International and ESL Student Application & Materials Checklist

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International and ESL Student Application & Materials Checklist Please apply online at https://www.crk.umn.edu/admissions/apply-now and submit the following items to the international admissions office. 1. International Student Application 2. Official TOEFL, IELTS, TOEIC, or MELAB results for non-native speakers of English. See www.crk.umn.edu/admissions/prospective-international-students for additional ways to demonstrate English proficiency. 3. Official ACT or SAT scores for native English speaking students. Institution code for SAT is 6893 and ACT is 2129. This requirement is for freshman students only. 4. Official or certified transcripts (in original language) from all foreign and U.S. secondary schools (high school equivalent) attended. Records must be originals, certified, or notarized copies. 4a. Official English translations are also required for any document not submitted in English 5. Official or certified transcripts (in original language) from all foreign and U.S. postsecondary schools (university equivalent) attended. Records must be originals, certified, or notarized copies. This requirement is for transfer students only. 5a. Official English translations are also required for any document not submitted in English 6. International Student Agreement form 7. Certification of Finances form 8. Declaration of Support form 9. Supporting documents for Declaration of support. Supporting documents must be from the person(s) that signed the Declaration of Support (ex: copy of a bank deposit). 10. Copy of your passport ID page If you have any questions about completing required admissions documents, contact the International Admissions office. Post: International Admissions University of Minnesota Crookston 2900 University Ave Crookston, MN 56716 USA Email: umcinfo@umn.edu Telephone: +1.218.281.8569 Website: https://www.crk.umn.edu/ admissions/prospective-international-students Application current February 2018

University of Minnesota, Crookston International Student Application International Admissions, 2900 University Ave. Crookston, MN 56716 USA All information on the application is private. The information requested will be used for identification, to determine admission, and to establish your University academic record if you are admitted. A. Admission Options Admission status: Freshman Transfer Term: Fall 20 Spring 20 Degree status: On-Campus Online only B. Personal Information 1. Name: Last Name (Family-Surname) First Name (Given) Middle Name THE NAME AND SPELLING USED ON ALL DOCUMENTS MUST BE THE SAME AS ON YOUR PASSPORT. 2. Permanent Foreign Address (required): (Street and Number) (City) (Province/State) (Country) (Country s Postal Code) (Telephone Number) 3. Mailing address where correspondence sent: (Street and Number) (City) (Province/State) (Country) (Country s Postal Code) (Telephone Number) 4. Date of Birth (mm/dd/yyyy) 5. Country of Birth: 6. Country of Citizenship: (required) 7. Country of Permanent Residence: 8. Gender: Male Female 9. Please PRINT your email address very clearly: Please provide your SKYPE name if you use SKYPE: _ 10. Course of study, or major you plan to follow: 11. Native Language: Application current September 2016

C. Academic Information 12. Specify tests taken Specify month and year test was taken Have scores been sent to UMC? TOEFL Yes No IELTS Yes No Minnesota Battery of English Yes No Proficiency Institutional TOEFL Yes No SAT Yes No ACT Yes No Other Yes No 13. Academic History: List all educational institutions you have attended or are attending, beginning with secondary school and including all universities, colleges, technical schools, or other postsecondary educational programs. Name of School Location (City and Country) From (Mo/Yr) To (Mo/Yr) Certificate or Degree received D. Financial Information 14. Financial information. U.S. visa regulations require that certification of admission be based upon both academic acceptance and satisfactory evidence of adequate funding to meet all the expenses that will be incurred in the student's proposed program of study. Be certain that you complete and submit the UMC Financial Statement. The completed financial form, along with the bank statements, affidavits of support from individual sponsors, or official letters from sponsoring organizations should be sent to UMC preferably when returning this application. You should ask for two copies of all financial documents: one for this application and one for the visa application at the U.S. Consulate. E. Contact Information 15. I authorize the University of Minnesota, Crookston to give information about my application file or admission status to the following person(s): Name: Relationship: F. Applicant Signature I certify that all information I have provided on this application and on all other application materials is complete, accurate, and true to the best of my knowledge. I understand that it is my responsibility to request that official transcripts from each academic institution I have attended be submitted directly to the University. I understand that misrepresentation of application information is sufficient grounds for cancelling my admission and registration. Signature Date Submit Application and Supporting Documentation to: International Admissions University of Minnesota, Crookston 2900 University Ave. Crookston, MN 56716 USA Questions? Contact our International Student Recruiter: Mr. Don Buegel dbuegel@umn.edu +1.218.281.8350 (telephone) Application current September 2016

