Financial Statement

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2015 FINANCIAL STATEMENT FORM FOR INTERNATIONAL STUDENTS
All admitted international students requiring an F-1 student visa must submit this form and supporting financial documents to provide evidence of
funding for one academic year. An I-20 will be issued AFTER financial documents are approved by SDSU Office of Admissions.
Submit this form and supporting documents indicated in Section B by email to [email protected] or by mail to:
Office of Admissions • San Diego State University • 5500 Campanile Drive • San Diego, CA 92182-7455 U.S.A.

A. PERSONAL INFORMATION
Full Name (exactly as it appears on passport):
Family Name

First Name

Country of Citizenship:

Middle Name



Date of Birth (Month/Day/Year):

Country of Birth:



SDSU RedID:

Email:
I have been admitted to the following degree program:

Undergraduate

Graduate

I am currently living in the United States?
Yes
No
If yes, answer below:
My current visa status is: F-1
F-2
H-4
Other:

I am attending a United States high school, language school, college or university:

Graduate Business

Yes

No


If yes, please list the name of the school:

B. SOURCE OF FINANCIAL SUPPORT
The estimated minimum costs required to attend SDSU full time for one academic year (9 months) covers basic tuition & fees,
non-resident tuition, housing and food, health insurance, and living expenses (books, supplies, transportation, and personal expenses):
Basic Tuition & Fees:

UNDERGRADUATE

GRADUATE

GRADUATE BUSINESS

$6,866

$8,132

$12,704

Non-Resident Tuition:

$11,160

$6,696

$6,696

Housing & Food

$14,745

$12,408

$12,408

Health Insurance

$1,327

$1,327

$1,327

Books, Supplies, Transportation

$3,182

$3,833

$3,833

TOTAL

$37,280 USD

$32,396 USD

$36,968 USD



NOTE: Tuition and registration costs are subject to change by the Trustees of the California State University without prior notice. The amounts indicated
above are estimates. Actual expenses may vary, for the most up-to-date figures and program-specific fees, visit www.sdsu.edu/internationalfees.

Select the box or boxes below to indicate all sources of financial support. Supporting financial documents can not be older than six
months and can be either in local currency or U.S. dollars.
Applicant’s Personal Funds: Attach a bank statement or bank letter with the applicant’s name and current balance of funds.
Funding from Parent, Relative or Private Sponsor: Attach a bank statement or bank letter with the sponsor’s name and current balance
of funds AND complete all parts of Section D.
Government Sponsor: Attach Government Sponsor Letter confirming the scholarship/sponsorship of tuition, fees and expenses.
Athletic Scholarship: Attach funding letter from the SDSU Department of Athletics indicating the amount awarded.
Graduate Assistantship: Attach funding letter from the department indicating the amount awarded.
C. STUDENT SIGNATURE
I understand the minimum amount of money necessary for fees, living expenses and health insurance (www.sdsu.edu/isc) at San Diego State
University and I verify that the minimum amount indicated on this form will be available for each year of my studies. I understand that providing
false or misleading information can result in the denial of my application to SDSU or in my admission to the university being withdrawn.
Signature of Applicant Date

D. SPONSOR INFORMATION (Required of all students with funding from a parent, relative or private sponsor.) Complete all sections.
Name of sponsor:

Relationship to applicant:

I guarantee the amount of $
will be available for the above named student for the first academic year at SDSU. The same amount
will be provided for each subsequent year of study.
Signature of Sponsor Date

F. DEPENDENT INFORMATION (For students bringing a spouse and/or children to the U.S. on an F2 visa.)
Please submit this page with a copy of the passport for each of your dependents. You must provide proof of additional funds of $5,250 USD
for your spouse and $2,625 per child on your financial support documents in order for their names to be listed as dependents on the I-20.
Full Name (exactly as it appears on passport):
Family Name

First Name

Country of Citizenship

Date of Birth (Month/Day/Year):





Middle Name

Country of Birth

Gender:

Female

Male

Relationship:

Spouse

Child

Relationship:

Spouse

Child

Relationship:

Spouse

Child

Full Name (exactly as it appears on passport):
Family Name

First Name

Country of Citizenship

Date of Birth (Month/Day/Year):





Middle Name

Country of Birth

Gender:

Female

Male

Full Name (exactly as it appears on passport):
Family Name

First Name

Country of Citizenship

Date of Birth (Month/Day/Year):





Middle Name

Country of Birth

Gender:

Female

Male

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