Financial Responsibility for F-1 Students

This form is not part of the application for admission; it is required supplementary information used for issuing your immigration documents for the F-1 student visa. The International Education Services Office issues the immigration form I-20 that allows you to apply for an F-1 student visa. In order to issue you an I-20, we need you to show that you have adequate funding to support yourself for at least one academic year. The proof of financial support can come from you, your sponsor or your academic department.

NOTE: Please read carefully and complete all fields that apply as accurately as possible. An incomplete form will result in a delay in processing your I-20. Please print clearly or type the information.

STUDENT INFORMATION

______

Last/FamilyNameFirst/Given Name Middle Name

(As it appears/will appear on your passport)

Date of Birth (please write month – example, January 1, 1900)______

Female:Male:

Degree Level intended at UMBC (Bachelors, Masters, PhD):______

Major/Academic Program Intended at UMBC:______

Country of Birth: ______

Country of Citizenship: ______

Country of Legal Permanent Residence: ______

PERMANENT FOREIGN ADDRESS (in your home country):

Address: ______

______

City: ______Province:______

State: ______Country:______

Postal Code: ______Email:______

DEPENDENT INFORMATION

If you intend to have your spouse and children accompany you to the U.S., please submit a copy of their passport biographical page. This will be required to process their required immigration documents. A student can only bring their spouse and children on a dependent (F-2) visa. Please also note the additional costs associated with bringing dependents in the information below. The IES office can provide more information about how your dependents can apply for their F-2 visa (), or you can find this information on the US Embassy website where you plan to apply for your visas.

SOURCES OF FUNDING

You are required by immigration law to show that you have at least one year’s worth of adequate funding to pay all the necessary expenses while at UMBC in order to receive an I-20. If you have funding from UMBC via an assistantship or scholarship please include a copy of your award letter. If you are paying through other sources of funding please submit that information. Acceptable sources include checking and savings account bank statements.

Unacceptable sources include real estate holdings, stocks, bonds, salary verification letters, retirement funds, property, and life insurance policies.

If the source of funds belongs to anyone other than you, a signed letter of support must accompany the bank documents. The letter must include the name of the sponsor, the sponsor’s relationship to you and a statement attesting that they expect to support all your expenses for the duration of your program.

It is recommended that you bring original copies of this document and any additional financial documentation to your visa appointment at the United States Consulate. Make copies of this form for your records.

Below is a breakdown of financial expense for UMBC international Students:

*Please submit the funding information (letter of support from sponsor other than yourself or UMBC; bank statement or letter from bank indicating availability of at least the minimum required amount per the chart below). This is required before UMBC can process your I-20.

CHECKLIST OF REQUIREMENTS FOR I-20 PROCESSING

Admission to UMBC

Completed Financial Responsibility Form

Bank statement or letter, including current available balance, for minimum required per fee structure below.

Letter or affidavit of support from financial sponsor if not self or UMBC

Recommended: Copy of Passport to ensure accuracy of all information

If these documents are not sent with your application, please email or mail to the UMBC IES office: ; UMBC IES Office, Admin 224, 1000 Hilltop Circle, Baltimore, Maryland 21250 USA

INTERNATIONAL STUDENT EXPENSE ESTIMATE

2014-2015

The following student expenses are approximate and may vary slightly depending on a variety of factors. For the most updated information, and information on payment methods, please check the UMBC Student Business Services website at

Full-time Tuition

Undergraduate $9,436/semester (12 credits)$18,872/year

Graduate$7,902/semester (9 credits)$15,804/year

Mandatory Fees

Undergraduate$1,385/semester (12 credits)$2,770/year*

Graduate$1,071/semester (9 credits)$2,142/year*

Living Expenses

Housing (average estimate)$3,300/semester$6,600/year

Meals(on-campus, estimate)$2,000/semester$4,000/year

Health Insurance (required)

Fall semester (average estimate)$800

Spring semester (average estimate)$900$1,700/year

Books, Supplies, other living expenses**(estimate, varies)$2,000/year

TOTAL

Undergraduate$35,942

Graduate $31,562

Additional expenses for dependents*** (if applicable, see below for cost calculation)

Spouse $9,000/year

Child $6,000/year

*All students are responsible for paying fees. This includes graduate students who have been awarded an assistantship. Be prepared to arrive with enough funds to pay fees at the required time to avoid accruing late charges. For more information please visit

Please note, Shady Grove campus programs and the Graduate programs in Management of Aging Services follow separate fee structures. Please see for more information.

**Other funds include cost of supplies and books that vary based on many factors, such as major, number of classes, level of classes, additional fees such as lab fees, etc.

***Dependent expenses are as follows: For Spouse, 450x12=5400 plus required spousal health insurance of $3556 annually. For each child, 300x12=3600 plus required child insurance of $2381 per child annually.

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Updated 06/07/2012Page 1