SFSU Identification # Date of Birth Undergraduate Graduate Spring 2011 Semester Fall 2011 Semester

Please mail, fax or email completed form.
International Undergraduate Admissions

Fax: (415) 338-6129 Email: ugintl@sfsu.edu
Mail: 1600 Holloway Avenue International Graduate Admissions
San Francisco, CA 94132 Fax: (415) 405-0340 Email: intlgrad@sfsu.edu
Last Name ________________________________________ First Name ______________________________ Middle Name ________________________

Applying for: Spring 2011 Semester Undergraduate SFSU Identification #
Fall 2011 Semester Graduate Date of Birth
FINANCIAL STATEMENT AGREEMENT
The United States government requires all universities to obtain documentation that a student has adequate financial resources to cover living and
educational expenses prior to the issuance of an I-20 Certificate of Eligibility. San Francisco State University does not have financial aid for
international students and off-campus employment is rarely permitted. Undergraduate student are required to take at least 12 units. The current tuition
is $2,612 plus $372 per units. Graduate student are required to take at least 8 units per semester. The current tuition is $3,128 plus $372 per unit. Fees
are subject to change without notice. The following is an estimate of the cost of 9 months, 2 semesters attendance as a full-time student:
Tuition Fees Books & Supplies Room & Board Personal/Transportation Medical Insurance Total
Undergraduate $8,928 5,224 1,704 12,414 4,344 1,160 $33,774
Second Baccalaureate $8,928 6,256 1,704 12,414 4,344 1,160 $34,806
Graduate $5,952 6,256 1,704 12,414 4,344 1,160 $31,830
MBA/MSA $9,648 8,656 1,704 12,414 4,344 1,160 $37,926
If you plan to bring your spouse and/or dependent children with you when you enter the US to begin your education at SFSU, you will need to apply
for F-2 Visas on their behalf. Please note that you will need to provide additional $5,000 per year per dependent. You will also need to provide
marriage certificate and/or child birth certificate. These documents need to be original or certified true copy in both English and original language.
Dependents: Dependent spouse and children of the F-1 student who are seeking entry/re-entry to the U.S.
Family Name, First Middle Date of Birth Gender Country of Birth Country of Citizenship Relationship to Student
Source of Financial Support

US$_________________ Student Personal Funds
US$_________________ Funds from Sponsor (Parent, Relative or Private) (Complete the Sponsor Agreement section below)
US$_________________ Government or Private Scholarship (Attach award letter)
US$_________________ Total
Proof of Financial Resources

You must submit proof of Financial Resources by attaching one or more of the following documents (photocopies, fax or e-mail are acceptable):
● Letter from a bank or financial institution on bank letterhead, signed and dated by appropriate bank official showing proof of personal or sponsor funds.
● Award letter for Scholarships showing effective term and coverage.
● Monthly bank statements are acceptable but must be signed and dated by appropriate bank official.
I have attached a bank letter/statement(s) and/or scholarship award letter(s).
I certify that the amount of money above is available to me for my first year of study and a comparable amount will be available for each subsequent year.
Student Signature ________________________________________ Date ___________________________
SPONSOR AGREEMENT
Name of sponsor ___________________________________________________ Sponsor’s relationship to student ___________________________
Address of sponsor ________________________________________________________________________________________________________
I guarantee that the amount of $_____________ will be available for the above named student for the first year at SFSU and a comparable amount
will be available for each subsequent year.
Sponsor Signature ________________________________________ Date ___________________________
MEDICAL INSURANCE AGREEMENT

International students must agree to obtain and maintain insurance coverage for health, medical evacuation and repatriation prior to enrollment at SF
State. Please read the Heath Insurance guidelines and Frequently Asked Questions found on SF State’s Student Heath Services website:
http://www.sfsu.edu/~shs/ then sign the medical insurance agreement.
I, __________________________________agree to obtain and maintain health insurance coverage while enrolled at San Francisco State University.
Print name as it appears on passport
Student Signature _________________________________________ Date ___________________________

SFSU Identification # Date of Birth Undergraduate Graduate Spring 2011 Semester Fall 2011 Semester

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SFSU Identification # Date of Birth Undergraduate Graduate Spring 2011 Semester Fall 2011 Semester

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Please mail, fax or email completed form.

International Undergraduate Admissions

Last Name ______________ First Name Middle Name

Source of Financial Support

Proof of Financial Resources

Student Signature ______________ Date _

Sponsor Signature ______________ Date _

MEDICAL INSURANCE AGREEMENT

Student Signature _______________ Date _

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