2019-2020 INTERNATIONAL STUDENT FINANCIAL CERTIFICATE ...

International Student And Scholar Services (ISSS)

Website:

General office email: isss@unc.edu

2019-2020 INTERNATIONAL STUDENT FINANCIAL CERTIFICATE:

GRADUATE & PROFESSIONAL STUDENTS

PLEASE READ ALL INSTRUCTIONS CAREFULLY. Part I of this form must be completed and uploaded by applicants who are not U.S. citizens

or U.S. permanent residents. The data provided in this form assists UNC in maintaining records of admitted and enrolled students. Students

requesting a Certificate of Eligibility Form I-20 (for F-1 status) or DS-2019 (for J-1 status) must complete Parts I and II of this form. United

States federal regulations require certification that you have sufficient funds to pay for your tuition and living expenses at the University of

North Carolina at Chapel Hill for the duration of your studies. A Form I-20 or DS-2019 can be issued only after this certificate and proof of

financial support has been received. A copy of the identification page of the passport you will use to enter the U.S. is also required.

Students already in F-1 or J-1 status at another U.S. school must also submit a Financial Certificate and supporting documentation in

order to be issued a UNC-Chapel Hill Form I-20 or DS-2019.

Once completed, you should submit your Financial Certificate and supporting documents online through your ConnectCarolina Student

Center. Go to connectcarolina.unc.edu and log in with your Onyen and password. Required materials will be listed on your To Do List

until you submit them. You will electronically upload your documents under Admissions Items on your To Do List. If you have questions,

please consult the ISSS website at .

PART I: BIOGRAPHICAL AND IMMIGRATION INFORMATION ( ALL INTERNATIONAL APPLICANTS )

Name (as it appears in your passport): ___________________________________ _____________________________________________

FAMILY NAME/SURNAME

GIVEN NAMES (FIRST AND MIDDLE NAMES)

Date of Birth: Month: _____ Day: _____ Year: __________

Sex:

Male

Female

UNC PID: ______________________________

Country of Birth: _____________________________________________ City of Birth: __________________________________________

Country of Citizenship: _____________________________ Country of Legal Permanent Residence: _______________________________

Permanent Home Address in Home Country or Country of Permanent Residence:

Street Address: __________________________________________________________________________________________________

City: ________________________ Province: ________________________ Postal Code: __________ Country: _____________________

Marital Status:

Married

Single

Preferred Phone Number: Country Code_______ Number__________________________

Email Address: ________________________________________ Current Occupation in Home Country: ____________________________

Application Type:

Admission Term:

Masters

PhD

Other: ____________________ UNC Program/Major: ____________________________________

Summer I 2019

Are you currently in the U.S.?

Yes

Summer II 2019

No

Fall 2019

Spring 2020

If yes, indicate your current immigration status (F-1, J-1, H-4, etc.): _______________

If you hold F-1 or J-1 status, will you have your current SEVIS record transferred to UNC-Chapel Hill?

Yes

Are you requesting a Certificate of Eligibility from UNC (Form I-20 for F-1 status or DS-2019 for J-1 status)?

No

Yes

No

NOTE: ISSS will generally issue a Form I-20 for F-1 student status because most students are eligible to apply for F-1 status only. If you

believe you are eligible for J-1 status and either prefer or are required by a sponsor to apply for a J-1 visa, first consult the ISSS website at

and then contact ISSS at isss@unc.edu to specifically request a Form DS-2019, if applicable.

Updated 11/2018

PART II: FINANCIAL CERTIFICATION WORKSHEET ( APPLICANTS REQUESTING F-1 OR J-1 STUDENT STATUS )

Total the expected costs for your program using the worksheet on this page and then indicate under ¡°Sources of Support¡± the type(s) of

funding you plan to utilize in the first year. Please keep in mind the following:

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Applicants should not look to employment as a significant means of support while at UNC unless funded by a graduate

assistantship that meets the Graduate School¡¯s minimum standards.

If you have questions about acceptable formats or types of financial support documentation, please consult the additional

guidance on the ISSS website at .

Please input estimated costs as applicable to your program in the worksheet below. Select your program from the dropdown menu or, if

your program is not listed specifically, select ¡°All Other Graduate Programs¡± from the menu. Refer to the table in Appendix 1 for more

information and a complete list of programs. You will find estimates for both tuition and fees for your program in this table. Please note

that if you have been awarded a graduate assistantship that includes tuition but does not cover student fees, you should refer to the

estimates in Appendix 1 in order to calculate the amount of funding you may be required to show in addition to your assistantship award.

