CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS)

Requesting an I-20 or DS-2019 document from American University

All sections of this form must be completed, signed, and accompanied by proof of financial funds before it is sent to your admissions office.

Note: Please make sure that your biographical data (Name, Date of Birth, and Citizenship) match your passport.

Part I - GENERAL INFORMATION (PLEASE PRINT CLEARLY )

AMERICAN UNIVERSITY STUDENT ID #: _______________
7 Digit Number
NAME (Mr./Ms) __________________________________________________________________________________________________________
As it appears on your passport Last First Middle
BIRTHDATE: ____________________ COUNTRY OF BIRTH: __________________________ CITY OF BIRTH: ___________________________
Month Day Year
COUNTRY OF CITIZENSHIP: _____________________________ COUNTRY OF LEGAL RESIDENCY: _____________________________________
TELEPHONE: _________________________________________ EMAIL: _________________________________________________________

APPLYING/ADMITTED TO: BA/BS  MA/MS  PHD  PROGRAM: CAS  KOGOD  SIS  SPA  SOC  WCL 
CERTIFICATE  NON-DEGREE  JD  SJD  ABROAD AT AU  WASHINGTON SEMESTER 

PERMANENT MAILING ADDRESS (NON‐U.S. MAILING ADDRESS IS REQUIRED FOR ALL INTERNATIONAL STUDENTS):
________________________________________________________________________________________________________________________

_________________________________________________________________________________ COUNTRY: _____________________________

U.S. MAILING ADDRESS (REQUIRED FOR IMMIGRATION TRANSFER STUDENTS):

STREET: _________________________________________________________________________________________________________________

CITY: ___________________________________________ STATE: _______________________ ZIP CODE: ____________________ COUNTRY: USA

PLACE A CHECK WHERE YOU WOULD LIKE AU TO MAIL YOUR I‐20 OR DS‐2019: BETWEEN THE DATES OF ____________ TO ____________ (MM/DD/YY)
[ ] PERMANENT MAILING ADDRESS
[ ] U.S. MAILING ADDRESS
[ ] STUDENT PICK-UP
[ ] OTHER ___________________________________________________________
Part II - INDICATE THE TYPE OF IMMIGRATION DOCUMENT REQUESTED FOR STUDY (PLACE AN “X” IN THE APPROPRIATE BOX)

REQUESTING AN I‐20 (FOR F‐1 VISA) FROM AMERICAN UNIVERSITY

[ ] I am outside the U.S. and am requesting an I‐20 to be issued by American University in order to obtain an F‐1 student visa.
[ ] I am currently studying at a U.S. institution on an F‐1 and will transfer my immigration status to American University. Therefore, I am
requesting an I‐20 to be issued by American University. (Please submit a copy of your current I‐20 and a completed Immigration
Transfer-In Form*)
 Name and location of U.S. school most recently attended: ______________________________________________________________
 Dates of attendance: __________________________

[ ] I am a student at American University, and I am beginning a new degree program in ____________________________________________

[ ] I am in the U.S. on another visa, and I want to change to an F‐1. Specify current visa type: ________________
_______________________________________________

REQUESTING A DS‐2019 (FOR J‐1 VISA) FROM AMERICAN UNIVERSITY

[ ] My financial sponsor requires that I study on a J‐1 visa. I am requesting a DS‐2019 to be issued by American University.
 Name of financial sponsor: __________________________________________
 My current job title (or student status) in my home country: ____________________________________________________

[ ] I am currently in J‐1 status and will transfer my immigration status to American University. Therefore, I am requesting a DS‐2019 to be
issued by American University. (Please submit a copy of your current DS‐2019 and a completed Immigration Transfer‐In Form*).
 Name of current J‐1 Program Sponsor: _____________________ _____________________________________________

