International Student
Financial Statement
Office of Admissions
116 Alumni Hall
Oneonta, NY 13820 U.S.A.
Phone: (607) 436-2524
Fax: (607) 436-3074
[email protected]
INSTRUCTIONS FOR COMPLETING THE INTERNATIONAL STUDENT FINANCIAL STATEMENT
Read the following instructions carefully before completing and submitting this form.
All international applicants must document their ability to meet all educational and living expenses for the entire period of
their intended study before this university can issue a Certificate of Visa Eligibility (form I-20). Please fill out the form, click
"File —> Save As", select a location on your computer and save it.
Section I: Answer all questions completely.
Section II: Applicants are responsible for all costs of attending the university (4–5 years for freshmen;
2–3 years for transfer students). College costs are subject to change and increase an average of 5 percent annually.
Check the appropriate statements indicating where your first year of funding will come from (multiple sources are
acceptable). You must include supplementary documents/proof as indicated, and attach originals, not photo copies and in
US dollars. All documentation must be current and dated within 3 months of the date of your application to SUNY Oneonta
.
Sources of Funding:
Personal:
Signature on this form and a bank statement of account in US dollars.
Family/relative/sponsor:
Completed Affidavit of Support and a bank statement of account in US dollars.
Scholarship:
Official scholarship award letter from institution awarding the scholarship.
Award letter must include name of applicant, amount of money for each year
of study, beginning and end dates for the award and any academic requirements
for the award (degree or major), if applicable.
Government/Company:
Official letter stating the name of applicant, amount of money for each year of
study, beginning and end dates for the award and any academic requirements
for the award (degree or major), if applicable.
Loans:
Official letter from credit institution indicating amount of loan and approval.
SUNY Oneonta reserves the right to require additional financial documentation.
Return this form with all additional financial documentation directly to:
Office of Admissions
State University of New York at Oneonta
116 Alumni Hall
Oneonta, NY 13820 USA
International Student
Financial Statement
Office of Admissions
116 Alumni Hall
Oneonta, NY 13820 U.S.A.
Phone: (607) 436-2524
Fax: (607) 436-3074
[email protected]
SECTION 1
Name of applicant: _____________________________ ___________________ _______________________________
First/Given
Middle
Last/Family
Permanent Address: ____________________________________________ City: _______________________________
State/Provence: _____________________ Country ______________________ Postal Code: _____________________
Country of Birth: _____________________________________ Citizenship: ___________________________________
Student Email: _______________________________________________________ Date of Birth: _____/_____/_______
I plan to come without dependents (spouse/children)
I plan to come with the following dependents (spouse/children:
Family/Given
Name
Date of
Birth
Country of
Birth
Country of
Citizenship
Relationship to
Applicant
If you are in the United States now, complete this section:
What is your immigration status? (You may attend school regardless of your immigration status).
F-1
What is your SEVIS ID Number? N________________________
What is the purpose of your requested Form I-20? (check one)
Transfer In
Change of education level or program at Outstanding College
Regain F-1 Status
Another Status: Which one? ___________________________________________________________________
Do you plan to travel outside the U.S. before school starts?
Yes
No
Tell us how you would like to get your Form I-20 in Part III.
If you are F-1, you will receive “Transfer In” or other instructions.
If you hold another status, we must meet with you before issuing your Form I-20.
If you are NOT in the United States now, complete this section:
Did you recently attend school in the U.S. in F-1 student status?
No
Yes
If yes, what was the last date of your attendance?_________________________________________
If you attended a U.S. school last term and are just home on holiday between academic terms, you are considered a
“Transfer In” and must have your record transferred out to us before your Form I-20 may be issued. Please contact your
international student advisor at your previous school immediately to authorize the release of your record to us.
SECTION 2 – STATEMENT OF FINANCIAL SUPPORT
Source of Funds
Check appropriate boxes and indicate the amount that will come from each source.
Source
Amount
I will pay from my own personal account
Documentation:
$ ________________________
Bank/asset statement
Proof of income/assets
My family/relative/sponsor will pay for my education
Documentation:
$ ________________________
Affidavit of Support
Proof of income/assets
Bank statement
I will have a scholarship from:
_________________________________
Documentation:
$ ________________________
Award letter
Copy of contract
I will have a student loan from:
_________________________________
Documentation:
$ ________________________
Award letter
Copy of contract
My government/company will pay for my education
Documentation:
$ ________________________
Official letter of support
Other (specify) ____________________________
$ ________________________
Total:
$ ________________________
Sponsor Affidavit and Evidence
of Financial Support
Office of Admissions
116 Alumni Hall
Oneonta, NY 13820 U.S.A.
Phone: (607) 436-2524
Fax: (607) 436-3074
WHAT DOES THIS AFFIDAVIT MEAN?
By completing this affidavit, you are swearing to the U.S. government that you will provide this student with a specific
amount of money, from your own financial resources, for every year that he or she is going to study at SUNY Oneonta
and live in the United States. You are also proving that you can afford the support you are promising with the
documentary evidence you have attached.
HOW TO COMPLETE THIS FORM:
• Fill this form out in English (or have it officially translated).
Promise only the amount of money you are able to give.
• Sign and date the affidavit.
• Attach the supporting evidence listed below. The affidavit will not be accepted without the required supporting
evidence.
• Give the student the original documents and have him or her submit them electronically or make photocopies to
mail or fax to us with the application for a Form I-20. The student will need to keep the originals to present to the
consul at the visa interview.
SUPPORTING EVIDENCE REQUIRED:
• Proof of income (any of the following) with most recent pay stub:
Income tax returns or receipts, or
Pay stubs for the last six months, or
Bank/investment statements for the last six months.
• Bank statement in your name only. A monthly statement of balances and deposits.
If another person’s name appears on your bank statement, that person must complete a separate affidavit. A letter
from a bank officer will not be accepted.
AFFIDAVIT OF FINANCIAL SUPPORT
I, ____________________________________________________, promise that I can and will give
Sponsor name
______________________________________________________ no less than U.S. $ _____________
Student name
each year of the student’s program of study at SUNY Oneonta.
My relationship to the student is: ______________________________________________________________________
(parent, spouse, brother/sister, friend)
Address: _____________________________________________________ City: _______________________________
State/Provence: _____________________ Country ______________________ Postal Code: _____________________
Phone ____________________________________ Email _________________________________________________
Country Code + City Code + Number
The following persons are fully or partially dependent upon me for their support.
(Do not include the student named above)
______________________________________ __________________________________ ______________________
Name
Relationship to me
Age
______________________________________ __________________________________ ______________________
Name
Relationship to me
Age
______________________________________ __________________________________ ______________________
Name
Relationship to me
Age
Name of my employer: ______________________________________________________________________________
Annual salary: _______________________ (USD) Other income: ______________________ (USD)
My proof of income and bank statements are attached:
Yes
No
I swear that the information I have provided above is true and correct
________________________________________________________________________________________________
Signature of Sponsor
________________________________________________________________________________________________
Today’s Date