Program:

Tuition and Fees (Non-Resident Estimated Tuition and Fees Rate)

$

Required Health Insurance

$

Books, Room, Board and Personal Expenses

$

MINIMUM ESTIMATE FOR YEAR

$ 23588

0

2,588

21,000

DEPENDENT COSTS (PER YEAR):

(calculate total costs here if applicable)

First Dependent (spouse or child):

Each Additional Dependent:

$ 9,600

$

$ 4,800 x _____ (number of dependents) =

$

Your Total Dependent Costs:

0

$ 0

Total Costs with Dependents: 23,588

DEPENDENT INFORMATION

If you plan to bring dependents* with you (spouse and/or children under the age of 21), fill in the information below for each dependent

that will accompany you to UNC-Chapel Hill. Please note that U.S. embassies and consulates will usually only accept a marriage certificate

as proof of eligibility for a dependent visa for a spouse.

DEPENDENT 1:

____________________________ ___________________________ _____________ __________________________

FAMILY NAME/SURNAME

GIVEN NAME(S)

DATE OF BIRTH RELATIONSHIP TO STUDENT

_________________ _________________________ _________________________ ___________________________

SEX (M/F)

CITY OF BIRTH

COUNTRY OF BIRTH

COUNTRY OF CITIZENSHIP

DEPENDENT 2:

____________________________ ___________________________ _____________ __________________________

FAMILY NAME/SURNAME

GIVEN NAME(S)

DATE OF BIRTH RELATIONSHIP TO STUDENT

_________________ _________________________ _________________________ ___________________________

SEX (M/F)

CITY OF BIRTH

COUNTRY OF BIRTH

COUNTRY OF CITIZENSHIP

DEPENDENT 3:

____________________________ ___________________________ _____________ __________________________

FAMILY NAME/SURNAME

GIVEN NAME(S)

DATE OF BIRTH RELATIONSHIP TO STUDENT

_________________ _________________________ _________________________ ___________________________

SEX (M/F)

CITY OF BIRTH

COUNTRY OF BIRTH

COUNTRY OF CITIZENSHIP

CHECK IF APPLICABLE:

Additional dependents listed on separate sheet (submit with other supporting documents)

*SUBMIT A COPY OF EACH DEPENDENT¡¯S PASSPORT IDENTIFICATION PAGE.

Updated 11/2018

SOURCES OF SUPPORT: Enter the amount and source of the funds you expect to have for your first

year. The required financial support documents for each type/source of funding are listed below; be

sure to upload all required documents corresponding to the funding sources you indicate on this

form. You may enter any combination of the below sources to cover the cost of your program. ALL

Amount in

U.S. Dollars

DOCUMENTATION MUST BE DATED WITHIN THE LAST 6 MONTHS AND MUST BE IN ENGLISH.

Personal Funds

1.

Copy of an official bank certification with student¡¯s name listed as the account holder with funds

immediately available. The bank certification or letter should be signed or stamped by a bank official.

Parents or Other Personal Sponsors

1.

2.

Completed Affidavit of Financial Support

Copy of an original bank certification in the sponsor¡¯s name which demonstrates funds are immediately

available on deposit for the amount pledged. The bank certification or letter should be signed or stamped

by a bank official.

University Funding

1.

2.

Completed Certification of University Funding Form

Copy of award letter from the academic department with details of the scholarship, fellowship, or

teaching/research assistantship. The letter must be on department/university letterhead and must be

signed; copies of email correspondence will not be accepted as proof of the award.

Please note: When calculating the value of your assistantship, refer to Appendix 1. If your assistantship does

not cover fees and/or health insurance, you will need to ensure that you have alternate funding (personal,

sponsor, stipend funds beyond the estimated living expenses, etc.) to cover this amount.

Other (government, employer, home university, private scholarships, loans, etc.)

1.

Copy of award letter, scholarship letter or other certification of sponsorship with English translation (if

applicable) from authorized person to certify accuracy.

TOTAL ALL SOURCES OF SUPPORT FOR THE FIRST YEAR OF YOUR PROGRAM.