[ ] I am in the U.S. on another visa, and I want to change to a J‐1. Specify current visa type: _________
NOT REQUESTING AN I‐20 OR DS‐2019 FROM AMERICAN UNIVERSITY (CURRENTLY ON OTHER VISA CATEGORY)
[ ] I will study on a __________ visa, and will not need immigration documents from American University.
* The Immigration Transfer‐In Form can be found here: http://www.american.edu/ocl/isss/forms.cfm.
 CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS)
Requesting an I-20 or DS-2019 document from American University
Part III FINANCIAL PROOF
All students must be able to demonstrate financial ability to pay for at least one year of their academic and living expenses before American
University can issue an immigration document. For more information and sample documents, visit: www.american.edu/ocl/isss/Financial‐ Proof.cfm.
In addition, students must ensure that they have the funds available to cover all expenses for the duration of their program of study.

DEPENDENT INFORMATION: If you will be accompanied by your spouse and/or children on an F‐2 or J‐2 class of admission, you are
required to demonstrate your financial ability to support them. The additional cost of supporting a spouse is USD $5,500 per year and the
additional cost for each child (under 21 years old) is USD $4,000. Please provide us with the information below regarding your dependents:
Dependent’s Full Name as it Date of Birth: Country of Birth: City of Birth ( J‐2 Country of Citizenship: Relationship
Appears in the Passport: (MM/DD/ only): Permanent (husband/wife/
(Last, First, Middle) YYYY) Residency (J‐2 only): son/daughter):

SOURCES OF FUNDS: PLEASE CERTIFY SOURCES OF FUNDS AVAILABLE TO YOU DURING YOUR FIRST YEAR IN THE CHART PROVIDED
BELOW. For each source of funding, you must attach financial documents in English or with a notarized English translation, on bank letterhead, with
a bank official’s signature, bank stamp or seal, and dated within the last three months of the date of submission to American University.

SOURCES OF FUNDS AMOUNT IN US$

PERSONAL (Funds from self and private loans)

Name of Bank: __________________________ City & Country of Bank:_____________________________________ $___________

FAMILY (Funds from immediate family members: parents or spouse)

Name of Account Holder ___________________________________ Relationship to Student __________________ $___________
Name of Bank: __________________________ City & Country of Bank:_____________________________________

Family Member’s Signature: _________________________________________________

INDIVIDUAL SPONSOR* (Funds from other individuals or extended family members who are not legally present in the U.S.)
$___________
Name of Sponsor ____________________________________ Relationship to Student _______________________
Name of Bank: __________________________ City & Country of Bank:_____________________________________

Individual Sponsor’s Signature: _________________________________________________

*Sponsors who are U.S. citizens, U.S. permanent residents, or legally present in the U.S. must submit a completed I‐134 Affidavit of
Support Form with financial documents in English dated no more than 3 months from the date of submission to American University.
Note: For Room & Board contributions fill out section 11. The form can be accessed from:
http://www.american.edu/ocl/isss/upload/I‐ 134‐Form.pdf.
GOVERNMENT, EMPLOYER OR OTHER ORGANIZATION (Attach a signed copy of your official sponsorship letter.)
Name:_________________________________ Type: (CHECK THE BOX BELOW) $___________
U.S. Government  Company  International Organization 
Home Government  Employer 
AMERICAN UNIVERSITY (Funds from Scholarship, Merit Award, or other. Attach a signed copy of your award letter.) $___________

ADDITIONAL SOURCES OF FUNDS if any (Fill out and attach: Attachment A: Additional Sources of Funds.) $___________

TOTAL (Must be equal to or greater than the‐ estimated expenses for one year in your program of study and those related to
supporting dependents if any. Cost guides can be found here: http://www.american.edu/ocl/isss/Student‐Cost‐Guide.cfm. ) $___________

I certify that the above information and the attached supporting documents are true and complete to the best of my
knowledge. I understand that I am responsible for all the expenses related to my program of study at American University.

Student’s Signature: ______________________________________________ Date: ________