University of Minnesota Crookston International Student Agreement International Admissions, Suite A Owen Hall 2900 University Ave. Crookston, MN 56716 USA BEFORE SIGNING THIS FORM, PLEASE READ CAREFULLY By signing this form, I certify that I understand and accept the following conditions and agree to abide by them. As a condition to my admission, I agree to do the following: I understand that I am required to pay ALL tuition and fees by the designated payment deadline date EACH semester. If I do not pay by the deadline date, I understand my classes will be CANCELED. If my classes are canceled, I understand I will be in violation of my immigration status. I will have available sufficient funds for tuition, fees, and living expenses for each year I study at University of Minnesota Crookston. I recognize that the cost of living is high, that financial aid from the University is not available, and that as a general rule international students are not permitted to work off-campus. I further understand that on-campus employment is sparse and many students do not find employment. I am responsible for understanding the rules and regulations for being on a student visa in the United States. I authorize University of Minnesota Crookston to release to any U.S. government Officer information required to determine my compliance with U.S. immigration laws. Further, I understand that University of Minnesota Crookston must report to the Department of Homeland Security those students who are not registered, are not pursuing a full course of study or are not meeting the minimum academic standards of the University. I understand University of Minnesota Crookston must comply with the electronic compliance system (SEVIS) with electronic reporting to U.S. Homeland Security. I agree to purchase the University of Minnesota Health Insurance Plan as a condition of my admission and continued enrollment at University of Minnesota Crookston. Exemptions may be granted only as outlined in the Health Insurance Policy. Health insurance premiums are due in full at the beginning of each term during each year of study. Canadian students from Manitoba will receive an Insurance waiver on their student account to cover the cost of the University Health Insurance. I agree to meet with the university Health Center upon arrival and follow the TB and immunization policies as set forth by the university. Failure to follow policy will result in fees and/or cancellation of classes. I agree to attend all the dates of the required new student Orientation sessions. I will arrive on or before the reporting date as stated on the I-20. I declare that all the information I have submitted for my application for admission is true, correct, and complete. I understand and I will comply with the requirements as stated on this agreement. I understand that falsification of any information will jeopardize the issuance of an I-20 and/or may result in University of Minnesota Crookston revoking its decision to enroll me as a student. If I am a transfer student from another institution in the U.S., I will bring an up-to-date, current copy of my I-20 to be given to the Office of International Programs upon my arrival at University of Minnesota Crookston. Acceptance to University of Minnesota, Crookston cannot be made without signature. Printed Name of Applicant: Signature of Applicant: Date:

University of Minnesota Crookston Certification of Finances Form International Admissions, Suite A Owen Hall 2900 University Ave. Crookston, MN 56716 USA The United States Department of Homeland Security requires each educational institution to obtain evidence of the financial support from each student prior to issuing a Form I-20 or DS-2019 (as well as academic and language proficiency requirements). You are responsible for demonstrating that you have sufficient funds to meet all educational and personal expenses for the duration of your F-1 or J-1 status at UNIVERSITY OF MINNESOTA, CROOKSTON. Please complete the form below and attach a letter or statement from a bank official certifying deposits. You must certify that you have at least the amount necessary to cover your tuition, fees, and living expenses the duration of your first year of study. Complete this form carefully to avoid lengthy delays that may affect your academic plans. Applications that include forms that are not complete or that do not show adequate financial resources will be denied. No application will be considered complete unless accompanied by proper certification including documentation of available funds. HINT: Request 2 copies, one for the application and one for the visa application process. 2017-18 Expenses UMC Estimated costs Undergraduate tuition and fees 12,202 Room and board 7,658 Resources List the amount in U.S. dollars that is available from each of your financial resources Personal Funds Family funds from Abroad. List name and relationship to you: Health Insurance 2,100 Books 1,200 Personal Expenses 2,000 Total 25,160. Scholarship, grant or loan (List name and address of source) Funds from another source (Specify type, source, address) Total (Add lines above) This amount should equal or exceed the total expenses. I certify that the total amount of money (excluding travel funds) available to me during my first year in the United States is. Further, I certify that the above information is correct and complete. I understand that any misrepresentation of facts on this financial statement could cause my application to be denied or be cause for dismissal from the university. I take full financial responsibility for all of my educational and personal expenses. I understand that University of Minnesota, Crookston accepts no responsibility for my financial needs. APPLICANT SIGNATURE: DATE: APPLICANT NAME (Please print): Application current July 2017

University of Minnesota Crookston Declaration of Support International Admissions, Suite A Owen Hall 2900 University Ave. Crookston, MN 56716 USA To be Completed by Sponsor/Guarantor I,, am aware that who is my (list relationship) is considering enrollment at University of Minnesota, Crookston beginning. I certify that I am willing and do promise to provide financial support in the amount of (U.S. dollars) for the above mentioned student to attend the University of Minnesota, Crookston. Evidence of my financial resources, in the form of a bank letter or statement, accompanies this Declaration of Support. Sponsor s Signature: Date: Sponsor s Name (printed): Sponsor s email: Mobile phone: Sponsor s Address: All financial materials must be original. Photocopies are not acceptable. A bank letter or statement that includes the amount of money available, date, and amount of last deposit should accompany this statement. Application current July 2017