INTERNATIONAL STUDENT DATA (ISD) Graduate and Docrate Programs This information is required for issuance of the Form 1-20, Certificate of Eligibility for Nonimmigrant (F-1) Student Status, which is the document you will need in order secure a student (F-I) visa at the United States (U.S.) consular post in your country of residence; change nonimmigrant status in the U.S. F -1 student; or transfer Mount Saint Mary s University from another school in the U.S. Which program at Mount Saint Mary s University are you applying? Personal information required specifically for SEVIS Enter names exactly as they appear in your passport: Family: First: Middle: Enter any other names used: Family: First: Middle: Country of birth Country or countries of citizenship If you hold dual citizenship, which country's passport will you use travel? Foreign address street Visa Hisry city state/province country postal code If you have previously been or currently are in the U.S., list all visa statuses you have held, starting with the current or most recent. If your current visa status is not "F-1," enter the last day you are authorized stay in the U.S., as shown on your Form 1-94, Arrival/Departure Record: Visa Type Held Name of school or employer if any Have you applied for lawful permanent resident status in the U.S.? Transfer Information If you are transferring Mount Saint Mary s University from a U.S. school, including high schools or language schools, you must have your SEVIS record released Mount Saint Mary s University by the school you are transferring from within 60 days of your completion of a course of study or completion of optional practical training. You are not permitted remain in the U.S. unless you will begin classes at Mount Saint Mary s University within 5 months of transferring out of the current school or within 5 months of the program completion date on your current Form I-2O, whichever is earlier. A Transfer Form will be sent you upon your admission Mount Saint Mary s University and upon receipt of all required financial documentation. If your current F-I visa stamped or affixed your passport is still valid, you do not have apply for a new one in order attend Mount Saint Mary s University. your current F-l visa will expire / /
Address which the I-20 form should be mailed if different from foreign address above The following address is valid until / / Today s date / / street apt. city state/province country postal code EVIDENCE OF FINANCIAL SUPPORT Before your I-20 form can be issued, you must prove that funds will be available cover your school and living expenses in the U.S. Estimated tuition fees, books, supplies, housing, meals, insurance and personal expenses are listed below. Proof of financial responsibility will also be required at the time you apply for a student (F-1) visa at the United States (U.S.) consular post in your country of residence, or apply for a change of nonimmigrant status F- I student in the U.S. You may be asked by a Mount Saint Mary's University Designated School Official (DSO) provide additional proof of financial responsibility or resubmit evidence of financial support, if documentation is dated more than nine months before the start of the term. Graduate/Docrate International Student Budget for the 2013-2014 Academic Year Tuition and Fees *$ Books and Supplies $ 750.00 (average) Housing and Meals $ 15,000.00 Personal Expenses $ 1,900.00 Transportation $ 2,252.00 Insurance $ 1,210.00 TOTAL $ *For tuition and fees contact the DSO at jsanchez@msmu.edu or call 213-477-2520 THIS SECTION MUST BE COMPLETED BY THE APPLICANT Name of Applicant: Family First Middle Enter the amount in U.S. currency available for your support from each source during the forthcoming academic year and each subsequent year of study at Mount Saint Mary s University. If you have more than one sponsor, complete this page for each sponsor. If you are waiting for approval of a loan or scholarship, send the evidence of approval the admission office in a timely manner, since all supporting evidence of financial support must be received and approved before the issuance of your I-20. Type of Source Amount Personal Funds...... $ Family Funds...... $ I have applied for a Loan from. $ I have applied for a Scholarship from.. $ Other (specify source and amount)... $ Total Financial support available. $ I certify that these funds are adequate cover all estimated school and living expenses, including travel and from the U.S. Signature of Applicant
THIS SECTION MUST BE COMPLETED BY THE FINANCIAL SPONSOR Please make additional copies of this page if you have more than one financial sponsor. I certify that I will provide the amount of funds stated above the applicant named above for the purpose of full-time study at Mount St. Mary s College. Name of Sponsor (print) Relationship Applicant Address of Sponsor Signature of Sponsor Phone THIS SECTION MUST BE COMPLETED BY THE OFFICER OF THE BANK OR FINANCIAL INSTITUTION This is certify that, whose signature appears above, has ample funds at this time meet the expenses of the applicant named above. This certificate does not constitute a statement of liability on my part, or on the firm, bank, or institution, that I represent. Name of officer Required organizational stamp or seal here Title Name of organization Address of organization Phone Signature of officer
Request for Dependent I-20 for F-2 Status This form is be completed by F-1 students who wish bring their spouse or children under 21 years if age the United States live with them while they are studying at Mount Saint Mary s University or if they have F-2 dependent(s) and are transferring MSMU. This form should not be completed if the spouse/child is planning visit for a short time. The appropriate status for the purpose of a short-term visit is the B-1/B-2 urist visa. Also, this form should not be completed for fiancées, parents, friends, or other relatives. Fiancées, parents, friends, and other relatives must also apply for the B-1/B-2 urist visa in order visit the United States. STUDENT S INFORMATION Last name First name Middle name MSMU student ID Student s birthday SEVIS ID # N (mm/dd/yyyy) Currentaddress City State Zip Phone ( ) Email @mymsmc.la.edu I understand that family members in F-2 status will not be permitted work in the United States under any circumstance. Also, F-2 status does not permit full-time study nor pursuit of a degree. Signature of student
Minimum Required Support for Dependents Spouse: $7,500 The University estimates that the tal additional cost of supporting a dependent spouse is $7,500. The minimum tal required support for one year includes living expenses, plus the estimated cost of medical insurance. Because medical insurance plans vary in price, students should be aware that expenses could be considerably higher. Child(ren): $4,600 The University estimates that the additional cost of supporting a dependent child. The minimum tal required support for one year includes living expenses, plus the cost of medical insurance. Because medical insurance plans vary in price, students should be aware that expenses could be considerably higher. The University estimates that the additional cost of supporting each dependent is $7,500 for a spouse and $4,600 for a child. To request an I- 20 for your dependent(s), please fill out the form below and include a copy of your dependent's passport and bank statements for the past 2 months showing a consistent balance of the applicable amount for each dependent. Please attach the following items this request: the last 2 monthly bank statements showing deposit & withdrawal activity. a current bank statement showing liquid funds of $ and/or $4,600 for each child. copy of dependent s passport and if applicable of the I-94 for F-1 students and at least $7,500 U.S. dollars for spouse proof of family relationship (e.g., marriage or birth certificate that shows date of birth and parent s information) Please complete the following information for each dependent that you wish bring in the United States, or if you are a transfer student, complete the information for each dependent that has already been included on your previous I-20. Middle Name of Birth (MM/DD/YYYY) Relation Student Gender Will apply for an F-2 VISA Currently has a valid F-2 VISA Middle Name of Birth (MM/DD/YYYY) Relation Student Gender Will apply for an F-2 VISA Currently has a valid F-2 VISA Middle Name of Birth (MM/DD/YYYY) Relation Student Gender Will apply for an F-2 VISA Currently has a valid F-2 VISA