2023-24 Declaration of Finances Form - RDB

2023-24 Declaration of Finances
For International Undergraduate Students
Instructions (please read carefully). See the next page for the form to be completed.
U.S. law requires that we have written documentation of financial support for all international students. We must receive this documentation
before we can issue form I-20, which you need to apply for a student visa or to transfer from one school to another within the U.S.
• We require bank proof of support for one year of study in the form of a bank statement (checking/savings accounts) with sufficient funds or
bank letter indicating that the required funds will be available. DO NOT submit long bank statements that include transaction history.
• All forms of documentation must be on official letterhead from the institution issuing the document and include the type of account, type of
currency, and the equivalent USD amount. The documentation must be dated within the last 3 months. English translations are also required.
• Your parent or sponsor must sign in the space indicated, under “Certification.” If you are receiving a government or private scholarship, a
separate letter may be submitted. The letter must include the amount available for tuition, books and supplies, health insurance, and living and
personal expenses.
The following documents are NOT accepted:
 Statements verifying employment and salary

 Insurance premiums and policies
 Property or personal assets (automobiles, land, buildings, jewelry, etc.)
 Lines of credit
 Assets such as investments, stocks, bonds, equities, pension/retirement accounts
 Income tax returns
________________________________________________________________________________________________________________________
Estimated Expenses
The following figures are the current estimated expenses for an academic year at Cornell. They do not include the cost of international travel or travel
within the United States because those amounts vary considerably for each student. You should assume that the total support required will increase by
about 3-5 percent each year.
Tuition and student activities fee $65,514

Room fee 11,562
Dining plan 6,992
Books and supplies* 1,364
Miscellaneous expenses 2,218
Estimated health insurance 3,500
Total $91,150
Note: The cost for supplies will be slightly higher for Architecture and Art students in the College of Architecture, Art, and Planning as well as students
in these majors: Landscape Architecture, Design & Environmental Analysis, and Fiber Science & Apparel Design.
Other potential expenses you may incur:

Settling-in expenses: $1,000 – for personal items such as sheets/blankets for your room or the purchase of additional clothing for the climate in Ithaca
Winter break expenses: $2,308 – one month’s living expenses for students who may not be able to travel home for the winter recess
See next page for form to be completed

2023-24 Declaration of Finances
For International Undergraduate Students
Required Documentation for Student Visa Eligibility Please type or print. *Must be identical to name listed in passport
********************************************************** Student name*: ________________________________________________

Form submission deadline: (Last/Family) (First) (Middle)
First-year Students - June 15
Address: _____________________________________________________
Spring Transfers - January 1
Fall Transfer - July 15
____________________________________________________________
Allow 3-4 weeks to prepare and send I-20
Date of birth: _____________________________
• See the instructions on first page before completing the form below.
• This financial information is required both to obtain an I-20 (Certificate of Eligibility for a Student Visa) and to apply for a student visa.
• Enter all amounts in U.S. dollars. The total amount must equal at least one year of expenses as explained in the instructions.
Funding Source Amount
$_______________
Your savings or your family’s savings:
Private sponsor: $_______________
Home government: $_______________
Cornell University Financial Aid:

Use your financial aid award summary to complete this form.
Upload a copy of your award summary with the bank proof of $_______________
finances.
Other (specify):____________________________ $_______________
Total Funds in USD $_______________
Certification
My signature certifies that the information furnished on this form is true and the funds will be provided as
indicated. I agree to provide a comparable amount for each subsequent year.
Signature of parent or sponsor:___________________________________________Date:_______________________
Name:____________________________________________Relationship to applicant:__________________________
Address:________________________________________________________________________________________
My signature certifies that the information on this form is true. I also agree to enroll in an approved sickness and
accident insurance plan for the duration of my study at Cornell.
Signature of student:__________________________________________________Date:_______________________

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2023-24 Declaration of Finances

For International Undergraduate Students

The following documents are NOT accepted:

 Statements verifying employment and salary

Tuition and student activities fee $65,514

Other potential expenses you may incur:

See next page for form to be completed

********************************************************** Student name*: ________________________________________________

Funding Source Amount

Private sponsor: $_______________

Home government: $_______________

Cornell University Financial Aid:

Other (specify):______________ $_

Total Funds in USD $_______________

Signature of parent or sponsor:_____________________Date:_

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