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    This document is a certification of finances form from Michigan Technological University. It provides estimated expenses for the 2016-2017 school year, including tuition, fees, living expenses, and books. It requires students to verify their source of funds, provide a minimum of $14,000 for immediate expenses, and have the total amount listed on the form guaranteed by signatures of sponsors. Students must submit bank statements or funding letters to document all listed financial resources.

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    Certification of Finances

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    This document is a certification of finances form from Michigan Technological University. It provides estimated expenses for the 2016-2017 school year, including tuition, fees, living expenses, and books. It requires students to verify their source of funds, provide a minimum of $14,000 for immediate expenses, and have the total amount listed on the form guaranteed by signatures of sponsors. Students must submit bank statements or funding letters to document all listed financial resources.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    15 views1 page

    Certification of Finances

    Uploaded by

    Sujeet Hinge
    This document is a certification of finances form from Michigan Technological University. It provides estimated expenses for the 2016-2017 school year, including tuition, fees, living expenses, and books. It requires students to verify their source of funds, provide a minimum of $14,000 for immediate expenses, and have the total amount listed on the form guaranteed by signatures of sponsors. Students must submit bank statements or funding letters to document all listed financial resources.

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    © All Rights Reserved
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    Michigan Technological University

    Submit via MyMichiganTech

    Certification of Finances Form

    A Certificate of Eligibility (Form I-20 or DS-2019) will be authorized when this form is satisfactorily completed (including
    student and sponsor's signatures) and adequate funds are guaranteed for the student's educational needs.

    Estimated Expenses for 2016-17*


    Fall and Spring Semesters
    Tuition** (A = $1026.50/credit; B=$905)
    Fees (Student voted fees, International surcharge, and course fees)
    Living Expenses
    Books and Supplies (estimated)
    Total for two semesters

    A
    $18,477
    494
    7,878
    600
    $27,449

    B
    $16,290
    494
    7,878
    600
    $25,262

    *The above schedule is subject to change without notice. Upon arrival, students must have a minimum of $14,000 for immediate distribution. I
    understand I will need to meet the health insurance requirement if admitted/enrolled.
    **If you are admitted to a program in the College of Engineering, Computer Science, Cybersecurity, or Data Science you will need to have sufficient funds
    for column A. All other programs will need to have equal to or greater than column B.

    Student's Name (as on application)

    Birth Date

    Look up M number

    M Number (ex: M12345678)

    Source of Funds

    Amount in US Funds

    Family and/or friends***

    (USD) $

    Family and/or friends***

    (USD) $

    Personal Savings (Bank Name)***

    (USD) $

    Scholarship (Agency/Sponsor Name)***

    (USD) $

    Other - Please specify***

    (USD) $

    ***All funds listed above must be documented by bank statements and/or funding letters
    and any corresponding sponsor's signatures must be provided below.

    Verification of Information
    I certify that the above information is true, correct, and complete.
    Student's Signature

    Date

    Official Verification of Source of Funds


    Printed Name of Sponsor

    Sponsor's Signature

    Printed Name of Sponsor

    Sponsor's Signature

    Printed Name of Sponsor

    Sponsor's Signature

    Michigan Technological University is an Equal Opportunity Educational Institution/Equal Opportunity Employer,


    which includes providing equal opportunity for protected veterans and individuals with disabilities

    Revised 09/20/2016 ddc

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