Statement of Financial Proof and Affidavit of Support
For International Graduate Students
NOTE: A CERTIFICATE OF ELIGIBILITY (U.S. DEPARTMENT OF JUSTICE FORM I-20) WILL NOT BE ISSUED UNTIL SUFFICIENT FINANCIAL
SUPPORT IS VERIFIED BY MSU AND THIS FORM IS COMPLETED.
REQUIREMENTS: You are required to show sufficient funds to cover your 1st year of education plus other expenses in order for Michigan State University to
process your I-20. The 2015-16 estimated budget for the Full-Time MBA program is US $66,877.00. This is only for year one of your program and is
budgeted for the candidate only.
The Office of Admission may require proof of additional funding as costs of attending Michigan State University may increase periodically. Please ensure you
have sufficient funding for year two.
Verification of Finances can be shown using either option A or B:
A.
B.
Certification by a bank that you have funds available (item 5a), AND certification by person(s) responsible for your finances.
This person MUST SIGN this form in item 5b.
Certification by a government education institution or official agency. This form MUST HAVE official signature(s) and seal. Proof of finances from a
government, educational institution or official agency may be sent as a separate document. Such proof must appear on official stationery of the
organization, institution or agency and contain original signature(s) and seal (item 5a).
1. Full Name_____________________________________________________________________________________________________
(Surname/Family Name As Shown on Passport)
(First-As Shown on Passport)
(Middle)
2. Present Address ________________________________________________________________________________________________
3. Date of Birth___________________________________________________________________________________________________
4. How long do you plan to stay in the United States? ___________________________________________________________________
5. Sources of Funds
Amount to be provided
Personal__________________________________________________________________
(Name of Bank)
______________________
(In U.S. Dollars)
A bank official’s signature in item 5a or a separate bank statement must be submitted if you are supported in any way by personal, family or private
savings. Amount of funds available must be certified by a bank.
Parents or Sponsors _________________________________________________________
(Name)
_____________________
(In U.S. Dollars)
Parents or Sponsors _________________________________________________________
(Name)
______________________
(In U.S. Dollars)
Parent or financial sponsor signature is required in item 5b. A bank official’s signature is required in item 5a or a separate bank statement must be
submitted if you are supported in any way by personal, family or private savings. A bank official’s signature is required also in item 5a if you are
supported by personal savings.
Your government, educational institution, or official agency _________________________
(Name of Agency)
_______________________
(In U.S. Dollars)
Michigan State University ____________________________________________________
(Type of Award)
_______________________
(In U.S. Dollars)
Other (Specify) _____________________________________________________________
_______________________
(In U.S. Dollars)
Total:_________________
(Total should equal or exceed US $66,877.00)
A signed affidavit from an authorized person to certify the accuracy of this entry is required.
Official Certification of Funds
5a. This is to certify that I have read the information above. It is a true
and accurate statement and the funds are available.
Signature of official_____________________________________
Name of Financial Institution_____________________________
Address_______________________________________________
______________________________________________________
Date__________________________________________________
Place Seal Here
(over)
5b. This is to certify that I have read the information it is a true
and accurate statement and funds will be provided as shown
Signature of Official_______________________________
Address_________________________________________
________________________________________________
Relationship of Financial Sponsor to student___________
Date_____________________________________________
6. Indicate the projected source(s) of your financial support and the amount(s) in U.S. dollars to be drawn from each source for the second year that you
are enrolled at Michigan State University.
Amounts to be Drawn from Source
Source of Support (Give names of
sponsors)
2nd year
(a) Personal Resources
US $
(b) Parents or Relatives
US$
(c) Govt., educational institution or
official agency
US $
(d) Other
US $
(e) Other
US $
7. VISA INFORMATION
If admitted to MSU, please indicate the visa document you will require. If you do not indicate which visa document you need, MSU will by default send
you the I-20 Form.
_______Please issue the I-20 Form as I will be applying for the F-1 student visa.
_______Please issue the DS-2019 Form as I will be applying for the J-1 Exchange Visitor visa. (The J-1 Exchange Visitor visa classification is available to students
who are supported financially by MSU, an approved U. S. Government or private agency or organization, or a foreign government).
DEPENDENT INFORMATION
If you plan to bring a spouse and/or children with you, please provide additional financial proof information. To include a spouse on the visa document, you must
provide additional financial proof in the amount of $5,000. Each child requires additional financial proof in the amount of $3,000. Please include dependent
information below.
First Name
Date of Birth
(month/day/year)
Last Name
Country of Birth AND
Country of Citizenship
Gender
M/F
Relationship
8. I certify that the information provided here is correct and complete.
Student Signature__________________________________________________________________________________Date_____________________________
Incomplete Statement of Financial Proofs will NOT be processed. Before sending your Statement of Financial Proof, be sure you have completed, signed and
dated this document. We will process your I-20 only after we receive your Statement of Financial Proof. The I-20 will be mailed to the address given in your
application. Please note it usually takes 2-3 weeks to process your I-20 (after we have received the Statement of Financial Proof).
Please send this form to the address given belowFull-Time MBA Program, Broad College of Business
645 N. Shaw Lane, Room 215
Michigan State University,
East Lansing, MI 48824-1122. USA
The U.S. Department of Justice form I-20 will be sent after all admissions materials are received and an admissions decision is made.
MSU is an affirmative-action, equal opportunity employer