Yeshiva University 2016 WSSW Summer Block I-20 Application
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1 Yeshiva University 2016 WSSW Summer Block I-20 Application The Master in Social Work Summer Block Program at the Wurzweiler School of Social Work of Yeshiva University is a 26 month Master level degree program. Students are required to register full time and be physically present on campus for three consecutive summers. During the traditional academic year (September through May), students return home to complete field work placements, under the supervision of a faculty advisor. A new I-20 is required each summer because students are absent from the U.S. for more than five months between summers. DIRECTIONS: Please complete the following application and scan to oiss@yu.edu. Documentation may also be submitted by fax to , or sent by courier service to: Yeshiva University, Office of International Students and Scholars, 500 West 185 th Street, Furst Hall Room 114A, New York, NY Remember to include: WSSW Summer Block acceptance letter Copy of your passport Proof of financial support (in English). Including: - WSSW merit and needs based scholarship awards - Bank statement and promise of support if a parent or someone else is providing you with financial assistance. (see the last page of this application) - Loan from home country (if applicable) PART I: PERSONAL INFORMATION Male Female YU ID Circle your summer: Please enter your name exactly as shown in your passport. Attach a copy of your passport identification page. Name in passport: Last/Family Name First/Given Name Middle Name(s) Date of Birth: Month Day Year Country of Birth: Country of Citizenship: Country of Legal Permanent Residence: Phone number: address: Permanent address in Home Country (where you live, not a P.O. Box): Street _ City State/Province/Territory Postal Code: Country: Address in the U.S. (If Known): Street _ City State Zip Code WSSW Summer Block I-20 App 2016 Page 1
2 PART II: IF YOU ARE IN THE U.S. NOW, PLEASE COMPLETE PART II. IF NOT, YOU MAY SKIP TO PART III. What is your Immigration status? (Check one) F-1 What is your SEVIS ID Number? N If you are currently studying in the U.S. and in possession of a valid I-20, you must complete a school transfer procedure. Information describing the F-1 School Transfer procedure is posted on our website at: Please read the information carefully so you understand what you need to do to smoothly transfer from your current school to Yeshiva University. Another status: Which one? Do you plan to keep it or change to F-1? Before we issue your Form I-20 we want to advise you. Please contact oiss@yu.edu to make an appointment with the international student and scholar advisor. Do you plan to travel outside the U.S. before school starts? Yes No Tell us how you would like to receive your Form I-20 in Part III IMPORTANT: F-1 Transfer students must use a Form I-20 issued by Yeshiva University when you return to the U.S. to begin your academic program at YU. Tell us how you would like to receive your Form I-20 in Part III PART III: IF YOU ARE NOT INSIDE THE U.S. NOW, PLEASE COMPLETE THIS SECTION: Did you recently attend school in the U.S. in F-1 status? No Yes When was the last date of your attendance? If you attended a U.S. school last term and are home on holiday between academic terms, you are considered a School Transfer and need to have your SEVIS record transferred to Yeshiva before your Form I-20 can be issued. Please contact your international student advisor at your previous school immediately to authorize the release of your SEVIS record to YU. Information about the F-1 School Transfer procedure is posted on our website at: How do you prefer to receive your Form I-20? Mail: Your Form I-20 will be sent via Federal Express to the name and address you indicate in the address box below. Print your name and address in English, exactly as it should appear on the envelope. Complete Name: Street 1 Street 2 City, State, Province Postal Code, Country: Phone (for FedEx) (for Fedex) Hold for pick-up by: Name: Phone: WSSW Summer Block I-20 App 2016 Page 2
3 PART IV: STATEMENT OF FINANCIAL SUPPORT By law, students must document they have the financial means to cover the entire cost of studying and living in the U.S. for the entire length of their program of study. Because summer Block students apply for a new I-20 each summer, you only need to show financial documentation covering estimated summer expenses. All documentation must be in ENGLISH. The expenses listed below do not include health insurance. Make sure to check that your health insurance will cover you inside the U.S. for illness, accidents and medicine. Health care in the U.S. is extremely expensive. A trip to an emergency room can easily cost $1000 and up. If your health insurance does not cover you in the U.S., it is critical that you purchase a plan to cover you while you are at WSSW. There are many options available online by running a Google search on international student scholar health insurance. EXPENSES: The cost of tuition, fees, and living expenses are dependent upon a student s academic program of study and campus location. These figures are estimates based on an average student enrolled full-time for the WSSW summer block program. Actual costs may be slightly higher or lower, depending on your standard of living. For the full tuition and fee