ࡱ> y cbjbjcc 8 f f@  8-nn$ ,,,,,,,$2/1,i>#>#>#,B-&&&>#:,&>#,&&:*,;+`T(x#* ,X-0-*R2#2;+2;+d}!Z!@&"4K"}!}!}!,,<%}!}!}!->#>#>#>#2}!}!}!}!}!}!}!}!}! X P: UNIVERSITY OF LOUISIANA AT LAFAYETTE GRADUATE SCHOOL CONFIDENTIAL FINANCIAL INFORMATION FORM International students must be able to furnish proof of financial responsibility to meet educational and living costs. The University cannot guarantee financial support to international graduate students or assume responsibility for obtaining financial aid. To view a list of estimated expenses, please visit  HYPERLINK "http://gradschool.louisiana.edu/?q=fif" http://gradschool.louisiana.edu/?q=fif. An I-20 or DS-2019 for graduate admission will not be issued unless this financial form is completed and returned, along with the necessary supporting documents verifying required funds. Section I: General Information FORMTEXT       FORMTEXT       FORMTEXT      Last Name / SurnameFirst / Given NameStudent ID Number FORMTEXT      Street or Box FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      CityStateCountryZip or Pin CodeVisa Requested (Check one) FORMCHECKBOX  Student (F) I-20  FORMCHECKBOX  Exchange Visitor (J) DS-2019 Section II: Funding How much money (in U.S. Dollars) will you have available while in the U.S. for each academic year (9 month period)?1. PERSONAL FUNDS$ FORMTEXT       $2. FAMILY FUNDS$ FORMTEXT       $3. FUNDS FROM UNIVERSITY$ FORMTEXT      4. FUNDS FROM INTERNATIONAL ORGANIZATION$ FORMTEXT      NAME OF ORGANIZATION FORMTEXT      5. OTHER SOURCES OF FUNDING$ FORMTEXT      NAME OF OTHER SOURCE(S) FORMTEXT      TOTAL SUPPORT AVAILABLE$ FORMTEXT      This form must be accompanied by an original signed letter and/or bank certification from the listed source(s) above. 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Additional financial support for dependents must be submitted ($1,000 for each child and $2,000 for spouse). SEVP now has a City of Birth requirement for all dependents. Name (Last, First)Date of BirthRelationshipCity and Country of Birth FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       I have read and carefully reviewed the estimated expense list provided with this form. I have made the necessary arrangements to meet all my expenses throughout my stay at the University. I certify that the information provided is true and correct. I fully understand that presentation of false information may make me ineligible for admission and enrollment at UL Lafayette. APPLICANT SIGNATURE ___________________________________ DATE ___________________ RETURN TO: UL LAFAYETTE GRADUATE SCHOOL, P.O. 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