Fillable Printable Student Finance Declaration Form - University of Connecticut

Student Finance Declaration Form - University of Connecticut

ISSS 926 Financial Declaration Form 1

Rev. 9/11/2014 rb

INTERNATIONAL STUDENT AND SCHOLAR SERVICES (ISSS)

University of Connecticut  2011 Hillside Road, Unit 1083; Storrs, CT 06269  Phone: 860-486-3855  Fax: 860-486-5800  Web: http://isss.uconn.edu

University of Connecticut (UConn) ‐ International Student Financial Declaration Form

ART

TUDENT

ECLARATION

I hereby declare that I will have funding available to cover estimated expenses for the duration of my program at UConn. I

have attached support documentation to demonstrate I can readily meet expenses for at least the first academic year of

study in my program, and I expect to maintain the same level of funding for future years in my program, acknowledging

that UConn fees may increase in future years. I understand that I am responsible for all additional expenses incurred if I

decide to stay in the U.S. when my program does not require summer/winter enrollment in its curriculum. I declare that

any funding support documentation I have submitted electronically or as copies are taken from official original documents

or were issued to me or my financial sponsor from original sources.

Degree Level:  Bachelor’s  Master’s  Doctorate  Professional  ESL  Non‐Degree/Exchange

Field of Study:

________________________ __________ ___ _____________ ________________

Student’s Name Signature of Student Today’s Date

ART

ERSONAL

PONSOR

ECLARATION

EQUIRED IF YOU ARE FUNDED BY AN INDIVIDUAL

FAMILY MEMBER

FRIEND

ETC

I, _____________________________ agree to provide _______________________________ , my

(sponsor’s name) (student’s name)

_____________________________ , with financial support to study at the University of Connecticut.

(relationship to student)

Specifically, I will provide for each year of study (choose all that apply):

___ $ ____________ USD per year and I provided my financial statement

___ room at my residence at no cost

___ board at my residence at no cost

Sponsor’s Name: ______________________________

Sponsor’s Signature: ____________________________ Date: ____________________

Notary Public ‐ required if the financial sponsor is in the U.S.

Sworn to me on this day of (month, year): ________________________________________

UNDING

UPPORT

OCUMENTATION

UIDELINES

Please submit documentation for ALL sources of expected funding. This may include bank statements, scholarship/fellowship letter, Graduate

Assistantship letter. Documentation must meet the following guidelines:



Issued within past 3 months



In English



For bank statements, must identify the account holder and currency (can be local currency)



For personal and family funding, must be liquid funds such as savings/banking statements or certificates of deposit (no investment fund

statements, salary/income confirmation, property verification, credit lines, etc.).



If you are being funded by a personal sponsor (like a family member) your personal sponsor must complete Part 2: Personal Sponsor

Declaration of this form.



Please consult www.isss.uconn.edu > Students > Financial Declaration and Cost of Attendance to see the minimum amount you are required

to demonstrate in funding support documents.