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A.. |
Dependents |
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Will any dependents (spouse or
children) join you in the U.S.? Yes o No o If yes, please list details: Each accompanying
dependent must have his/her own I-20.
You must show proof of additional funds for dependents. (See other side.) |
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Dependents name |
Birth
date |
Country of Birth |
Country of Citizenship |
Relationship |
Gender
Male/Female |
| Last
(family) - as written in passport |
First |
Month
/ Day / Year |
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| B. |
Sponsor Statement |
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My signature as the sponsor
affirms that I am the financial guarantor: |
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1. |
I affirm that I
will make available to ______________________________
(applicants name) the amount
of $ ________ during each academic year at the Intensive English Language
Institute and/or the University of North Texas. |
| 2. |
I affirm that I
am capable of providing such support, and that the required funds will be available when
needed. |
| 3. |
I have provided a
bank statement to show these funds.
Sponsor's Name :_______________________________________________________
Relationship to Applicant:___________________________________________________
Address: ____________________________________________________________ |
X_______________________________________________
Sponsors Signature |
Date:________________
Date |
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| C. |
Student Statement |
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My signature as the student
applicant affirms that I understand the financial support requirements. |
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| 1. |
I affirm that the financial
information shown on the front and back of this form
is true and correct and that I have attached documents to support this information. |
| 2. |
I certify that my sponsor or I
can make the necessary arrangements to have all funds transferred to the U.S. |
| 3. |
I understand that I will be
required to purchase health insurance that is required by UNT for non-immigrants in the
U.S. |
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X_______________________________________________
Applicants Signature |
Date:________________
Date |
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| D. |
Required Funds |
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Estimated minimum
student expenses for a 9-month academic year.
You and/or your sponsor must guarantee these amounts by documentation and your
signature on this form. |
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Intensive
English |
UNT
Undergraduate |
UNT Graduate |
Additional amounts for dependents |
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2006-2007 |
Tuition/Fees
Living Expenses
Medical Insurance |
$7,940
$8,780
$1,100 |
Tuition/Fees
Living Expenses
Other |
$11,870
$ 8,780
$
2,180 |
Tuition/Fees
LivingExpense
Other |
$9,840
$8,780
$2,180 |
spouse |
each
child |
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| TOTAL $17,820 |
TOTAL
$22,830 |
TOTAL
$20,800 |
$3,185 |
$3,185 |
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Optional
Summer |
Summer study is optional for students who have
studied at UNT or IELI for one full semester. If you study in the summer, you will need these additional amounts: |
Tuition and fees are subject to change without
notice. |
06-07 |
$5,200 |
$7,580 |
$6,910 |
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2007-2008 |
Plan
for an 8-10% increase in total costs. |
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Tuition and fees are subject to change without notice.
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| E. |
Required Documents |
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This chart shows the financial
documents accepted by UNT for students with F and J visas. Mark the box in front of all the sources you choose. You MUST submit
documentation for each source of funds that you mark. |
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| Sources |
Required Documents. Submit
one or more of these documents to equal the required funds. |
| Student Funds |
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1. |
Bank statement. Examples of acceptable
statements are: checking or savings account, certificates of deposit, mutual, stock or bond funds, and/or
other accessible funds. |
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| Family, Friends |
Required
1. Sponsor Statement
a. Statement that he/she will financially sponsor the student
b. Students name
c. Sponsors name and relationship to student (for example:
father, brother, aunt, etc.)
d.
Sponsors signature and date
2. Bank statement for checking, savings and/or other
accessible account. If statement is on-line, it must include
Sponsor's name, date, balance and web link.
3.
Certificates of deposit; mutual, stock or bond funds; and/or other accessible funds
4.
Affidavit
of Provision of Room and Board by U.S. provider.
(Available upon request or at
www.international.unt.edu/admissions) |
| Sponsoring
Agency |
1. Official letter of sponsorship |
| UNT funding |
1. Official offer letter from department - If you are eligible for an
out-of-state waiver through employment, you must show proof of smaller
amounts than those shown above.
Please document the amounts listed on this
form. (Some exceptions apply, depending on medical/health
coverage provided by institution in certain cases) |
| Private company or other business |
Required
1. Sponsor Statement (or
complete the Sponsor Statement in this application)
a. Statement (on company letterhead) that the business will financially sponsor
the student
b. Students name
c. Name of responsible party at the company or business
d. Responsible partys signature and date
2.
Bank statement or other demonstration of financial resources |
| Employment of sponsor, family, friend, etc. |
1.
Sponsor Statement (or complete the Sponsor Statement in this application)
a. Statement that he/she will financially sponsor the student
b. Students name
c. Sponsors name and
relationship to student (for example: father, brother, aunt, etc.)
d. Sponsors signature
and date
2. Official letter from sponsors employer
showing annual earnings of at least three (3) times
the required amount. |
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Format for Financial Documents
1. Documents must be in English.
2. Documents may be sent by mail or fax.
3. Documents must bear a signature, official seal, or be on letterhead from an official
agency. |
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Dates of Financial Documents
Documents must be DATED LESS than twelve (12) months old when presented to UNT. |
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