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Certification of Finances (ELC)

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2022–2023 International Student

Certification of Finances Guidelines


English Language Center

Please read prior to completing this form.

The purpose of the Certification of Finances is to help William Carey University


obtain complete and accurate information about the funds available to international
applicants who wish to study in the United States. Strict governmental regulations,
rising educational costs, and economic conditions have made verification of financial
resources of international applicants essential. Institutions do not have the option of
deciding whether or not to verify the financial resources of their international
applicants; financial verification must be made prior to institutional issuance of
Certificate of Eligibility (Form I-20).

The estimated cost of attending William Carey University’s English Language


Center (ELC) is US$7,580 for one academic term (10 weeks). International applicants
must list enough financial resources on the Certification of Finances to pay the balance
for each term they plan to attend William Carey University.

This form is designed to standardize financial information provided by


applicants to William Carey University. By completing and returning this form, an
applicant, if admitted, may obtain a Certificate of Eligibility (Form I-20).

Return this form directly to:

Office of International Student Affairs


William Carey University
710 William Carey Parkway, WCU 13
Hattiesburg, MS 39401
INTERNATIONAL STUDENT

William Carey University CERTIFICATION OF FINANCES 2022–2023

confidential

4. DATE OF BIRTH
Mr.
1. YOUR Ms.
NAME
Solorzano Perozo Fabiola Frangelis
Mrs. __________________________________________________________________________
MONTH DAY YEAR
Miss LAST NAME FIRST NAME MIDDLE INITIAL
Av. Francisco de Miranda, Edif. Las Luisas, Chacao - Caracas 10 22 2003
2. PERMANENT ADDRESS _________________________________________________________________________
5. COUNTRY OF BIRTH
_________________________________________________________________________

3. MAILING ADDRESS _________________________________________________________________________ Venezuela


(If different from above) 6. COUNTRY OF CITIZENSHIP
_________________________________________________________________________

Venezuela
7. Enter the total amount of annual support from the sources listed below. Amounts must be
8. OFFICIAL CERTIFICATION OF SOURCES OF FUNDS AND AMOUNTS
entered in U.S. dollars. Please PRINT all entries. Use additional sheets of paper for
This is to certify that I have read the information furnished by the applicant on
explanations, if necessary.
this form, that it is a true and accurate statement, and that the funds are
ASSURED available and will be provided as indicated. (Use official institutional seal or
STUDENT’S SOURCES OF FUNDS SUPPORT PROJECTED SUPPORT stamp to authenticate signature.)
2022-2023 2023-2024 2024-2025 2025-2026
SIGNATURE OF BANK OFFICIAL _________________________________
7a. PERSONAL OR FAMILY SAVINGS
TITLE _______________________________________________________
___________________________________
NAME OF BANK_______________________________________________
NAME OF BANK
ADDRESS OF BANK ___________________________________________
An official bank letter must be furnished to
verify total availability of these funds. _____________________________________ DATE _________________

7b. PARENTS

Money available from sources other than Parent’s signature is required (see certification statement above).
savings
SIGNATURE OF PARENT _______________________________________
___________________________________
FATHER’S NAME ADDRESS____________________________________________________
___________________________________
MOTHER’S NAME _____________________________________ DATE _________________

An official bank letter must be furnished to


verify total availability of these funds.
7c. SPONSORS

Money available from sources other than Sponsor’s signature is required (see certification statement above).
parents
SIGNATURE OF SPONSOR _____________________________________
___________________________________
SPONSOR’S NAME ADDRESS____________________________________________________
___________________________________
_____________________________________ DATE _________________
SPONSOR’S NAME
An official bank letter must be furnished to RELATIONSHIP OF SPONSOR TO STUDENT_______________________
verify total availability of these funds.

24,14
9. What is the present exchange rate of your country’s currency to the U.S. dollar (for example, 3,100 pesos = $1)? . . . . . . . __________________ = $1

10. Does your government currently impose restrictions on exchange and release of funds for study in the U.S.? X
___Yes ___ No

Sanctions
If YES, describe restrictions ________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

11. A CERTIFICATE OF ELIGIBILITY (Form I-20) will not be authorized until this form is completed in full and returned to William Carey University.

I certify that the information on this form is true, correct, and fully complete. I understand that any misrepresentation may be cause for refusing or revoking
admission to William Carey University.

SIGNATURE OF STUDENT_________________________________________________ 02 15 2023


DATE___________________________________________
Month Day Year

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