Certification Finances Graduate

LY N N U N I V E R S I T Y
3601 North Military Trail Boca Raton, FL 33431 USA

G
2009 2010 FOREIGN STUDENT FINANCIAL STATEMENT: MASTERS ADMISSION

Lynn University requires a financial statement for the first year of study, from each applicant who is not a United States citizen or in possession of a permanent resident (immigrant) visa at the time of application for admission. This statement, and the required supporting financial documents, must be on file before an I-20 can be issued. Two original sets of supporting documents should be obtained. One set should be attached to the form and will become part of your permanent file. The other set should be used to present to the U.S. Embassy or Consulate. Photocopied, faxed and scanned documents are not acceptable forms of verification. SECTION I: APPLICANT INFORMATION
Applicants family name: Mr./Ms. Country of birth: Telephone: Mailing address: Citizenship: Fax:
Given name: Date of birth:

(Month/Day/Year)
E-mail:
Expected visa type:
F-1 Academic or Language Training Other (specify):________________
J-1 Exchange Visitor None needed (Attach documentation)
SECTION II: DEPENDENT INFORMATION 1. Will a spouse and/or child(ren) accompany you to Lynn University on your visa? Yes No 2. If so, you must add the following minimums to the total cost: Spouse: add $6,000. Each child: add $3,000.
Name
(Family name, given name)
Date of birth
(Month/Day/Year)
Country of birth
Relationship
(Wife/Husband, Daughter/Son)
SECTION III: SOURCE OF SUPPORT IN U.S. DOLLARS (documentation required, see page 2)
Check all sponsors providing this funding: Amount of each type of support
My own personal funds Parents and/or sponsors funds (family, friend) Person and relationship to you:__________________________________ Home government funds. Agency name:__________________________ University award. Department name:_____________________________ Other. Please specify:___________________________________________
USD $____________________ USD $____________________ USD $____________________ USD $____________________ USD $____________________
ALL APPLICANTS MUST SHOW PROOF OF FINANCES Please obtain an official letter from the bank or financial institution in which you, and /or your sponsor, have available funds. This letter should be written on the bank or financial institutions official letterhead, in English, and must be signed by a bank official. This letter should state the date the account was opened, the currency type, and specifically state an amount that is currently in the account. Bank letters dated more than two months from the date of submission to Lynn University are considered expired. If dependents will accompany you, please add the additional costs of your dependents. PARENTS OR SPONSORS MUST ALSO PROVIDE A LETTER OF COMMITMENT This letter must include your full name, the relationship between you and the sponsor, the amount and duration of his/her support, and the sponsors original signature. The sponsor must include his/her telephone number and address. ORGANIZATIONS(GOVERNMENT OR PRIVATE) SPONSORING You must provide a letter of sponsorship on the organizations official letterhead with their address, telephone and fax number, and the original signature and title of the responsible official. This letter should also include your full name, the specific dollar amount, and duration of their sponsorship. CERTIFICATION This certifies that the total amount of money that I have available for my first year of study at Lynn University (including funds for dependents if applicable) is USD$________, and the total amount available for each subsequent year of study is USD$_________. I understand that I must provide documentation for the total amount below for my program of study. All documents are attached to this form. Further, I certify that the above information provided is correct and complete. Signature of student Date
SECTION IV. 2009-2010 ESTIMATED PROGRAM COSTS FOR MASTERS PROGRAMS

Psychology academic year: 9 months Tuition and fees Housing Books & Supplies Health insurance Total
PAYMENT
All other programs: 12 months $10,540 $12,000 $1,200 $941 $24,681 Tuition and fees Housing Books and supplies Health insurance Total $21,180 $12,000 $1,000 $1,468 $35,648
You must be prepared to pay one terms tuition and fees in full at registration. The figures above represent minimal costs of living in Boca Raton. Your personal experience may differ significantly. All of the dollar amounts are subject to change without notice.
WIRE PAYMENTS
Funds received via wire transfer must be for the amount due on the student account. Any payment that exceeds the amount due will be credited to a future semester to cover any anticipated tuition and related fees. If a refund is requested by the family, it will be refunded only to the issuing party using the same wire instructions as the original receipt of disbursement.
SECTION V. ADDITIONAL CONTACT INFORMATION

If you have a U.S. contact and address available to release your I-20 to or request additional documentation, please print the name, telephone and address below. You must also sign the release below Name of contact: Relationship to you: Address Telephone:
I certify that I desire to have the above named person contacted in the event additional information is needed or to receive my I-20 document.
Signature of student
Date

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LY N N U N I V E R S I T Y

3601 North Military Trail Boca Raton, FL 33431 USA

2009 2010 FOREIGN STUDENT FINANCIAL STATEMENT: MASTERS ADMISSION

Given name: Date of birth:

Expected visa type:

F-1 Academic or Language Training Other (specify):________________

J-1 Exchange Visitor None needed (Attach documentation)

SECTION IV. 2009-2010 ESTIMATED PROGRAM COSTS FOR MASTERS PROGRAMS

SECTION V. ADDITIONAL CONTACT INFORMATION

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