Financial Statement for International Students
Concordia University

Students requiring an I-20 or IAP-66 must complete the Statement of Financial Obligation and supply appropriate documentation of financial support as indicated in Information Regarding Financial Support.

I, (print name)_________________________________________________, certify that I have the financial resources to cover all expenses during my studies at Concordia University Wisconsin. I understand that, in addition to this statement, I must submit the required documentation showing ability to finance my studies. I also understand that Concordia University Wisconsin cannot issue the form I-20 or IAP-66 until adequate certification of financial support is supplied.

Students Signature ________________________________________________               Date ________________

If spouse and/or children will be included on I-20/IAP-66 please supply the following information:
Spouse's name _______________________________________________________
(Family Name)               (Given Name)
Date of Birth _______________ Country of Birth ______________________________
   (mm-dd-yy)
Children's name _______________________________________________________
(Family Name)               (Given Name)
Date of Birth _______________ Country of Birth ______________________________
   (mm-dd-yy)
Children's name _______________________________________________________
(Family Name)               (Given Name)
Date of Birth _______________ Country of Birth ______________________________
   (mm-dd-yy)
Children's name _______________________________________________________
(Family Name)               (Given Name)
Date of Birth _______________ Country of Birth ______________________________
   (mm-dd-yy)

If you will be supported inpart with funds other than personal funds, please supply the following information. If you have more than one sponsor, please give additional names:

Sponsor's name(s)__________________________________________________________________________________

Sponsor's realtionship to student_______________________________________________________________________