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UNDERGRADUATE FINANCIAL STATEMENT

International students who are admitted to BGSU must obtain a Certificate of Eligibility (Form I-20) to enter and/or
remain in the U.S. as an F-1 student. This requirement applies to both international students coming from abroad and F-
1 students transferring from another U.S. education institution. The purpose of this statement is for students to show
they have the funding necessary to issue the Form I-20.

Student Information BGSU ID Number: _________________

Student’s Name: ______________________________ _____________________________ _______________________________


Surname (Last) Given name (First) Middle (All additional names)

Dependent Information

Dependents (Spouse and/or children) who will accompany you to the United States and will require and F-2 visa (give
age and relationship).

Name Date of Birth Country Relationship


__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Estimated Expenses

The estimated expenses of a student for one academic year (9 months) are approximately $32,500 USD for
undergraduate students. This includes tuition and fees, room and board, books, insurance, reasonable clothing,
recreational, and incidental expenses. Please add $5,000 per dependent listed above.

Indicate financial resources in US dollars. Be sure to complete Line “A” below. If you will not have any personal or
family funds available to you during your studies at BGSU, please write “NONE” on line “A”.

A. Personal or family funds (including student loans) available for each year of study (Funds must be available
for each year of the educational program):
Source:____________________________ Amount: $_______________ USD
B. Government/agency scholarship or grants. (This refers to grants that have already been officially offered to
you and does not refer to scholarships/grants that you hope to get in the future):
Source:____________________________ Amount: $_______________ USD
C. BGSU Scholarship
Source:____________________________ Amount: $_______________ USD

D. Total Amount of Funds Available to you: $_________________________ USD

Please continue on next page

319 Administration Building Bowling Green, OH 43403 Tel: (419) 372-2247


http://www.bgsu.edu/international-student-services.html e-mail: iss@bgsu.edu
Requirements for Documentation of Funds

 An official dated bank statement

 All accounts must be easily accessible and liquid assets

 All documents must be in English or accompanied by an English translation

 All supporting documentation must be dated within the last six months

 Letters of sponsorship must include exact dollar amount of support (In U.S. dollars) and dates of sponsorship

 Passport biography page of student or state I.D. with birth certificate

 If sponsored by a family member or a third party provide the items below

o Passport biography page of sponsor or state I.D. with

o Affidavit of relationship if a third-party that is not your government or immediate family member

Sponsor/Financial Guarantor Information

Sponsor/Financial Guarantor’s Name:


_____________________________ __________________________ _________________________________
Surname (Last) Given name (First) Middle (All additional names)

Guarantor’s email address: _________________________ Guarantor’s phone number: ______________________


Guarantor’s mailing address:
______________________________________________________________________________________________
Guarantor’s relationship to student: ____________________________ (Provide sworn affidavit of support)

Required Signatures

Signing below certifies that the information given on this form is complete and accurate to the best of my
knowledge. I am fully aware that any false or misleading statement may result in denial of admission or
cancellation of registration following enrollment. I/We pledge financial support to meet the educational and
living expenses of this student in the annual amounts cited above.

Financial guarantor signature: ___________________________________________________ Date: _________________

Student signature: _____________________________________________________________ Date: _________________

319 Administration Building Bowling Green, OH 43403 Tel: (419) 372-2247


http://www.bgsu.edu/international-student-services.html e-mail: iss@bgsu.edu

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