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Certification of Finance Academic Year 2018-2019 The United States’ Immigration and Customs Enforcement and California State University System require international students to demonstrate sufficient funding is available to meet all college and living expenses for one academic year or the length of the program, whichever is shorter, before an I-20 is issued. California State University, Stanislaus does not offer financial assistance to international students and off-campus employment is not permitted the first year of attendance. The student will need to present this form and all supporting documents to the United States Consulate when applying for an F-1 visa. Programs Please choose your program for up to one year by checking a box. That is what you will need to show funding for in order to apply for your visa. International Extension Program These are our short term programs for students who either need to study English before they enter a degree program or for students who want to study classes at Stanislaus State but not earn a degree. Please check one of the following options. Program Tuition & Fees Books & Materials Room & Meals Health Insurance Total Expenses English Fall or Spring Only $4,400 $350 $5,565 $1,094 $11,409 English One Year $8,800 $700 $9,508 $1,605 $20,613 English Fall or Spring + Undergraduate Study Fall or Spring (12 units minimum)* $9,900 $1,240 $9,508 $1,605 $22,253 Undergraduate Study One Fall or Spring Semester (12 units minimum)* $5,500 $890 $5,565 $1,094 $13,049 Undergraduate Study One Year (24 units minimum)* $11,000 $1,780 $9,508 $1,605 $23,893 English Fall or Spring + Graduate Study Fall or Spring (8 units minimum)* $8,400 $1,240 $9,508 $1,605 $20,753 Graduate Study One Fall or Spring Semester (8 units minimum)* $4,000 $890 $5,565 $1,094 $11,549 Graduate Study One Year (16 units minimum)* $8,000 $1,780 $9,508 $1,605 $20,893 *For University Study and Graduate Study classes, fees will increase on a per unit basis if enrolled in more than unit minimum. All fees are subject to change without notice.

International Extension Program · $5,565 . $1,094 : $11,409 English One Year $8,800 . $700 : $9,508 . $1,605 : $20,613 English Fall or Spring + Undergraduate Study Fall or Spring

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Page 1: International Extension Program · $5,565 . $1,094 : $11,409 English One Year $8,800 . $700 : $9,508 . $1,605 : $20,613 English Fall or Spring + Undergraduate Study Fall or Spring

Certification of Finance Academic Year 2018-2019

The United States’ Immigration and Customs Enforcement and California State University System require international students to demonstrate sufficient funding is available to meet all college and living expenses for one academic year or the length of the program, whichever is shorter, before an I-20 is issued. California State University, Stanislaus does not offer financial assistance to international students and off-campus employment is not permitted the first year of attendance. The student will need to present this form and all supporting documents to the United States Consulate when applying for an F-1 visa.

Programs Please choose your program for up to one year by checking a box. That is what you will need to show funding for in order to apply for your visa.

International Extension Program These are our short term programs for students who either need to study English before they enter a degree program or for students who want to study classes at Stanislaus State but not earn a degree. Please check one of the following options.

Program Tuition & Fees

Books & Materials

Room & Meals

Health Insurance

Total Expenses

English Fall or Spring Only $4,400 $350 $5,565 $1,094 $11,409 English One Year $8,800 $700 $9,508 $1,605 $20,613 English Fall or Spring + Undergraduate Study Fall or Spring (12 units minimum)*

$9,900 $1,240 $9,508 $1,605 $22,253

Undergraduate Study One Fall or Spring Semester (12 units minimum)*

$5,500 $890 $5,565 $1,094 $13,049

Undergraduate Study One Year (24 units minimum)*

$11,000 $1,780 $9,508 $1,605 $23,893

English Fall or Spring + Graduate Study Fall or Spring (8 units minimum)*

$8,400 $1,240 $9,508 $1,605 $20,753

Graduate Study One Fall or Spring Semester (8 units minimum)*

$4,000 $890 $5,565 $1,094 $11,549

Graduate Study One Year (16 units minimum)*

$8,000 $1,780 $9,508 $1,605 $20,893

*For University Study and Graduate Study classes, fees will increase on a per unit basis if enrolled inmore than unit minimum. All fees are subject to change without notice.

Page 2: International Extension Program · $5,565 . $1,094 : $11,409 English One Year $8,800 . $700 : $9,508 . $1,605 : $20,613 English Fall or Spring + Undergraduate Study Fall or Spring

Rev 5/18

Student and Sponsor InformationPlease type your responses below. This makes it much easier to process.

Student Name (as listed on passport) - please type

_____________________________________________________________________ Last/Family Name

_____________________________________________________________________ First/Given Name(s)

Birth date: ______________ Country of Citizenship: _____________________________ Month / Day / Year

Please provide an original bank statement (not a copy) for each source of funding listed below, showing funds are available. The bank statement must be dated within the last six months and computed in U.S. dollars.

Source(s) of funding Amount per year Personal Funds (student account in his/her name): Family Funds or Private Party Sponsor:

Relationship to student: Name of family member or sponsor: Sponsor Address:

Government or other scholarship: (Attach two copies of your award with the beginning and ending dates, contact information and specific instructions that the award provides sponsorship for attendance at CSU, Stanislaus)

Amount needed: TOTAL

Sponsor’s Certification I certify that I will provide financial support to ______________________________ (student’s name) as listed above for the duration of his/her attendance at California State University, Stanislaus. I understand that the costs of attendance are subject to change.

Sponsor’s Signature: ___________________________________ Date: ______________

Sponsor’s Printed Name: ___________________________________________________