International Education Services
University of Maryland, Baltimore County
222 Administration Building
1000 Hilltop Circle Baltimore, MD 21250
PHONE: +1.410.455.2624 FAX: +1.410.455.1130
E-mail: ies@umbc.edu WEB: www.umbc.edu/ies
Financial Responsibility for F-1 Students
This form is not part of the application for admission; it is required supplementary information used for issuing
your immigration documents for the F-1 student visa. The International Education Services Office issues the
immigration form I-20 that allows you to apply for an F-1 student visa. In order to issue you an I-20, we need you
to show that you have adequate funding to support yourself for at least one academic year. The proof of financial
support can come from you, your sponsor or your academic department.
NOTE: Please read carefully and complete all fields that apply as accurately as possible. An incomplete form
will result in a delay in processing your I-20. Please print clearly or type the information.
STUDENT INFORMATION
_________________________________________________________________________________________
Last/Family Name
First/Given Name
Middle Name
(As it appears/will appear on your passport)
Date of Birth (please write month – example, January 1, 1900)__________________________________
Female:
Male:
Degree Level intended at UMBC (Bachelors, Masters, PhD):____________________________________
Major/Academic Program Intended at UMBC:________________________________________________
Country of Birth: _________________________________________________________
Country of Citizenship: ____________________________________________________
Country of Legal Permanent Residence: _______________________________________
PERMANENT FOREIGN ADDRESS (in your home country):
Address: ____________________________________________________________________________
____________________________________________________________________________________
City: ______________________________Province:__________________________________________
State: ______________________________Country:__________________________________________
Postal Code: _______________________Email:_____________________________________________
Updated 06/07/2012
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DEPENDENT INFORMATION
If you intend to have your spouse and children accompany you to the U.S., please submit a copy of their passport
biographical page. This will be required to process their required immigration documents. A student can only
bring their spouse and children on a dependent (F-2) visa. Please also note the additional costs associated with
bringing dependents in the information below. The IES office can provide more information about how your
dependents can apply for their F-2 visa (ies@umbc.edu), or you can find this information on the US Embassy
website where you plan to apply for your visas.
SOURCES OF FUNDING
You are required by immigration law to show that you have at least one year’s worth of adequate funding to pay
all the necessary expenses while at UMBC in order to receive an I-20. If you have funding from UMBC via an
assistantship or scholarship please include a copy of your award letter. If you are paying through other sources of
funding please submit that information. Acceptable sources include checking and savings account bank
statements.
Unacceptable sources include real estate holdings, stocks, bonds, salary verification letters, retirement funds,
property, and life insurance policies.
If the source of funds belongs to anyone other than you, a signed letter of support must accompany the bank
documents. The letter must include the name of the sponsor, the sponsor’s relationship to you and a statement
attesting that they expect to support all your expenses for the duration of your program.
It is recommended that you bring original copies of this document and any additional financial documentation to
your visa appointment at the United States Consulate. Make copies of this form for your records.
Below is a breakdown of financial expense for UMBC international Students:
*Please submit the funding information (letter of support from sponsor other than yourself or UMBC;
bank statement or letter from bank indicating availability of at least the minimum required amount per the
chart below). This is required before UMBC can process your I-20.
CHECKLIST OF REQUIREMENTS FOR I-20 PROCESSING
 Admission to UMBC
 Completed Financial Responsibility Form
 Bank statement or letter, including current available balance, for minimum required per fee
structure below.
 Letter or affidavit of support from financial sponsor if not self or UMBC
 Recommended: Copy of Passport to ensure accuracy of all information
If these documents are not sent with your application, please email or mail to the UMBC IES office:
ies@umbc.edu; UMBC IES Office, Admin 224, 1000 Hilltop Circle, Baltimore, Maryland 21250 USA
Updated 06/07/2012
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INTERNATIONAL STUDENT EXPENSE ESTIMATE
2014-2015
The following student expenses are approximate and may vary slightly depending on a variety of factors. For the
most updated information, and information on payment methods, please check the UMBC Student Business
Services website at www.umbc.edu/sbs/tuition
Undergraduate
Graduate
Full-time Tuition
$9,436/semester (12 credits)
$7,902/semester (9 credits)
$18,872/year
$15,804/year
Undergraduate
Graduate
Mandatory Fees
$1,385/semester (12 credits)
$1,071/semester (9 credits)
$2,770/year*
$2,142/year*
Living Expenses
Housing (average estimate) $3,300/semester
Meals (on-campus, estimate) $2,000/semester
$6,600/year
$4,000/year
Health Insurance (required)
Fall semester (average estimate)
$800
Spring semester (average estimate) $900
$1,700/year
Books, Supplies, other living expenses** (estimate, varies)
$2,000/year
TOTAL
Undergraduate
Graduate
$35,942
$31,562
Additional expenses for dependents*** (if applicable, see below for cost calculation)
Spouse
$9,000/year
Child
$6,000/year
*All students are responsible for paying fees. This includes graduate students who have been awarded an
assistantship. Be prepared to arrive with enough funds to pay fees at the required time to avoid accruing
late charges. For more information please visit http://www.umbc.edu/sbs/tuition
Please note, Shady Grove campus programs and the Graduate programs in Management of Aging Services follow
separate fee structures. Please see http://www.umbc.edu/sbs/tuition for more information.
**Other funds include cost of supplies and books that vary based on many factors, such as major, number of
classes, level of classes, additional fees such as lab fees, etc.
***Dependent expenses are as follows: For Spouse, 450x12=5400 plus required spousal health insurance of
$3556 annually. For each child, 300x12=3600 plus required child insurance of $2381 per child annually.
.
Updated 06/07/2012
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