Student Financial Statement - Iowa Valley Community College District

Financial Statement for
F-1 Visa Applicants
PLEASE TYPE OR PRINT CLEARLY
FULL NAME : _______________________________________________________________________
Last (Family/Surname) First (Given) Middle or Maiden
COUNTRY OF CITIZENSHIP:_________________________________________________________
ESTIMATED COSTS
International students on F-1 visas applying for admission to Marshalltown Community College must
certify that they will have adequate funds to pay for all school and living costs. Please read the
information below and complete the statement on the next page. Return this form to:
MARSHALLTOWN COMMUNITY COLLEGE
ADMISSIONS OFFICE
3700 SOUTH CENTER STREET
MARSHALLTOWN, IA 50158 USA
STUDENTS COMING FROM ABROAD: You will need to submit supporting documents to the U.S.
embassy/consulate when you apply for an entry visa. These may include bank statements, letters from
employers stating salaries, and letters of support from sponsors. Please submit the original supporting
documents with this financial statement to Marshalltown Community College.
STUDENTS TRANSFERRING FROM ANOTHER U.S. COLLEGE: You will need to submit
supporting documents. Additional supporting documents may be requested.
Marshalltown Community College estimates a student’s average cost per year for 2009-10 to be:
TUITION AND FEES $4,000.00*
BOOKS 600.00
LIVING EXPENSES 5,300.00**
TRANSPORTATION
varies
OTHER PERSONAL EXPENSES 2,000.00
TOTAL $11,900.00
*This figure is based on 12 credit hours per semester. If you choose to take more, each credit is an
additional $163.00.
**This figure is based on living in the MCC campus apartments, which includes a 14-meal per week
meal plan.
Note: All tuition, fees, meal memberships and campus housing charges are subject to change.
IMPORTANT NOTE: Under U.S. Immigration Law, international students are not allowed to work
off campus during their first year in the U.S. MCC does not guarantee on-campus employment for
international students. After the first year, international students can secure part-time work only if they
apply to Immigration for permission. Permission to work part-time is granted only in hardship cases
where there has been a distinct change of financial circumstances beyond the control of the student.
DO NOT PLAN TO WORK IN THE U.S. TO PAY FOR SCHOOL OR LIVING COSTS.

FINANCIAL STATEMENT CONTINUED
I will have funds available to pay for all school and living costs in the amount of $11,900.00. The
sources for my funds are: (amount must be in U.S. dollars for one year, fill in totals only for those
funding sources that apply to you).
*Personal funds of student:
*Family funds from abroad:
*Sponsor from abroad:
*Sponsor/Host Family in U.S. (including room and board)
*Scholarship or sponsoring agency:
TOTAL (must be at least $11,9000.00 in U.S. dollars)
$_______________________________
$_______________________________
$_______________________________
$_______________________________
$_______________________________
$_______________________________
*Each of the funding sources you have indicated must supply a certified document verifying the funds
are available to you. A notary public or similar official from your bank and/or your sponsor’s bank
must prepare a statement for you to include with this document to submit to MCC. An incomplete or
improperly completed financial statement will result in a delay in the processing of your application for
admission.
“I understand that Marshalltown Community College does not guarantee on-campus employment. I
understand that under immigration law I cannot work off-campus during my first year in the U.S. After
my first year, I can work part time only if I have U.S. Immigration permission. I do not plan to work in
the U.S. to pay for my school or living costs.”
I certify that I will be responsible for financial support as indicated above.
PLACE NOTARY STAMP HERE
Student signature_______________________________________ Date________________________
month/day/year
Return this and all supporting financial documents to:
Marshalltown Community College
Admissions Office
3700 South Center Street
Marshalltown, IA 50158 USA
6/09