DCF Undergrad Spring

International Center, The University of Akron immigration@uakron.
edu Phone: 330-972-6349
Declaration & Certification of Finances (DCF) for

Undergraduate Students
Spring 2024 – Fall 2024
In order to receive an I-20 or DS-2019, please submit the following information along with this form:
1. Financial documentation showing funds available for at least one academic year’s worth of expenses (refer to the table
below). Financial documents must be dated within one year of your program start date.
2. Copy of the biographical page of your passport
The following amounts are estimates subject to change at any time and may not include upcoming tuition or fee increases. The estimates
do not include expenses for summer classes or summer living expenses.
Tuition & Fees $17,359 Based on one academic year (two semesters) for a full-time student
Room & Board $11,697 Average on-campus room & board costs for two semesters
Health Insurance $1,266 Student health insurance for one year
Personal Expenses & Books $2,400 Books for one academic year & other miscellaneous costs
TOTAL $32,722
1. If you bring dependents (spouse and/or child(ren)), you will need to add $3,855 per dependent to the total.
2. The bank statement or letter from a bank must be in English and on bank letterhead or official bank paper.
3. If the balance is not listed in US Dollars (USD), it should clearly indicate the currency used.
4. Scanned copies may be emailed but must be of good quality and legible.
PART 1 (TO BE COMPLETED BY THE STUDENT):

Name of Student: Student ID# (if known):
(Last name, First name as it appears on your passport)
Date of Birth:
Are you currently in the USA? Yes  No  If yes, what is your current visa status:
Check each box that applies to you:

 I have my own funds to support my studies. The amount of funding is $ USD, and I will be able
to provide this amount each year. (Attach a copy of your financial documentation.)
 I will be supported by a sponsor(s). (Your sponsor(s) must complete Part 2 of this form and submit a copy of their financial documentation.)
 I have a scholarship (government, athletic, academic, etc.). (Include a copy of your scholarship letter.)
 I am planning to bring dependent(s). (Complete Part 3.)
I certify that the information provided on this form is correct and complete. Likewise, I acknowledge that it is my responsibility to
notify the International Center of any changes in this information and/or in my financial circumstances.
Student’s Signature: Date:
Page 1 of 2 Revised on 07/06/23

International Center, The University of Akron [email protected] Phone: 330-972-6349
PART 2 (TO BE COMPLETED BY THE SPONSOR OF THE STUDENT):

I certify that I am the financial sponsor of (please enter student’s name). I am
providing financial support in the amount of USD $ per year to cover the costs associated with the
student’s education. (Please attach a copy of your financial documentation.)
Relationship to the student: (example: parent, friend, employer, etc.)
(If you are a U.S. Citizen/Permanent Resident planning to sponsor an international student who is going to apply for an F-1 or J-1 visa,
you should send the original I-134 and supporting financial documentation to the student to submit to the U.S. Embassy during their visa
application process. The form can be downloaded from http://www.uscis.gov.)
Sponsor’s Full Name: __________________________________________________________
Signature: Date:
Must be signed in wet ink. We can’t accept a typed name or initials (must be a full signature). We will accept signatures written in
languages other than English.
PART 3 (TO BE COMPLETED BY THE STUDENT – Only if bringing dependents):

(If you will be bringing your spouse and/or child(ren), complete the chart below. Otherwise, please leave this section blank).
This information will be used to issue the dependent I-20(s) or DS-2019(s) for your spouse and/or child(ren):
Date of Birth Country of Relationship
Family (Last) Name, First Name(s) Country of Birth Gender
(mm/dd/yyyy) Citizenship (Spouse or Child)
1. You must submit copies of passports for all of your dependents.

2. If bringing your spouse, submit a copy of your marriage certificate (with a certified English translation).
3. If bringing your child(ren), submit a copy or copies of their birth certificate(s) (with a certified English translation).
4. If your dependents are seeking J-2 status, we will also need the following information for each dependent: (1) city of birth and
(2) country of permanent residence.
If bringing your spouse, provide his/her email address:___________________________________________________________
Page 2 of 2 Revised on 07/06/23

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International Center, The University of Akron immigration@uakron.

edu Phone: 330-972-6349

Declaration & Certification of Finances (DCF) for

PART 1 (TO BE COMPLETED BY THE STUDENT):

Check each box that applies to you:

Student’s Signature: Date:

Page 1 of 2 Revised on 07/06/23

PART 2 (TO BE COMPLETED BY THE SPONSOR OF THE STUDENT):

Relationship to the student: (example: parent, friend, employer, etc.)

Sponsor’s Full Name: __________________________________________________________

PART 3 (TO BE COMPLETED BY THE STUDENT – Only if bringing dependents):

1. You must submit copies of passports for all of your dependents.

If bringing your spouse, provide his/her email address:___________________________________________________________

Page 2 of 2 Revised on 07/06/23

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