Declaration and Certification of Finances 2021-2022

International students that have been admitted to Ursuline College are required to submit this form to receive a Certificate of Eligibility (Form I-20) in order to apply for an F-1 Student Visa. Students must submit this document in addition to a copy of their biographical passport page and their proof of finances. You can upload these documents in the space provided below. The Form I-20 will not be provided or transfered until all required immigration documentation has been received.

Personal Information

What type of student are you?

Nursing Major

Non-Nursing Major

Second Degree Accelerated Program-Nursing

Family/Last Name as it is on your passport

First/Given Name as it is on your passport

Middle Name

Birthdate

Gender

Place of Birth (List exactly what is stated on passport)

Country of Birth

Country of Citizenship

Photocopy of the biograph page of your passport, if you haven't provided that already, and the passports of your dependents (if applicable).

Are you currently living in the United States?

Yes

No

Are you currently attending an institution within the United States?

Yes

No

Please check the box that applies to you.

My spouse and/or children will accompany me during my study in the United States.

I will not bring any dependents with me to the United States.

Dependents

All dependents that will be accompanying you to the United States will require their own Form I-20. You will also be required to provide a copy of the biographical passport page for each dependent. You will be required to show additional proof of finances ($4,000 USD) for each dependent listed.

How many dependents do you plan to bring with you?

Dependent #1

Last/Family Name, First/Given Name

Date of Birth

City and Country of Birth

Country of Citizenship

Relationship (Spouse or Child)

Gender

Dependent #2

Last/Family Name, First/Given Name

Date of Birth

City and Country of Birth

Country of Citizenship

Relationship (Spouse or Child)

Gender

Dependent #3

Last/Family Name, First/Given Name

Date of Birth

City and Country of Birth

Country of Citizenship

Relationship (Spouse or Child)

Gender

Dependent #4

Last/Family Name, First/Given Name

Date of Birth

City and Country of Birth

Country of Citizenship

Relationship (Spouse or Child)

Gender

Contact Information

Mobile Phone Number

House Phone Number

Email Address

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address to Receive I-20

Country

Street

City

Region

Postal Code

Finance Sources

Students must provide proof of finances in order to receive their Form I-20. Financial documentation such as wage statements, tax documentation, property valuation statements, and statements older than one year will not be accepted.

You are required to show a bank statement or letter on official bank paper indicating that you have an available balance of at least the total annual expense for your program, minus any scholarship funds. All documentation must be translated in English. Please make sure that the copies provided are legible. Additional funds will be required if bringing any dependents. Please keep in mind that the numbers below are an estimate, and not an official statement. You will receive your official statement once you are registered for courses.

Annual Expenses	Nursing Major First Year	Nursing Major Second Year	Nursing Major Third Year	Nursing Major Fourth Year
Tuition*	$35,310	$35,310	$35,310	$35,310
Fees (including Nursing Technology & Books)	$700	$3,125	$1,160	$810
Living Expenses**	$16,667	$16,667	$16,667	$16,667
Total	$52,677	$55,102	$53,102	$52,787

* Based on 12 credit hour minimum per immigration regulations, additional fees may apply if a student takes more the minimum required
** Living Expenses are based on student average and may vary student to student dependent upon individual spending habits
** Students are REQUIRED to purchase Student Health Insurance. This is not included in the estimated fees seen above.

Finance Sources

Students must provide proof of finances in order to receive their Form I-20. Financial documentation such as wage statements, tax documentation, property valuation statements, and statements older than one year will not be accepted.

You are required to show a bank statement or letter on official bank paper indicating that you have an available balance of at least the total annual expense for your program, minus any scholarship funds. All documentation must be translated in English. Please make sure that the copies provided are legible. Additional funds will be required if bringing any dependents. Please keep in mind that the numbers below are an estimate, and not an official statement. You will receive your official statement once you are registered for courses.

Annual Expenses	Non-Nursing Major First Year	Non-Nursing Major Second Year	Non-Nursing Major Third Year	Non-Nursing Major Fourth Year
Tuition*	$35,310	$35,310	$35,310	$35,310
Fees (including Technology & Books)	$590	$460	$470	$480
Living Expenses**	$16,667	$16,667	$16,667	$16,667
Total	$48,359	$48,249	$48,259	$48,369

* Based on 12 credit hour minimum per immigration regulations, additional fees may apply if a student takes more the minimum required
** Living Expenses are based on student average and may vary student to student dependent upon individual spending habits
** Students are REQUIRED to purchase Student Health Insurance. This is not included in the estimated fees seen above.

