Fillable Printable UTA Financial Form - Texas

UTA Financial Form - Texas

STATEMENT OF RESOURCES FORM

COLLEGE OF ENGINEERING

(to be completed by applicant)

1.Student Information: Student ID Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Date of Birth (MM/DD/YY): _______/______/______

Name: Family/Last (Surname)_______________________________ First (Given) ____________________________

Give your name as it appears on your passport. Your passport and application I-20 name must be the same.

A copyof your passport is required, please submit your passport copy with your financial documents.

Once your I-20 is issued, you will receive instructions on howto register to receive your I-20 by express mail at your expense.

2.Proper completion ofthis form is required before an I20 (Certificate of Eligibility) can be issued. The U.S. Immigrations and Customs

Enforcement regulations require proof that sufficient funds are available to meet educational and living expenses while in the United States. Thus,

you must submit financial documentation that proves you have sufficient funds to meet one full year of expenses, as estimated below. Please keep in

mind that tuition cost is determined bythe Texas legislature and is subject to change without notice.

Tuition:

$16,542.00

Tuition:

$22,185.00

Living:

$14,171.00

Living:

$14,171.00

9 - MONTH TOTAL

$30,713.00

USD

12 - MONTH TOTAL

$36,356.00

USD

**FALL & SPRING applicants are required to submit finances for a 9-month period of study.

**SUMMER applicants are required to submit finances for a 12-month period of study.

3.Dependent Information:If you will be accompanied by dependent (s) please provide the following information for each individual. You must

add the following amounts to the required 9 or 12 month fund total: $5,000.00 USD for each dependent. Please note, a dependent is defined as a

spouse or child under the age of 21.

Last Name (as on passport)

First Name (as on passport)

Date of Birth

mm/dd/yyyy)

Country ofCitizenship

4.Source (s) of support: Indicate below the source & amount of financial support. Ifyou have more than one source, check as many categories (A

B, or C) as appropriate & list amount.

____A.If you are supporting yourself have your bank complete the Bank Affidavit. $_______________

____B.If you are not self-supporting haveyour sponsor complete the

Sponsor’s Statement & have the sponsor’s bank complete the Bank Affidavit $_______________

____C.If you will be sponsored by government, employer, other organization or if you will be supported

by a scholarship request an award letter stating your name, amount of U.S. Dollars for each

year ofstudy, beginning & ending dates; degree level; and major field ofstudy. $_______________

TOTAL OF A, B and C $_______________

5.I understand that bysubmitting this formI certify the following: (1) I will have the minimumlisted above for a 9-month period of study or a 12-

month period of Study in U.S. (2) The I-20 amounts above do not include travel; I will have adequate funds to travel to and from the U.S. (3) I will

make the necessary arrangements to have all funds transferred to theU.S. (4) I needapproximately $6,000.00 in U.S. currency to meet initial

enrollment & housing rental expenses. (5) I must attend a new student orientation program before registering for classes. (6) I will be required to

purchase health insurance. (7) If I choose to enroll in the summer, I understand that the 9 month I-20 does not include tuition and fees for summer

term enrollment. Summer enrollment is optional. I understand that additional funds will be required ifI choose to enroll in the summer terms. Please

see the 12 month I-20 amount listed above which includes tuition and fees for summer term enrollment.

Mail to: Graduate Admissions, UTA Box 19167, Arlington TX 76019 OR FAX to 817-272-1494

SPONSOR’S STATEMENT FORM

COLLEGE OF ENGINEERING

(Please give to your sponsor (s) to complete)

1.Applicant’s name, date of birth, and UTA ID number. Giveyour name as it appears (or will appear) on your passport.

Your passport and application I-20 name must be the same.

Name: Last (Surname)_____________________________________ First (Given)_________________________

Date of Birth ______/______/______ Student ID Number _______/_______/______

2.Sponsor’s statement: I certify that I am the sponsor of the applicant.I verifythat I have liquid assets as indicated below to

meet the educational and living expenses of the applicant duringhis period of study at UTA. I understand that I must have

my bank complete the UTA BANK AFFIDAVIT FORM or provide a letter frommy bank verifying availability of funds.

3.Sponsor’s Name (print) Last/Family______________________________ First: ______________________

Sponsor’s relationship to applicant: Father MotherOther-specify:______________________

Sponsor’s Signature:__________________________________________________________________________

Amount of liquid assets available in USD $ (Circle one below)

$30,713 or $36,356 or other: specify amount $_______________

Date form completed: mm/dd/yy _________/_________/_________

4. Optional (complete onlyif 2

sponsor is needed)

Sponsor’s Name (print:) Last/Family __________________________ First___________________________

Sponsor’s Signature (print): Last/Family __________________________ First ___________________________

Sponsor’s relationship to applicant: Father Mother Other-specify:___________________

Amount of liquid assets available in USD $ (Circle one below)

$30,713 or $36,356or other: specifyamount $_______________

Date form completed: mm/dd/yy _________/_________/_________

Mail to: Graduate Admissions, UTA Box 19167, Arlington TX 76019 OR FAX to 817-272-1494

BANK AFFIDAVIT FORM

COLLEGE OF ENGINEERING

(Please have this form completed byyour bank)

1. Applicant’s name, date of birth, and UTA ID number. Give your name as it appears (or will appear) on our passport.

Your passport name and application I-20 name must be the same.

Name:Last (Surname)_____________________________________________ First (Given) ______________________________

Date of Birth ______/______/______ Student ID Number ______/______/______

2. Sponsor/Account Holder’s name (print):

Last/Family (print) _____________________________ First ____________________________

Bank Certification: I certify that the account holder, whose name is listedabove, has liquid assets deposited in this bank

that meets or exceeds the amount listed in item number 2 below.

Financial Information: Amount of liquid assets available in USD$ (circle one below)

$30,713or $36,356 or other: specify amount $____________________

Name and address of bank:

_________________________________________________________________________________

Bank Representative’s Title:____________________________________________________________

Bank Representative’s Signature: _______________________________________________________

Date formcompleted by bank representative: mm/dd/yy _____/_____/_____

3.Optional: complete only if 2

sponsor is needed:

Sponsor/Account Holder’s name (print):

Last/Family (print) _____________________________ First ____________________________

Bank Certification: I certify that the account holder, whose name is listed above, has liquid assets deposited in this bank

that meets or exceeds the amount listed in item number 2 below.

Financial Information: Amount ofliquid assets available in USD$ (circle one below)

$30,713or $36,356or other: specify amount $____________________

Name and address of bank:

_________________________________________________________________________________

Bank Representative’s Title: ____________________________________________________________

Bank Representative’s Signature: _______________________________________________________

Date formcompleted by bank representative: mm/dd/yy_____/_____/_____

Mailto: Graduate Admissions, UTA Box 19167,Arlington TX 76019 OR FAX to 817-272-1494

You may be entitled to knowwhat information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UTAcorrect

this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code.