DCF ILR Cornell Exchange Fall 13 and Spr 14

ECAST CHANG

PLEASE PRINT OR TYPE

NOTE: This financial information is required both to obtain an I-20 (Certificate of Eligibility for a Student Visa) and to apply for a student visa.

SEMESTER(S)

PERSONAL DETAILS

LAST NAME/FAMILY NAME*

*Name must appear exactly as it does on your passport

GIVEN/FIRST NAME(S )*

. STREET ADDRESS (in country of citizenship) CITY

PROVINCE/STATE

COUNTRY & ZIP/POSTAL CODE

DATE OF BIRTH (MONTH, DAY, YEAR)

PLACE OF BIRTH (CITY & COUNTRY)

COUNTRY OF CITIZENSHIP

SOURCE OF FUNDS

A.

PERSONAL OR FAMILY SAVINGS OR OTHER FAMILY RESOURCES Bank Name: ____________________________________ $________________ Please have bank official sign below or attach a letter from the sponsor’s bank stating in U.S. dollar equivalents to the latest balance. Funds listed on bank statements must be in a readily accessible form, such as liquid assets.

B.

YOUR GOVERNMENT Agency Name: ___________________________________ $________________ (Only if you have funds from your government.) Please list any government funds that will be applied to your expenses. Print the name of the government agency that will pay your expenses per academic year. Please include a signed award letter from the appropriate government agency.

C.

OTHER SOURCES OF INCOME Specify: _________________________________________ $________________ For example, loans, personal income, travel grants, scholarships.

Please specify; you must provide documentation for each source of income.

D.

TUITION Tuition waiver for exchange student $ WAIVED Tuition is $22,565 for one semester or $45,130 for the 2013-14 academic year.

Exchange students must declare a minimum of Total (A, B, C + D) $________________

USD $9,243 for one semester, or USD $18,486 the 2013-14 academic year.

BANK CERTIFICATION

My signature certifies that I have read the information furnished on this form and that I believe the parent or sponsor is able to provide the funds indicated above. NAME OF BANK OFFICIAL

TITLE OF BANK OFFICIAL SIGNATURE OF BANK OFFICIAL NAME OF BANK

BANK ADDRESS

DATE

PARENT OR SPONSOR AND STUDENT CERTIFICATION

I/We hereby certify that the above information is accurate and that I/we are aware of the full cost of education at Cornell University and that the funds are available and will be provided for the entire course of study. SPONSOR’S NAME

RELATIONSHIP TO STUDENT SPONSOR’S SIGNATURE STUDENT’S NAME STUDENT’S SIGNATURE

DATE

Declaration of Finances

Fall 2013, Spring 2014, or Academic Year 2013-14

Instructions: Please read carefully

The U.S. government requires that all international students prove that they will be financially supported while studying in the U.S. The law requires that students provide documentation of financial support. The information is required for your I-20, which is needed for your Student Visa application. You will not be charged this amount of money; you need only show that you have access to it. Cornell University cannot issue your I-20 and the U.S. Government will not issue your visa unless the Declarations of Finances Form 2R is complete and correct. Include the form with all required supporting documents, with original signatures, seals, or stamps.

? Complete the Declaration of Finances form for your length of study:

? One semester only (fall 2013 or spring 2014), the minimum documented financial support must be $9,243 USD. ? Academic year (fall 2013 and spring 2014), the minimum documented financial support must be $18,486 USD.

? The amount of support available must total the appropriate budget for each semester or year of study, as shown in the table at the

bottom of this page (exchange students are not responsible for Cornell tuition).

? If you are receiving a scholarship, a separate letter must accompany the form. The letter must be written in English and must include:

? Your full name as it appears on your passport and application. ? The amount of the scholarship in U.S. dollars. ? The dates the scholarship will be provided.

? Certification that the scholarship funds are guaranteed; a preliminary notice will not be accepted.

? If you are showing proof of money in a bank account in the “Your savings or your family’s savings” section, a bank official must certify

that, to the best of their knowledge, the funds are available for the required minimum amount. They may also state that the letter has been issued for educational purposes and implies no responsibility on the part of the bank. See sample letter below. The bank official must sign the Declaration of Finances Form where indicated, or write and sign a separate letter. ? If a letter is written, it must be in English.

? The letter must specify the amount in US dollars.

? Simply including a bank statement showing balance will not be accepted.

? You and your parent, sponsor, or guardian must sign where indicated on the Declaration of Finances Form.

Please ask questions if there is any part of these instructions that you do not understand.

2013-14 ESTIMATED EXPENSES

The following figures are the estimated expenses for attending Cornell for one semester or a full academic year. They do not include the cost of travel within the United States or of international travel, because those amounts vary considerably for each student. Use these figures as a base for estimating the minimum amount of total assured support you will need while at Cornell.

SUPPORTING DOCUMENTATION: SAMPLE BANK LETTER

Sample Bank Letter to certify that incoming exchange student has sufficient funds to support her/himself while studying at Cornell

University:

DATE

This is to certify that [_____________________] (name of the PERSON WITH THE BANK ACCOUNT ) has the total amount of $_____________ USD (amount should meet or exceed total amount listed on the Declaration of Finances form ) in his/her account at this bank to cover expenses for [NAME OF STUDENT] while s/he is studying at Cornell University. Sincerely,

[Signature] , Name and Title

*The letter must be IN ENGLISH on OFFICIAL BANK STATIONARY (official letterhead) with dollar amounts in US Dollars.

Declaration of Finances Instructions

Fall 2013, Spring 2014, or Academic Year 2013-14