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FINANCIAL STATEMENT FOR INTERNATIONAL APPLICANTS

St. Mary's University requires confirmation of financial resources from every international student. The statements below must be filled out completely and on file at St. Mary's University before the I-20 Form for obtaining U.S. entry is issued. Financial assistance is not available through the University.

Tuition, fees and other charges must be paid prior to or during the registration, at the beginning of each semester.

1.

Name:	Miss Mrs. Mr.	________________________________________________________________
		Last Name (Family Name)	First Name

2.

Country of Birth____________________________

Country of Citizenship____________________

3.

Date of Birth (Month, Day, Year)________________

Martial Status______________________________

4.

Address in Home Country

________________________________________________________________

________________________________________________________________

5.

Will other members of your family accompany you to the U.S.? Yes____ No____

APPLICANT'S STATEMENT

6.

I certify that all my expenses to study at St. Mary's University will be provided by: (Indicate source and amount in U.S. dollars)

Personal Savings_____________________________________

My parents_____________________________________

Other_____________________________________

(Specify source and amount)

Source:_______________________________________Amount___________________

I certify that sufficient funds are available for the total financing of my education and I will not seek employment while I am enrolled at St. Mary's University

Applicant's Signature_________________________________________________Date___________

7.

I certify that I will be fully responsible for the total financial support of the above named applicant while studying at St Mary's University.

Sponsor's Original Signature_________________________________________________________

Date___________

Relationship to Applicant_________________________________________________

Address___________________________________________________________________

8.

I certify that I have read the information provided by the applicant on this form and that it is true and accurate and that sufficient funds are available.

Signature_____________________________________________________Title__________

Name of Bank/Organization_____________________________________________________________

Address_______________________________________________________Date___________

This document must bear the official seal (stamp)
of the above named financial institution.