Fillable Printable Declaration & Certification of Finances for I-20 / DS-2019 Application

Declaration & Certification of Finances for I-20 / DS-2019 Application

FOR INTERNATIONAL APPLICANTS ONLY

PROOF OF FUNDING REQUIREMENTS

In order for the Certificate of Visa Eligibility (Form I-20 or DS-2019) to be issued, it is necessary to submit complete and accurate

information regarding your sources of financial support. The University of Illinois at Urbana-Champaign requires this information in

compliance with regulations set forth by the U.S. Citizenship and Immigration Services (USCIS) for all students planning to enter

the United States under its auspices. All documents must be in English or accompanied with an official English translation. All

documents must be uploaded into the “Upload Credentials Here” section of the online application. The following documentation

should be uploaded directly to the online application:

If the student will provide funding from personal funds, a bank statement with sufficient funding for at least one year’s

total cost is required.

If a family or other personal sponsor will provide funding, a bank statement with sufficient funding for at least one

year’s total cost is required, along with this form verifying sponsorship. Your sponsor may provide a signed letter of

sponsorship in lieu of this form detailing amounts and length of sponsorship.

If an employer, government, or organization will provide funding, a signed letter of sponsorship detailing amounts

and length of sponsorship is required. This form can accompany the letter of sponsorship, but not replace it. Authorization

for billing must also be submitted if your sponsor requests to be billed directly by the University.

Bank Statement Requirements: You must obtain a bank statement or letter (web printouts are acceptable for online banking)

showing the bank's letterhead/logo, bank stamp/bank signature, and the account holder’s name must match the name of your

sponsor. The statement must show sufficient funding for one year’s costs (or amount of sponsorship for year one), must be dated

within one year of submission, and must show funding in liquid accounts, such as savings, checking, money market accounts, or

CDs. Student loans are also acceptable; we must have a statement from the bank confirming approval of the loan. Non-liquid

funding such as stocks, bonds, auto/land deeds are not acceptable forms of financial support. Solvency and capability statements

are not acceptable forms of financial support.

Declaration and Certification of Finances form Requirements: The sponsor must sign and print his/her name and relationship

to the student, and the form must be dated within one year of submission. Signing this document verifies sponsorship for the full

length and cost of the program. True signatures are required; typed signatures will not be accepted.

Letter of Sponsorship Requirements: You must obtain an official letter of sponsorship from the sponsor that includes a

signature or stamp showing the authenticity of the letter. The letter must detail amounts and length of sponsorship, and be dated

within one year of submission. If applicable, please also ensure that the letter of sponsorship indicates agreement to cover your

accompanying dependent costs as well as your own.

School Funding Information: Financial assistance is available only for graduate students. Awards vary and may cover only part

of the total estimated expenses. The combination of funds from University financial assistance and from personal and/or other

resources must equal the total cost of attending your proposed program of study for one year. Personal or other funds must be

verified as requested above.

Dependent Information: Married students who will be accompanied by spouses and/or children must certify additional financial

resources to both the institution and to the U.S. embassy or consular office in order for dependent visas to be issued. The current

estimated cost for accompanying dependents is as follows: for one dependent, $7,300 per year; for two dependents, $11,300 per

year; and each additional dependent is $2,000 per year. Costs are calculated per 12-month period. It is also highly advisable to

purchase health insurance for accompanying dependents. The current approximate rate for a spouse or child is $1,068 per year. If

you are being sponsored by an agency or your employer, please ensure that the letter of sponsorship indicates agreement to

cover your accompanying dependent costs as well as your own. Please note these rates are subject to change.

Contingency Fund: We strongly advise that you provide a contingency fund of $3,000 for your initial expenses and potential

increases in tuition and fees. The estimated expenses listed on page 2 are estimated and may increase between the time of

admission and your first term of study. These expenses may also increase each year of your program. All tuition and fee rates are

subject to change without notice.

See Page 2 for Estimated Expenses

See Page 3 for Sponsor Affidavit of Support Form (to be uploaded into your online application)

Estimated Expenses for 2016 Admitted Students (for a single student)

Fall & Spring Estimated Cost

Room and Board (12 months) $14,650*

Other Expenses $3,300**

Books & Supplies $1,800

Tuition (base rate) and fees for Academic Year $29,886***

Academic Year (2 semesters) TOTAL $49,636

Summer Session (if you plan to attend, add these approximate expenses to the total above): Estimated Cost

Books & Supplies $300

Tuition (base rate) and fees for Academic Year $7,439**

Summer Session TOTAL $7,739

Calendar Year (academic year plus summer session): Estimated Cost

Total for a single student $57,375

*Calculated based on double occupancy (add $2,508 for single occupancy). **Other expenses include Personal/clothing/travel/Sunday evening meals.

