Undergraduate International Student Form I-20/Form DS-2019 Request Packet
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1 Today s Date: StMU ID Number: S00 (Leave blank if you do not know your StMU ID Number) Undergraduate International Student Form I-20/Form DS-2019 Request Packet The Center for International Programs requires this completed packet before issuing a student an I-20 or DS-2019, which respectively supports applications for F-1 and J-1 visas. If your visa status in the U.S. will be based upon your enrollment at St. Mary s University, you must obtain either an F-1 or J-1 visa. GENERAL INFORMATION Applying For (Please place a check mark in the space provided below): F-1 Visa J-1 (Student Exchange Visitor) Current Immigration Status Not in U.S. F-1 J-1 Other (please specify): If you already have an F-1 or J-1 visa, and are transferring to St. Mary s University from another US institution, please fill out the Transfer-In Form. Program of Study Bachelor s StMU Major: Semester of Attendance Summer 2017 Fall 2017 Spring 2018 Personal Information Last Name/Surname: First Name: Middle Name: (print name exactly appears on your passport) Gender: Male Female Date of Birth (mm/dd/yyyy): City of Birth: Country of Citizenship: Country of Birth: Country of Permanent Residence: For J1 ONLY: Current Status/Occupation in Country of Legal Residence: Student Government Employee Company Employee Other (if other, please specify)
2 Dependent Information Do you expect to come to the US (Please place a check mark in the space provided below): Alone With Spouse With Children Number of Children: Please attach a copy of each dependent s passport and documentation of their relationship to the J-1/F-1 student applicant (marriage certificate/birth certificate). Documentation in English is preferred. Spouse: Surname: First Name: Middle Name: Male Female (print name exactly appears on your passport) Birthdate: City and Country of Birth: Country of Citizenship: (mm/dd/yyyy) Home Country Residence Address: Child: Surname: First Name: Middle Name: Male Female (print name exactly appears on your passport) Birthdate: City and Country of Birth: Country of Citizenship: (mm/dd/yyyy) Home Country Residence Address: If you have additional dependents, please attach another sheet with their information. Address and Contact Information of F-1/J-1 Student Mailing Address (Where the form may be sent) Street Address City Permanent Address (Home Country) Street Address City State Postal/Zip Code Country State Postal/Zip Code Country How do you want to receive your I-20/DS-2019? Address: Option 1: Regular Mail to US Address (write address above). Free to student. Option 2: Pick up in the Admission Office. Free to student. Special Arrangements: Please contact the Admission Office for other delivery needs. Additional costs may apply. Daytime Telephone: Skype (Optional):
3 Declaration and Certification of Finances Form An international student must be able to show financial support for a student s total expenses including tuition, fees, and cost of living for an academic year. To demonstrate this amount of financial support, StMU must see evidence of financial resources from personal or family funds, StMU, or other organizations. If you are providing an original bank statement or bank letter, they must indicate sufficient funds that are easily available. Stocks, bonds, mutual funds, real estate, and the like, are not acceptable. Bank statements or letters must be in English and show U.S. dollar amounts. Electronic or scanned copies of documents requested below will be accepted for review. However original copies must be mailed as soon as possible and your immigration documents might not be issued until we receive the original documents. Bank statements must reference the account holder s name and will not be returned to you. While there are no restrictions on the source of funds for those applying for an F-1 student visa, applicants for the J-1 visa must show evidence of sufficient financial support (other than personal funds) that is from a government agency, organization or the university. Estimate of Expenses The numbers listed on the next page are estimates and are subject to change without notice. Students may be charged additional fees associated with their education level, choice of major, and/or course requirements. All International Students are required to have health insurance. For more information these estimates, please contact your admissions officer. Dependent Costs If you are married and plan to bring your spouse and/or unmarried child(ren) under the age of 21 years with you, you must provide additional financial support for issuance of an F-2/J-2 dependent I-20/DS-2019 form. Add $5,000 for your spouse and $3,000 for EACH child for an academic year. You must also please attach a copy of each dependent s passport and documentation of their relationship to you (marriage certificate/birth certificate).
