Graduate and Doctorate Programs

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INTERNATIONAL STUDENT DATA (ISD)

Graduate and Doctorate 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 to 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. to F -1 student; or transfer to Mount Saint Mary’s University from another school in the U.S.

Which program at Mount Saint Mary’s University are you applying to?

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 to travel? Foreign address

street

city state/province country postal code

Visa History

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 to stay in the U.S., as shown on your Form 1-94, Arrival/Departure Record:

Visa Type Date Held Name of school or employer if any

to to to to

Have you applied for lawful permanent resident status in the U.S.?

Transfer Information

If you are transferring to Mount Saint Mary’s University from a U.S. school, including high schools or language schools, you must have your SEVIS record released to 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 to 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 to you upon your admission to Mount Saint Mary’s University and upon receipt of all required financial documentation. If your current F-I visa stamped or affixed to your passport is still valid, you do not have to apply for a new one in order to attend Mount Saint Mary’s University.

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Address to 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 to 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 (1) visa at the United States (U.S.) consular post in your country of residence, or apply for a change of nonimmigrant status to F-I student in the U.S. You may be asked by a Mount Saint Mary's University Designated School Official (DSO) to provide additional proof of financial responsibility or to resubmit evidence of financial support, if documentation is dated more than nine months before the start of the term.

Graduate/Doctorate 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 [email protected] 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 to 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 to cover all estimated school and living expenses, including travel to and from the U.S.

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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 to the applicant named above for the purpose of full-time study at Mount St. Mary’s College.

Name of Sponsor (print) Relationship to Applicant

Address of Sponsor

Signature of Sponsor Date Phone

THIS SECTION MUST BE COMPLETED BY THE OFFICER OF THE BANK OR FINANCIAL INSTITUTION

This is to certify that , whose signature appears above, has ample funds at this time to

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 Title

Name of organization Address of organization Phone

Signature of officer Date

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Request for Dependent I-20 for F-2 Status

This form is to be completed by F-1 students who wish to bring their spouse or children under 21 years if age to the United States to live with them while they are studying at Mount Saint Mary’s University or if they have F-2 dependent(s) and are transferring to MSMU. This form should not be completed if the spouse/child is planning to visit for a short time. The appropriate status for the purpose of a short-term visit is the B-1/B-2 tourist 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 tourist visa in order to 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 to work in the United States under any circumstance. Also, F-2 status does not permit full-time study nor pursuit of a degree.

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Minimum Required Support for Dependents

Spouse: $7,500

The University estimates that the total additional cost of supporting a dependent spouse is $7,500. The minimum total 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 total 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 to this request:

___ the last 2 monthly bank statements showing deposit & withdrawal activity.

___ a current bank statement showing liquid funds of $ for F-1 students and at least $7,500 U.S. dollars for spouse and/or $4,600 for each child.

___ copy of dependent’s passport and if applicable of the I-94

___ 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 to bring into 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.

Last Name ____________________________________________ First Name___________________________________________ Middle Name ___________________________________ Date of Birth (MM/DD/YYYY) __________________

Country of Birth _______________________________Country of Citizenship ______________________________ Relation to Student ______________________ Gender ____________

 Will apply for an F-2 VISA Currently has a valid F-2 VISA

Will apply for an F-2 VISA   Currently has a valid F-2 VISA

Graduate and Doctorate Programs

INTERNATIONAL STUDENT DATA (ISD)