):               ______________________________________________________

        Sponsor’s Relationship to applicant: ______________________________________________________

        Sponsor’s Signature: __________________________________________ Date: _________________
        (Signature may be omitted if sponsor is physically inaccessible to applicant.)                (Month/ Date/ Year)

3.      Do you currently have an F-1 Student Visa from a U.S. Institution?                   No      Yes
        If yes, please answer the following questions and submit documents* required.
        Name of institution which issued the I-20: __________________________________________________
        Program of study: _____________________________________________________________________
        Expiration date on visa: _________________________________________________________________
        Admissions number on I-94: _____________________________________________________________
        (*A Foreign Student Advisor’s Report Form provided by TAMIU must be completed by you and your current Foreign Student
        Advisor. A copy of your current I-20, student visa and I-94 are also required. All documents must be submitted to the
        International Language Institute.)

4.      Do you plan to include any dependents on your I-20 form from Texas A&M International University?
                          No  Yes
        If yes, add $5,882.00 to the amount required on the bank statement and provide the following information:
        (you may use a separate sheet of paper if more than one dependent)

        Family last name and first name of dependent: _____________________________________________

        Date of birth: ____________________________ Relationship to you: __________________________
                               (Month/ Date/ Year)
        Country of birth: _____________________________________________________________________

Admission deadlines for international students are as follows:
              Fall I & III – June 1st          Fall II – August 1st
              Spring I & III – October 1 st
                                               Spring II – December 1st
              Summer Session – March 1      st

  *Proof of student’s and dependent(s’) health insurance must be provided to Texas A&M International University (TAMIU)
to complete registration.

   Retain copies of all financial documents submitted to the International Language Institute. You will need to present documents to
the U.S. Embassy or Consulate when applying for a visa. Please be informed that it is the student’s responsibility to make sure that
funds are available when needed and that all advanced arrangements are made.

   I authorize TAMIU to verify the information I have provided. I agree to notify the proper TAMIU officials of any changes in the
information provided. I certify that the information on this form is complete and correct. I understand that the submission of false
information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or
appropriate disciplinary action.

Applicant’s Signature: ____________________________________                                      Date: _______________
                                                                                                             (Month/ Date/ Year)
Revised on 07/01/10
                                         (Month/ Date/ Year)
Revised on 07/01/10

Description: Apartment Financial Statement document sample