***Tuition and Fees for base-rate programs only.

Estimated Expenses for 2016 Admitted Students to Non-Base Rate Programs (for a single student)

For a breakdown of expenses (tuition, fees, room and board, other expenses, and books and supplies) for these non-base rate programs, please view:

http://osfa.illinois.edu/cost/index.html.

Program Total Estimated Cost

Accountancy MAS (9 month academic program) $49,138*

Accountancy MS (12 month academic program) $67,035

Accountancy - Taxation MS (12 month academic program in Chicago) $56,070

Advertising MS $50,440*

Bioinstrumentation MENG $64,885

Biophysics and Quantitative Biology PHD $63,059

Business Administration Executive MBA (Chicago) $75,168

Business Administration MBA $59,829*

Business Administration MSBA $67,329

Business Administration MS in Technology Management $69,275

Business PHD** $51,916*

Chemical and Life Sciences** $54,234*

Policy Economics MS $62,368

Engineering** $55,204*

Fine and Applied Arts** $50,786*

Financial Engineering MS $65,098*

Finance MS $62,378

Journalism MS $58,371

Law JD $69,663*

Law LLM $68,948*

Labor and Employment Relations MHRIR $53,358*

Library and Information Science $47,650*

Professional Science Masters $58,599

Public Health MPH $52,636*

Social Work MSW $52,242*

Speech and Hearing Science MA $49,836*

Speech and Hearing Science AUD $50,436*

Technology Management MS $69,275

Veterinary Medicine DVM $71,290*

*If admitted to summer, expenses will increase to include summer tuition and fees, as well as books and supplies.

**Business PHD programs include Accountancy PHD, Business Administration PHD, Finance PHD. Chemical and Life Sciences programs include all degrees in

Biology, Biophysics & Quantitative Biology, Chemistry, Plant Biology, Neuroscience, Entomology, and Molecular & Cellular Biology. Engineering programs include

all degrees in Aerospace Engineering, Agricultural and Biological Engineering, Bioengineering, Civil & Environmental Engineering, Computer Science, Electrical &

Computer Engineering, Industrial & Enterprise Systems Engineering, Materials Science & Engineering, Mechanical Science & Engineering, Nuclear Plasma &

Radiological Engineering, and Physics. Fine & Applied Arts programs include all degrees in Architecture, Art & Design, Dance, Landscape Architecture, Music,

Theatre, and Urban & Regional Planning.

Declaration & Certification of Finances for I-20 / DS-2019 Application

STUDENT INFORMATION

UIN (If Applicable): ____________________________ Date of Birth: ___/___/_____

Last Name (Family Name): _________________________________________________________________________________

First Name: _____________________________________________________ Middle Name: __________________________

Desired Term of Enrollment: _______________________

Proposed Program of Study: ________________________________________________________________________________

SPONSOR AFFIDAVIT OF SUPPORT

Please complete the following information and sign below if you are willing to sponsor the student’s (and dependents if

applicable) full cost of tuition, fees, and living expenses for the full length of the program:

Sponsor 1:

Signature of Sponsor: _______________________________________________________ Date: ___/___/_____

Name of Sponsor (please print): _____________________________________________________________________

Relationship of Sponsor to Applicant: ________________________________________________________________

Address of Sponsor: ______________________________________________________________________________

Sponsor 2:

Signature of Sponsor: _______________________________________________________ Date: ___/___/_____

Name of Sponsor (please print): _____________________________________________________________________

Relationship of Sponsor to Applicant: ________________________________________________________________

Address of Sponsor: ______________________________________________________________________________

Sponsor 3:

Signature of Sponsor: _______________________________________________________ Date: ___/___/_____

Name of Sponsor (please print): _____________________________________________________________________

Relationship of Sponsor to Applicant: ________________________________________________________________

Address of Sponsor: ______________________________________________________________________________

If you plan to sponsor the student for less than the full cost of tuition, fees, and living expenses or for less than the full

length of the program, please attach a detailed letter of sponsorship.

SIGNATURE OF APPLICANT

I certify that the above information is true and complete to the best of my knowledge. I am fully aware than any false or misleading

statement may result in an automatic denial of my admission request or eventual dismissal from the University of Illinois.

Signature: _____________________________________________________________ Date: ___/___/_____