This document is a certification of finances form for international students applying to the University of Notre Dame. It requires information about the student's identity, country of citizenship, and financial resources to cover the estimated $54,800 annual cost of attendance. The student must demonstrate sufficient financial support, such as personal savings, parental income or sponsorship. Upon admission, the form is used to issue immigration documents allowing the student to apply for a student visa. The student and parent must sign, certifying the availability of funds and understanding of obligations to maintain enrollment and immigration status.

1. 2011/2012 International Student
Certification of Finances
Name (family/surname, first/given as written on passport) Miss / Mr. (please circle one) Date of Birth (month/day/year)
Mailing Address
Email Address Country of Citizenship
All international students who ap ply for admission to the University of Notre Dam e must also
submit a Certification of Finances at the time of application. This Certification outlines the
financial resources that will be used to financ e your Not re Da me education. Admission i s Cost of Attendance at Notre Dame
ultimately depe ndent upon your ability to demon strate sufficient f inancial support to cover the
total projected costs of an undergraduate education. The estimated 2011/2012 undergraduate
student expense budget includes:
Strict governme nt regulations re quire that th e U niversity verifies the financial re sources of all
international student applicants before the I-20 or DS-2019 Certificate of Eligibility forms can be Tuition and Fees $41,550
issued. The I-20 or DS-2019 will be used to appl y for the F-1 o r J-1 visa, or a chan ge of status Room and Board 11,300
to the F-1 or J-1 status from within the United States. The I-20 or DS-2019 will be issued by the Books and Supplies 950
University upon admission and confirmation to enroll at the University of Notre Dame. Personal Expenses 1,000
Please print your responses to e ach question co mpletely and ac curately. Ente r a ll amounts in Total $ 54,800*
U.S. dollars. R eturn this Ce rtification to the Office of Undergraduate Ad missions by
express/courier mail or by FAX 1-574-631-8865. Complete Sections A through E as appropriate. *Annual increases to the
cost of attendance are anticipated.
Section A Annual Estimated Cost of a Notre Dame Education
does not include transportation )
Enter the amount of annual support you will receive to finance 2015/16
your educational costs for each year of your undergraduate $63,700
2011/12 2012/13 2013/14 2014/15
education. Support may come from one or a combination of the ( rchitecture
$54,800 $56,900 $59,000 $61,300
sources listed below. (All amounts should be listed in U.S. majors only)
dollars.)
1. Student’s and/or parents’ savings/investments available for
education.
Name of Bank(s)
Please attach a signed statement or letter from the bank
confirming the value of your/your parents’ savings (convert all
amounts to U.S. dollars) and complete Section B.
2. Parents’ income/salary available for education (typically not
to exceed 25% of total income).
Please attach an income statement, tax form or a signed letter
from parents’ employer confirming the value of income/salary
(convert all amounts to U.S. dollars).
3. Money available from sponsor, private organization and/or
government.
Please attach a signed letter from the sponsor, private
organization and/or government confirming the value of the
award (convert all amounts to U.S. dollars) and complete
Section C.
4. Total
Total support for each year should be equal to the Annual
Estimated Cost shown at the top of each column. If total
support is less than Annual Estimated Cost, you may be
considered for financial assistance (loan, work, scholarship).
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2. Section B
To be completed by a bank official if some or all of your funds will come from your or your parents’ savings/investments.
I certify that I have read the saving/investment information in Section A.1 and that the funds are available as indicated.
Name of Bank Bank Official’s Name and Title
Address of Bank Bank Official’s Signature and Date
Section C
To be completed by sponsor, private organization and/or government if some or all of your funds will come from these sources.
I certify that I have read the sponsor, private organization and/or government information in Section A.3 and that the funds will be provided as indicated.
Name of Sponsor, Private Organization, Government Sponsor, Private Organization, Government Official’s Name and Title
Address Sponsor, Private Organization, Government Official’s Signature and Date
Section D
What is the current exchange rate of your country’s currency to the U.S. dollar?__________________________
Does your government impose restrictions on exchange and release of funds for study in the U.S.? Yes No
If yes, please explain. _______________________________________________________________________
Do you have funds, beyond those listed in Section A, to be used for travel to and from the U.S. and for emergencies? Yes No
If yes, list amount in U.S. dollars $___________________(Students should be prepared to finance their travel expenses.)
Will you be covered by a health insurance plan during your study in the U.S.? Yes No
Do you plan to remain in the U.S. during the summer? Yes No
Do you plan to attend Summer School? Yes No
(Students who plan on remaining in the U.S. during the summer should be prepared to finance these additional expenses.)
Section E
We certify that t he information on this form is tr ue and comp lete. The funds are available and w ill be provided to support the cost of a Notre Dame
education. We understand th at any misrepr esentation ma y be c ause for ref using or revoking ad mission. We un derstand ou r obl igation to meet, on an
annual basis, the family respons ibility as outlined above as a con dition of continued enrollment at the Universit y o f Notre Dame a nd to satisf y the U.S .
Immigration and Naturalization Service’s regulations required to maintain an officially authorized U.S. Student Visa status. Both the student and the parent
must sign below.
Student’s Signature Date
Parent’s Signature Date
Return to:
Office of Undergraduate Admissions
220 Main Building
Notre Dame, IN 46556-5602
U.S.A.
FAX: 1-574-631-8865
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