Total for the year should be equal to or greater than the minimum cost estimate for your program (plus total

dependent costs if applicable). All sources of support should guarantee support for the entire length of the

student¡¯s program.

$0

STUDENT¡¯S FINANCIAL PLEDGE: While students are only required to present funds immediately available for the first

year of study, students must demonstrate guaranteed sources of financial support for the entire academic program.

Please explain how you expect to fund the subsequent years of your program by completing the following statement:

I understand that my academic program costs are expected to increase at least 10% each year. I expect to fund the remainder of my

academic program through the following funding sources (check all that apply):

personal

family

government

university

other source(s) (explain): ________________________________

I also certify that the information on this Financial Certificate and any supporting documentation is true and accurate. I have read

the information here provided and understand and agree to my financial obligation to UNC-Chapel Hill, including the requirement

that I shall maintain the required health insurance for myself and all accompanying family members for the duration of my studies. I

understand by signing this document I am bound to uphold the rights and responsibilities as defined under the university honor code

and that providing false information is considered a violation of this code. ()

APPLICANT¡¯S SIGNATURE: _____________________________________________________

DATE: _________________________

Updated 11/2018

APPENDIX 1

TUITION AND FEES ESTIMATES FOR ALL PROGRAMS

PROGRAM

TUITION

FEES

TOTAL

$ 2,166

$ 32,365

STANDARD TUITION RATE GRADUATE PROGRAMS

All Other Graduate Programs*:

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Doctoral (PhD, DrPH, etc.) and Masters (MA, MS

etc.) Programs Not Listed Below

$ 30,199

KENAN-FLAGLER BUSINESS SCHOOL

Master of Accounting

$ 66,983

$ 4,131

$ 71,114

Master of Business Administration (August Start)

$ 67,142

$ 3,405

$ 70,547

Master of Business Administration with ASW (July Start)

$ 70,142

$ 3,405

$ 73,547

$ 66,330

$ 5,549

$ 71,879

$ 36,630

$ 4,915

$ 41,545

$ 2,166

$ 41,165

$ 2,166

$ 36,215

SCHOOL OF DENTISTRY

Doctor of Dental Surgery (DDS)

Specialty Dental Practice Programs (MS)

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Endodontics

Operative Dentistry

Oral & Maxillofacial Pathology

Oral & Maxillofacial Radiology

Orthdontics

Pediatric Dentistry

Periodontology

Prosthodontics

SCHOOL OF EDUCATION

Master of Arts in Educational Innovation, Technology,

and Entrepreneurship (MEITE)

$ 38,999

SCHOOL OF INFORMATION AND LIBRARY SCIENCE

Master of Science in Information Systems (MSIS) or

Library Science (MSLS)

$ 34,049

SCHOOL OF LAW

Juris Doctorate (JD)

$ 41,209

$ 3,673

$ 44,882

Master of Laws (LL.M)

$ 47,839

$ 3,013

$ 50,852

$ 2,166

$ 35,857

$ 38,284

$ 2,160

$ 40,445

$ 63,048

$ 2,144

$ 65,192

SCHOOL OF MEDIA AND JOURNALISM

Master of Arts in Media and Communication

$ 33,691

SCHOOL OF MEDICINE

Clinical Degree Programs in Allied Health Sciences

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Doctor of Audiology

Doctor of Physical Therapy

MS in Speech-Language Pathology

MS in Occupational Therapy

MS in Clinical Rehabilitation & Mental Health

Counseling

Doctor of Medicine (MD)

Updated 11/2018

SCHOOL OF NURSING

Master of Science in Nursing

$ 37,129

$ 2,173

$ 39,302

$ 2,143

$ 50,203

ESHELMAN SCHOOL OF PHARMACY

Doctor of Pharmacy (PharmD)

$ 48,060

PROFESSIONAL SCIENCE MASTER¡¯S PROGRAMS

MPS in Biomedical and Health Informatics

$ 36,799

$ 2,166

$ 38,965

MPS in Toxicology

$ 38,999

$ 2,166

$ 41,165

$ 2,160

$ 38,530

$ 2,166

$ 36,270

GILLINGS SCHOOL OF PUBLIC HEALTH

Master of Public Health (MPH)

$ 36,369

SCHOOL OF SOCIAL WORK

Master of Social Work (MSW)

$ 34,104

*Tuition and fees may vary somewhat between programs. All costs listed here are ESTIMATES only.

Updated 11/2018

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