Finance Sources

Students must provide proof of finances in order to receive their Form I-20. Financial documentation such as wage statements, tax documentation, property valuation statements, and statements older than one year will not be accepted.

You are required to show a bank statement or letter on official bank paper indicating that you have an available balance of at least the total annual expense for your program, minus any scholarship funds. All documentation must be translated in English. Please make sure that the copies provided are legible. Additional funds will be required if bringing any dependents. Please keep in mind that the numbers below are an estimate, and not an official statement. You will receive your official statement once you are registered for courses.

Annual Expenses	SDAP 1st Semester	SDAP 2nd Semester	SDAP 3rd Semester	SDAP 4th Semester
Credits	20	15	17	12
Tuition*	$10,700	$8,025	$9,095	$6,612
Fees (including Nursing Technology & Books)	$2,545	$620	$630	$170
Living Expenses**	$16,667	$16,667	$16,667	$16,667
Total	$29,912	$25,312	$26,392	$23,449

* Based on how many credit hours are required for a semester sequence, the credits will always be above the 12 credit hour requirement per immigration regulations, additional fees may apply if a student takes more the minimum required
( up to 19-20 credits = $502 per credit hour, 20-21 credits = approximately $522 per credit hour)
** Living Expenses are based on student average and may vary student to student dependent upon individual spending habits
** Students are REQUIRED to purchase Student Health Insurance. This is not included in the estimated fees seen above.

International Merit Scholarships

Ursuline is proud to offer international students merit-based scholarships. In order to calculate the merit scholarship you will be offered, please respond to the following questions so we can direct you to the proper Merit Scholarship Calculator.

Please click on the link that best describes you:

I am a transfer student who has completed university-level credits
I am a first-year high school student who has taken the ACT or SAT
I am a first-year high school student who has NOT taken the ACT or SAT

Please check the appropriate box or boxes in which you will show proof of funding.

I will be supporting myself.

I will be supported by a parent.

I will be supported by a sponsor.

I have received a scholarship from Ursuline College.

I have received a scholarship from my government.

Please enter the expected amount of annual support from the sources listed below in USD. Only enter numbers, do not type words in the assured and projected fields below. Ex. $20,000 or $50,000.

Ursuline Scholarships or Support

Ursuline College Scholarship Support

Upload a screenshot of your award letter or support contract below
Verification of Ursuline/Athletic Scholarship

Personal Savings

Personal or Family Savings: Name of Bank

Bank Official

Address of Bank

Assured Support: Year 1

Projected Support: Year 2

Projected Support: Year 3

Projected Support: Year 4

Parent Savings and Support

Parent Name

Assured Support: Year 1

Projected Support: Year 2

Projected Support: Year 3

Projected Support: Year 4

Sponser Support

Sponser 1

Assured Support: Year 1

Projected Support: Year 2

Projected Support: Year 3

Projected Support: Year 4

Government Scholarship

Name of Agency

Assured Support: Year 1

Projected Support: Year 2

Projected Support: Year 3

Projected Support: Year 4

Total Funding

Assured Total: Year 1

Projected Total: Year 2

Projected Total: Year 3

Projected Total: Year 4

Personal Savings

Personal or Family Savings: Name of Bank

Bank Official

Address of Bank

Assured Support: 1st Semester

Projected Support: 2nd Semester

Projected Support: 3rd Semester

Projected Support: 4th Semester

Parent Savings and Support

Parent Name

Assured Support: 1st Semester

Projected Support: 2nd Semester

Projected Support: 3rd Semester

Projected Support: 4th Semester

Sponser Support

Sponser 1

Assured Support: 1st Semester

Projected Support: 2nd Semester

Projected Support: 3rd Semester

Projected Support: 4th Semester

Government Scholarship

Name of Agency

Assured Support: 1st Semester

Projected Support: 2nd Semester

Projected Support: 3rd Semester

Projected Support: 4th Semester

Total Funding

Assured Total: 1st Semester

Projected Total: 2nd Semester

Projected Total: 3rd Semester

Projected Total: 4th Semester

Upload Documents

Certified Letter from your bank or official bank statement in English verifying funds.

Documentation of other sources of funding

In 40 characters or less, provide brief descriptioni of this 'Other' funding source. (e.g. loan, scholarship, work stipend)