Thank you for your application! Please print this page, get the appropriate signatures, and mail to:
Office of Admissions
Northern Michigan University
1401 Presque Isle
Marquette, Michigan USA
49855-5310
Certification of Finances: Applicants are required to provide evidence of their ability to finance their total educational costs by completing the information below. Refer to estimated expenses. Give amounts in U.S. dollars. A Certificate of Eligibility (Form I-20 AB) will not be issued until adequate funds are guaranteed for your educational needs.
|
Estimated Expenses for Undergraduate International Students (2007-08 costs) |
Estimated |
| Tuition and Fees (12-18 credits/semester, two semesters) |
$10,700.00 |
| Room and Board |
$7,220.00 |
| Books and Supplies |
$750.00 |
| Health Insurance (compulsory, student only) |
$645.00 |
| Incidentals |
$500.00 |
| Expenses during Semester Breaks |
$1,000.00 |
| Total Academic Year Costs |
$20,815.00 |
|
Additional Health Insurance Costs for Spouse/Dependents |
|
| Student and spouse |
$1,935.00 |
| Student, spouse and children |
$3,226.00 |
| Student and children |
$1,616.00 |
|
Please check one
|
|
| _____Student only: Certify $20,815.00 in funds | |
| _____Student and spouse: Certify $22,105.00 in funds | |
| _____Student, spouse and children: Certify $23,396.00 in funds | |
| _____Student and children: Certify $21,786.00 in funds | |
Please indicate your sources of assured first year funds to match the amount checked above.
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Source
|
Assured First Year Funds
(in U.S. Dollars) |
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| FAMILY AND/OR FRIENDS - Please enter name(s): A family or friend's signature is required below* |
________________________ |
_______________
|
||
| PERSONAL SAVINGS - Please enter name of bank: A bank official's signature is required below** |
________________________ |
_______________
|
||
| YOUR GOVERNMENT - Please enter name of agency: Enclose a signed copy of your letter of award |
________________________ |
_______________
|
||
| OTHER - Please specify: Enclose a signed affidavit from an authorized person or agency | ________________________ |
_______________
|
||
|
TOTAL:
|
_______________
|
Certification of Support
This is to certify that I have read the financial support information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available and will be provided as indicated.
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*Signature of Guarantor:
|
________________________________________ |
|
Relationship of Guarantor to Student:
|
________________________________________ |
|
Date:
|
________________________________________ |
Official Certification of Sources of Funds and Amounts
This is to certify that I have read the financial information furnished by the applicant on this form, that it is a true and accurate statement, and that the funds are available.
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**Signature of Bank Official:
|
________________________________________ |
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Name of Bank:
|
________________________________________ |
|
Address of Bank:
|
________________________________________ |
|
Date:
|
________________________________________ |
Note: A separate, official, original bank statement showing availability of funds can be sent in lieu of the signature of bank official above. Guarantor, if other than student, must sign above or send signed letter of intention of support.
Please print and sign your name below, include today’s date, and list your mailing address.
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Name (print):
|
________________________________________ |
|
Signature:
|
________________________________________ |
|
Date:
|
________________________________________ |
|
Address:
|
________________________________________ |
