F IN AN CIAL VER IFICATION F OR M
International students must demonstrate that sufficient funding is available to meet all University and living expenses for at least the first year of study, with the assumption that this funding will be available for the duration of the degree program. An I‐20 cannot be issued without this form (completed and signed) and the appropriate supporting documents. PHOTOCOPY THIS FORM IF IT MUST BE SENT SEPARATELY. All signatures must be original.
Name: _____________________________________________________________________________________________________
Last/Family,FirstMiddle
Date of Birth: ________________________________________________________________________________________________
MonthDayYear
Source of Funds: ______________________________________________________________________________________________
P ERSON AL FU N D S ____________________________________________________________________USD$________________
Submit a bank letter verifying cash amount that is available. A current bank statement (within the last 6 months) is acceptable; however a bank letter is preferred.
FAM I LY / SPON SO R FU N D S ____________________________________________________________USD$________________
Submit BOTH
1.An official and original bank letter verifying cash amount that is available is preferred. A current bank statement (within the last 6 month) is acceptable; however a bank letter is preferred.
2.An official and original letter from the sponsor, certifying that he or she will finance your education for the duration of your studies.
Name of Sponsor: _________________________________________________ Relationship to Student: _______________________
Address of Sponsor: ___________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Signature of Sponsor: _______________________________________________ Date: _____________________________________
GOV ERN M EN T SCH OLARSH I P __________________________________________________________USD$________________
Name of Scholarship and Originating Country: _____________________________________________________________________
Submit an official and original letter indicating cash amount and availability of funds.
O TH ER SCH OLARSH I P _________________________________________________________________USD$________________
Name of Scholarship and Scholarship Provider: _____________________________________________________________________
Submit an official and original letter indicating cash amount and availability of funds.
T OTAL AM O U N T AV AI LABLE ___________________________________________________________USD$________________
My signature below indicates that all information in my application is complete, factually correct and honestly presented. I understand that failure to provide accurate and true information may invalidate my admission to Brenau University. I have read and understand the admissions policy of Brenau (catalog can be found at www.benau.edu/reg/catalog). If my application is accepted and I become a student, I agree to abide by all policies and regulations of Brenau University, including the student honor code.
Signature of Applicant: _______________________________________________ Date: ____________________________________
Rev ised: 5 . 5 . 1 1 dpg
