The University of Montana Graduate School Financial Certification for International Graduate Students Last Name or Family/Surname First Name CollegeNet Application # Gender: ___Male ___Female Date of Birth (mm/dd/year) Country of Birth Country of Citizenship ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ You are applying for the following at The University of Montana: ►◄ ►◄ Term (check one) ___Autumn ___Spring ___Summer Year (4 digits) Department Degree Major Option ►◄ ►◄ ►◄ E-Mail Address ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ (if applicable) ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ Home Country Mailing Address (required) U.S. Address (required if currently living in the U.S.) ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ If you will be bringing a spouse and/or dependent children with you, complete the following information (provide further lines if needed) Name (SURNAME, and Given Name) (exactly as it appears on passport) ALL INFO REQUIRED ON EACH DEPENDENT Date of Birth Country of (mm/dd/year) Birth Country of Citizenship Gender (M/F) Your Spouse or Child ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ ►◄ SOURCE AND AMOUNT OF SUPPORT (Fill in amounts in U.S. dollars in the appropriate categories. YOU MUST attach documentation as required and submit it in your additional application materials packet that you will send to your proposed academic department. If you are applying for graduate nondegree status, this sheet will be submitted directly to the Graduate School. (Financial documentation older than three months is not acceptable.) AMOUNT PERSONAL FUNDS: (Attach letter from bank official indicating availability of funds) PARENTS AND/OR SPONSORS: (Attach letter from bank official indicating your sponsor's name, relationship to you and the amount of funds available to you for education and expenses for one year. If you are bringing your spouse and/or children, this statement must also indicate whether or not funding is being provided for them through your sponsor) GOVERNMENT AGENCY: (Attach signed copy of your award) TOTAL: (Total should equal The University of Montana's financial requirement for your academic status and spouse/dependent expenses if applicable. Information is available at www.umt.edu/grad/Apply/International%20Student%20Admission. php )