schedule, please visit: Tuition and fees are subject to change at any time. Students must show financial support for no less than the annual amount estimated for their program of study. Working inside the U.S. is severely restricted by U.S. immigration regulations. F-1 students must be able to show documentation proving their financial support for the entire duration of their academic program. WSSW SUMMER BLOCK ESTIMATED COSTS: SUMMER 2016 Total amount you need to show to qualify for the I-20: $16,055* - Tuition and Fees: $12,555 Tuition ($1035 per credit x 12): $12,420 Registration Fee: $65 Materials Fee: $35 Program Activity Fee: $35 - Living Expenses: $ Other (books, travel): $500 *A new I-20 is issued each summer. Estimate includes tuition and fees (12 credits per summer) and living expenses for 2 months. Living expenses are estimated for budgeting purposes. Students should also expect a 5% to 7% increase in all expenses every year. If your spouse and/or children will accompany you in F-2 dependent status, please add $1,000 for your spouse and $500 per child. Provide a copy of their passport identity page. DEPENDENT INFORMATION Are any dependents accompanying you to the United States? Yes No Do they need an I-20? In most cases, your dependent will be able to accompany you as a tourist. Yes No Only your spouse and minor children (under age 21) may be included as family members. Please provide a photocopy of a valid passport identity page for each dependent and additional proof of financial support in the amount of $1,000 for your spouse and $500 per child. Attach a copy of the passport for each dependent that needs an I-20. Last Name First Name Date of Birth Citizenship Relationship WSSW Summer Block I-20 App 2016 Page 3
4 SUPPORT: How will you pay your tuition and living expenses this summer? Funding may come from multiple sources. Each source must provide documentation. Please tell us your sources of support and the promised amount: Source Personal Funds (student only): Amount Yeshiva University Scholarships Type of scholarship (academic, merit based)/loan: Cash funds from a sponsor (e.g., parents): Sponsor s name: Free Room and Board from a Sponsor: with whom I will live in the U.S.: Sponsor s name: Total (must be at least $16,055 U.S.) DOCUMENTATION: All financial documentation must be on official letterhead and be translated into English. Documentation submitted in a language other than English will not be accepted. Bank statements may be no older than 3 months. Documentation may be scanned or faxed, however, Yeshiva University reserves the right to request original documentation if necessary to determine financial capability. The following documents are attached to prove my funding: My personal documents (if you will support yourself): Bank/asset statement (from last three months) Funds from Yeshiva University: Merit scholarship Need based scholarship (Please submit a confirmation of the total award from Yeshiva University) Cash Sponsor s Documents: (documentation must be attached) Sponsor s Promise of Cash Support (Part V) Bank/investment statements for the last 3 months. Each owner of the account must sign a separate Promise of Cash Support. Free Room and Board Sponsor s Documents: (documentation must be attached) Sponsor s Promise of Free Room and Board (Part V) Proof of residence (e.g., lease, deed, rent receipt, phone bill) AND Proof of income (income tax return with most recent pay stub or letter from your employer) OR Bank/investment statements for the last 3 months. Each owner of the account must sign a separate Promise of Cash Support. If you will be funded by a government agency, private foundation, or other agency please attach a copy of an official award letter Certification and Signature (Please read and sign the following statement.) I hereby certify that all the information on this application form is true and accurate and that the stated funds are available for my educational expenses at Yeshiva University. I understand that if I provide false information in this document, Yeshiva University will invalidate this I-20, and that I will also be in violation of Yeshiva University s Code of Student Conduct, which can result in suspension or expulsion from Yeshiva University. Student Signature Date WSSW Summer Block I-20 App 2016 Page 4
5 PART V: PROMISE OF SUPPORT (if applicable) SPONSOR S PROMISE OF CASH SUPPORT I hereby certify that I am willing, able, and do promise to provide the amount of US $ for the educational expenses of [Name of Student], who is my [Relationship to Sponsor], at Yeshiva University. Bank statements or other proof of my financial resources accompany this affidavit of support. I have additional dependents under the age of 18. (number) Sponsor Signature Sponsor Name (Please print.) Date Sponsor Address: SPONSOR S PROMISE OF FREE ROOM AND BOARD I hereby certify that I am willing, able, and do promise to provide [Name of Student], who is my [Relationship to Sponsor], with free [specific room and/or board] for the duration of their educational program at Yeshiva University. Proof of my financial resources and proof of residency accompany this affidavit of support. I have additional dependents under the age of 18. (number) Sponsor Signature Sponsor Name (Please print.) Date Sponsor Address: WSSW Summer Block I-20 App 2016 Page 5
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