UIC GLOBAL

F-1 STUDENT CERTIFICATION OF FINANCES

This original confidential financial certification form must be completed and submitted along with supporting financial documents before a
Form I-20 will be issued. Please review page 2 of this form prior to completion. If you have any questions about completing this form, contact
the University of Illinois at Chicago at admissions@uicglobal.org.

2018 ESTIMATED EXPENSES

Below are the 2018 estimated annual expenses for international students. Your supporting financial documents must total the costs of tuition,
living expenses (including insurance), books, personal and miscellaneous for the undergraduate program you will be enrolled in. If your spouse
and/or children are accompanying you to the United States, you must show an additional $8,400 for your spouse/child and $6,000 for each
additional dependent.
INTERNATIONAL ACADEMIC EXTENDED PRE-SESSIONAL MIDTERM
PER YEAR DIRECT ACCELERATOR ACCELERATOR (1 TERM) ENGLISH
PROGRAM PROGRAM
Tuition and Fees $30,000 $31,500 $36,500 $6,800 $4,100
Living Expenses (Housing, Dining and Insurance) $18,908 $18,908 $27,364 $22,350 $22,350
Books, Personal and Miscellaneous $1,549 $1,549 $2,324 $2,324 $2,324
Academic Program Total $50,457 $51,957 $61,188 $31,474 $28,774
* Fees are subject to change without notice. Due to rising costs, year-over-year financial planning should allow for a 5 to 10 percent annual increase in living expenses and/or tuition.

TYPE OF VISA REQUESTING:

STUDENT INFORMATION
F-1
Surname(s)/Last Name(s) (as indicated on passport): Other:
Given Name(s)/First Name(s): IF IN THE U.S., CURRENT STATUS:

Preferred Name: Suffix: F-1

Other:
Date of Birth (DD/MM/YYYY): E-mail:

STUDENT ANNUAL FINANCIAL SUPPORT IN U.S. DOLLARS (USD)

A. Personal Savings Amount $

B. 1. Family/Sponsor Funds (if full or partial financial support is from family/sponsor) Amount $

Print Name: Relationship:

Address:

2. Family/Sponsor Funds Amount $

Print Name: Relationship:

Address:

C. Government/Other Organizational Sponsorship Funds Amount $

Print Name of Agency:

I have applied for/been awarded a tuition scholarship Yes No

Applicant’s Signature: Date:

As the undersigned, I/we hereby authorize the University of Illinois at Chicago to disclose copies of documents related to the student’s immigration status to federal agencies if
requested to maintain compliance.

UIC GLOBAL • admissions@uicglobal.org

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September 1, 2017
 UIC GLOBAL • OFFICE OF INTERNATIONAL SERVICES
UIC GLOBAL F-1 STUDENT CERTIFICATION OF FINANCES

SUPPORTING FINANCIAL DOCUMENTS

Enclosed with this form, you are required to submit valid supporting financial documents certifying that you have sufficient funds available to
cover expenses for your first year at the University of Illinois at Chicago. Documents must be original, dated less than 6 months from the
time of application, officially translated into English and issued by a financial institution or agency verifying access to the funds.
Note: You must bring the original financial documents to your visa interview, point of entry to the United States and required immigration
check-in at UIC Global.

Please carefully review the following acceptable examples of financial documents:

• Personal funds: A recent bank letter or bank statement.

• F
 unds from family or sponsor: Bank statement along with an affidavit of support containing both the student’s and sponsor’s name,
relationship and amount of funds available for the purpose of the applicant’s studies. You may use the bottom of this form for your affidavit of
support. Funds must be shown at the current USD conversion rate.
• A
 s an option, you may instead submit a bank letter on official letterhead containing the name of sponsor, relationship to the applicant, name
of the applicant and the U.S. dollar amount available for the purpose of the applicant’s studies.
• G
 overnment or other sponsoring agency: A signed copy of the scholarship or award letter stating the amount, name of the recipient and
duration of the award.
• Examples of financial documents that will not be accepted include:
– Annual salary statement
– Real estate
– Investments, stocks or other accounts which money cannot be withdrawn
• Examples of acceptable financial documents include (links below):
- Bank Statement Example 1 (www.ois.uic.edu/common/pages/DisplayFile.aspx?itemId=189100)
- Bank Statement Example 2 (www.ois.uic.edu/common/pages/DisplayFile.aspx?itemId=189098)
- Certificate of Deposit Example (www.ois.uic.edu/common/pages/DisplayFile.aspx?itemId=189102)

AFFIDAVIT OF SUPPORT

Please complete this document if you will be receiving funds from a family member or sponsor. Submit with appropriate bank statement.

I, , hereby certify that I am willing and able to provide U.S. $

(Print a Family Member or Sponsor’s Full Name)
to meet the expenses incurred by during the length of the student’s
(Print Student’s Full Name)
academic study to which this application pertains. My relationship to the student is that of .

I have authorized the release of my supporting financial documents to verify that the promised financial resources are available to me. I affirm

that I know and understand that the contents of this affidavit signed by me and the statements are true and correct.

Signature of Sponsor/Family Member: Date:

RETURN THIS FORM TO: The University of Illinois at Chicago

Office of Undergraduate Admissions

(MC018 University of Illinois at Chicago, Attn: UIC Global)
1200 West Harrison Street, Suite 1100
Chicago, IL 60607
admissions@uicglobal.org

Please make a copy of all paperwork for your records.

UIC GLOBAL • admissions@uicglobal.org

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