2022 International Student Financial Support Form

Legal Name:

Family Name

Given Name

Middle/Maiden Name

Have you ever held F-1 status in the U.S. in the past year?

Yes

No

What is/was your last date of enrollment as an F-1 student?

Are you currently in the U.S.?

Yes

No

What is your visa status?

Do you plan to travel outside the U.S. before school starts?

Yes

No

Sources of financial support (check all that apply, indicate approximate amounts, and include proof of financial support for EACH). Before selecting primary source of financial support, review your funding documentation to ensure the account owner matches your selection.

Family funds

Self-supporting

Sponsored by my government or other organization

Other

Name of family member

Relationship

Other source of funding

Upload documentation such as a bank statement, certificate of deposit, etc. that clearly indicate the minimum balance and owner of account. Funding does not need to be in U.S. dollars.

Estimated costs of attendance for fall and spring semesters 2021-2022:

Tuition and fees:	$37,579.00
Room and board:	$15,080.00
Health insurance and other expenses (estimated):	$6,204.00

Total:	$59,418.00

Note: These are current estimates for two semesters and are subject to change. These figures are for degree-seeking students and do not include international airfare, travel expenses within the U.S., course fees, or the cost of Winter Term or Summer Term tuition and/or living expenses. Visit the One Stop website for up-to-date information on tuition, fees, and scholarships. Also, students who are conditionally admitted through the American Culture and English (ACE) program and who enroll in this program are required to pay a non-refundable $1,000 program fee.

I confirm that the funds uploaded will be used to support my tuition, fees, and living expenses while studying at Miami University.
I confirm that I and/or my sponsor have made contingency plans such that the unexpected financial difficulties created by unfavorable exchange rates, increases in educational costs, or other business or economic conditions will not reduce or stop the flow of monies towards my education.
I understand I will automatically be enrolled in and billed for university health insurance each year for the length of my studies.
By my submission, I attest that all information provided on this form is complete and accurate and that I am ultimately responsible for all anticipated expenses for the length of my stay in the U.S. Any omission or falsification may result in my being denied registration or in action leading to dismissal from Miami University.

By my signature, I attest that all information provided on this form is complete and accurate and that I am ultimately responsible for all anticipated expenses for the length of my stay in the U.S. Any omission or falsification may result in my being denied registration or in action leading to dismissal from Miami University.

Electronic Signature of Applicant:

Date:

Electronic Signature of Parent:

Date: