Fillable Printable Financial Affidavit for Graduate International Student Application - Minnesota

Financial Affidavit for Graduate International Student Application - Minnesota

Financial aFFidavit For Graduate international Student application

College of Graduate Studies and Research

115 Alumni Foundation Center

Mankato, MN 56001 USA

507-389-2321 (V), 800-627-2321 or 711 (MRS/TTY)

All international applicants must submit the Financial Affidavit. Failure to respond to all questions will delay the admission process

and the delivery of the form I-20.

The ﬁnancial resources noted on this afﬁdavit have no impact on your eligibility to receive a graduate assistantship (GA). Financial

resources are not considered when awarding graduate assistantships. Your application and immigration documents will be processed

with greater efﬁciency if you accurately indicate your complete ﬁnancial resources. If you hope to receive a graduate assistantship, please

be advised that 75% of our admitted students are not awarded assistantships and that the GA ﬁnancial package does not cover the

entire cost of study. International applicants who receive a graduate assistantship must demonstrate the availability of at least $3300,

in addition to the resources noted below if dependents will accompany you to Mankato. However, for the vast majority of international

applicants, demonstrating the availability of $3300 will not result in a full admission or receipt of the form I-20.

The majority of applicants must demonstrate the ability to pay the full estimated cost of attending Minnesota State University, Mankato

for a school year: $18,692. Applicants to the MBA, MSW, MAT, and doctoral programs must demonstrate the availability of at

least $22,265. Veriﬁcation of an additional $6,500 is needed if a spouse or one dependent will accompany you to Mankato. An

additional $4,000 must be demonstrated for each additional dependent. The resident tuition beneﬁt is reﬂected in these cost estimates.

University tuition charges and fees are subject to change without notice.

Shaded areas must be signed and all appropriate sections must be completed. Unsigned or incomplete forms will not be processed.

Applicant’s Name: _________________________________________________________________________________________

(As it appears on Passport) (Last or Family Name) (First or Given Name) (Middle Name)

PLEASE INDICATE THE SOURCES OF FINANCIAL SUPPORT AND AMOUNT YOU ANTICIPATE RECEIVING IN U.S. DOLLARS.

ALL SUPPORTING FINANCIAL DOCUMENTS MUST BE DATED WITHIN THE PREVIOUS THREE MONTHS.

•Personal(student)Resources: U.S.$ _______________

(Original Bank Statements must be enclosed to verify amounts.)

•ParentsorSponsorResources U.S.$ _______________

(Official Certification Form and Original Bank Statement must be enclosed.)

PARENT OR SPONSOR MUST SIGN ON SIDE 2 OF THIS FORM.

•GovernmentScholarship: U.S.$ _______________

(A signed copy of your letter of award must be enclosed.

•OtherSources: U.S.$ _______________

(Please specify and provide signed affidavits from authorized persons or agencies.)

_________________________________________________________________________ U.S. $ _______________

*TOTAL U.S. $ _______________

(required)

– PLEASE TURN OVER –

OFFICIAL CERTIFICATION OF SOURCES OF FUNDS AND AMOUNTS

FROM PARENT OR SPONSOR

PARENT OR SPONSOR: Please fill out information below.

IMPORTANT: Sponsor name(s) listed here must be EXACTLY the same as the BANK ACCOUNT NAMES.

I certify with my signature that I have read the information furnished by the applicant on this form, that it is true and accurate,

and that the funds are available and will be provided as specified.

_____________________________________________________ ____________________________________________________

(Name of parent, relative, sponsor) (Sponsor’s relationship to student)

___________________________________________________________________________________________________________

(Street and Number) (City) (State/County) (Zip)

Are you sponsoring any other student currently studying in the U.S.? yes no

If Yes, student’s name (please print) ______________________________________________________________________________

School student is attending: ____________________________________________________________________________________

______________________________________________________________________________________ _________________

(SIGNATURE OF PARENT, RELATIVE OR SPONSOR) (DATE)

OFFICIAL CERTIFICATION OF SOURCES OF FUNDS AND AMOUNTS

APPLICANT: Please provide the REQUIRED signature and date below.

By signing here you are agreeing to the following statement.

I certify that the information provided is correct and complete and that I shall notify Minnesota State University, Mankato of

any change in my financial circumstances. I understand that inaccurate information can be cause for terminating enrollment at

Minnesota State University, Mankato.

______________________________________________________________________________________ _________________

(SIGNATURE OF APPLICANT) (DATE)

IF APPLICABLE, LIST ANY DEPENDENTS (SPOUSE OR CHILDREN) WHO WILL BE ACCOMPANYING YOU AND WHO

SHOULD BE INCLUDED ON YOUR I-20:

Relationship Country Country

NAME (last name, first name) to of of Birth

(as it appears on the passport) Applicant Citizenship Birth Date

________________________________________ _____________ __________________ _____________ _____________

A member of the Minnesota State Colleges and Universities System and an Afﬁrmative Action/Equal Opportunity University.

This document is available in alternative format to individuals with disabilities by calling the College of Graduate Studies and Research at 507-389-2321 (V), 800-627-3529 or 711 (MRS/TTY).

GRAD163FR_02-14