4 Estimated Expenses for International Students Summer 2017, Fall 2017, Spring 2018 Undergraduate Estimated Expenses Summer Only 3 Months One Semester (Fall or Spring) 4+ Months Spring & Summer 7 Months Summer & Fall 7 Months Academic Year (Fall & Spring) 9 Months One Year (Fall, Spring, and Summer) 12 Months Based on Minimum 12 credit hours Fall & Spring and 6 credit hours for Summer Tuition $5,130 $14,295 $19,635 $19,635 $28,590 $33,930 Fees $190 $350 $540 $540 $700 $890 Health Insurance $974 $974 $974 $1,948 $1,948 $2,922 Books & Supplies $650 $650 $1300 $1,300 $1,300 $1,950 Living Expenses $1,800 $5,265 $7,065 $7,065 $10,530 $12,330 Total $8,744 $21,534 $29,514 $30,488 $43,068 $52,022 Dependents (Per Individual) Spouse $5,000 Child $3,000 The estimated expenses on this sheet have been specifically developed for regulatory purposes related to the issuance of a student's I-20 or DS-2019; as such, these figures may not reflect a student's actual cost of attendance or their specific tuition and fees. Students should contact the Business Office and their academic department to determine exact costs. Health Insurance If a student pays for Spring semester Health Insurance, they are covered through the summer. If a student starts his/her studies in the Summer, then she/he pays the summer cost plus the cost of any additional semester(s) of study.
5 Source of Funding Provide either original financial bank statements and/or bank letters less than 3 months old and/or official bank stamp in space provided. Electronic or scanned copies will be accepted for review, however your immigration documents might not be issued until we receive the original copies. Please submit all that apply: Personal and/or Family Funds: Documentation necessary: 1) Original bank statements, 2) Bank letter on bank letterhead certifying the funds are available, and 3) if the funding is not through personal funds, then have your sponsor fill out the following: Family or Individual Sponsors: I am providing the funds indicated below for the educational expenses of this applicant. Sponsor Name (last, first): Relationship: Address Line One: Address Line Two: City: Province: Country: Postal/Zip Code: Telephone: I hereby guarantee to give the student named above the following amount of money to pay for educational expenses associated with studies at STMU. $ Sponsor Signature: Date: Government Sponsorship: Attach original letter. Must be addressed to St. Mary s University. Sponsor endorsement is not necessary. StMU Funding: Attach a copy of the financial award stating the amount and duration of the assistance. Sponsor endorsement is not necessary. Student Statements This is to certify that all of the information furnished on this form is true and correctly reflects my plans to meet expenses while attending St. Mary s University. I fully understand that the minimum amount necessary for my living expenses is subject to change and that my individual financial needs may vary from the minimum amount stated above. If any change in my financial situation occurs, I will notify St. Mary s University s Office of International Student and Scholar Services. Student Signature: Date:
6 I understand that I am responsible for attending an International Student Check-In with the Center for International Programs. This will last approximately 4-6 hours. For more information on International Student Check-In, please contact isss@stmarytx.edu. Student Signature: Date: Please complete the request form and send with necessary documents to: Undergraduate Students Ryan Konkright Admission Counselor St. Mary s University One Camino Santa Maria San Antonio, Texas Phone: rkonkright@stmarytx.edu Checklist for Completing the I-20/DS-2019 Request Packet Additional Documentation Required Please use this check list to submit a complete I-20/DS 2019 request packet. Documents (including original bank statements/letters) sent will not be returned to student. Declaration and Certification of Finances Form with ORIGINAL financial bank statements and/or bank letters and/or official bank stamp in space provided. All Students must submit. Copy of letter of financial support from StMU (if receiving award or assistantship). Copy of passport information page. All Students must submit. Copy of Employment Authorization Document (EAD card), if applicable. Transfer Students (students transferring from another U.S. school). o Transfer-In Form o Copy of current I-20/DS-2019, copy of US visa, and copy of both sides of your I-94 Dependents (Is your spouse and/or kids accompanying you to study at StMU?) o o Copy of spouse s passport and marriage certificate (if married and requesting F-2 or J-2 status) Copy of children s passport(s) and birth certificate(s) (if requesting F-2 or J-2 status for children under 21) St. Mary s University will not be able to process your I-20/DS-2019 request until a complete application and all of the required documentation has been received. It will take our office approximately 14 business days to create your I-20/DS Please Note: It is against US Federal Regulations to an I-20/DS Please see page 2 for delivery options.
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