International Language Institute
INTERNATIONAL LANGUAGE INSTITUTE
ESL PROGRAM
2014-2015 FINANCIAL STATEMENT
(print or type information except for signature)
Applicant’s Name: ______
(Family Last Name, First Name, Middle Name)
Permanent Address: ______
(Home Country) (Street Address, Apartment #)
______
(City, State, Zip Code, Country)
Country of Birth: ______Country of Citizenship: ______
Date of Birth: ______Semester & Year Applying for: ______
(Month/ Date/ Year)
Program/Course Interest: ______ESL______□ intensive (morning) □ semi-intensive (evening)
International applicants who are not United States Citizens or Permanent Resident Aliens of the United States must complete all sections of this form. Accompanying this form must be a bank statement (bank statement is subject to approval and acceptance by the Office of Admissions) certifying you or your sponsor to have sufficient funds as stated below and a letter of sponsorship from the party who will financially support you if the bank statement is not under your name. The letter should certify the sponsor’s commitment to pay your educational, living, health, and personal expenses until completion of the program. These documents are required to process an I-20 form. Documents must be original and dated within six months prior to admission into the program according to the dates listed below:
Fall - January 1 or after Summer Session I - October 1 or after
Spring - May 1 or after
The following are the amounts a student must show on the bank statement(s):
8-week intensive program 1 academic year
International Students residing on campus$4,389.00$17,480.00
Nuevo Laredo, Mexico Resident (commuter$1,825.00 $7,224.00
16-week semi-intensive 1 academic year
Nuevo Laredo, Mexico Resident (part-time) $2,200.00$4,400.00
1.Indicate Immigration form you will need, if not currently holding a visa:
I need an I-20 form for an F-1 student visa from Texas A&M International University.
for Mexican citizens only (check one):
I plan to study full-time and live on-campus or Laredo.
I plan to study full-time and commute from Mexico (full-level).
I plan to study part-time and commute from Mexico (half-level).
I am not requesting a student visa from Texas A&M International University because I currently
have a Visa Type: ______Expiration Date: ______
(Provide a complete copy of your visa with this form. Upon arrival, original visa must be presented at the ILI Office for verification.)
Texas A&M International University – International Language Institute
5201 University Boulevard - Laredo, Texas 78041-1900 - U.S.A.
(956) 326-2136 - Fax (956) 326-2909 - www.tamiu.edu/coas/lla/ili -
2.Sponsor’s Certification Statement
To be completed by the person who will financially support your educational, living, health, and personal
expenses while at Texas A&M International University. The sponsor must submit an original letter of sponsorship.
This is to certify that I have read and understood the information given by the applicants and that it is true and accurate. I also certify that the funds are available and that the necessary amount will be provided.
Sponsor’s Name (please print): ______
Sponsor’s Relationship to applicant: ______
Sponsor’s Signature: ______Date: ______
(Signature may be omitted if sponsor is physically inaccessible to applicant.) (Month/ Date/ Year)
- Do you currently have an F-1 Student Visa from a U.S. Institution? NoYes
If yes, please answer the following questions and submit documents* required.
Name of institution which issued the I-20: ______
Program of study: ______
Expiration date on visa: ______
Admissions number on I-94: ______
(*A Foreign Student Advisor’s Report Form provided by TAMIU must be completed by you and your current Foreign Student Advisor. A copy of your current I-20, student visa and I-94 are also required. All documents must be submitted to the International Language Institute.)
- Do you plan to include any dependents on your I-20 form from Texas A&M International University? No Yes
If yes, add $11,682.00 to the amount required on the bank statement and provide the following information:
(you may use a separate sheet of paper if more than one dependent)
Family last name and first name of dependent: ______
Date of birth: ______Relationship to you: ______
(Month/ Date/ Year)
Country of birth: ______
Admission deadlines for international students are as follows:
Fall I & III – July 1st Fall II – September 1st
Spring I & III – November 1st Spring II – January 1st
Summer Session – April 1st
*Proof of student’s and dependent(s’) health insurance must be provided to Texas A&M International University (TAMIU) to complete registration.
Retain copies of all financial documents submitted to the International Language Institute. You will need to present documents to the U.S. Embassy or Consulate when applying for a visa. Please be informed that it is the student’s responsibility to make sure that funds are available when needed and that all advanced arrangements are made.
I authorize TAMIU to verify the information I have provided. I agree to notify the proper TAMIU officials of any changes in the information provided. I certify that the information on this form is complete and correct. I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or appropriate disciplinary action.
Applicant’s Signature: ______Date: ______
(Month/ Date/ Year)
Revised on 07/07/14