International Financial Certificate Form - Florida Institute of Technology
International Financial Certificate Form - Florida Institute of Technology
International Financial Certificate Form - Florida Institute of Technology
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<strong>Florida</strong> <strong>Institute</strong> <strong>of</strong> <strong>Technology</strong> ■ Office <strong>of</strong> Undergraduate Admission<br />
FINANCIAL CERTIFICATE FOR<br />
UNDERGRADUATE PROGRAM OF STUDY<br />
<strong>Florida</strong> <strong>Institute</strong> <strong>of</strong> <strong>Technology</strong> Undergraduate School <strong>Financial</strong> <strong>Certificate</strong> for 2012–13<br />
For adequate certification, the total amount below must equal the total costs based on the cost estimate on page 1 and adjusted for any accompanying<br />
dependents. All documentation must be submitted in English and must be dated within the last six months. Indicate all amounts in U.S. Dollars.<br />
SOURCE AMOUNT<br />
1. Personal and/or family savings<br />
Name <strong>of</strong> bank:_______________________________________________________________________________________<br />
Note: Any amount entered must be verified both by a bank <strong>of</strong>ficial’s signature below and by an enclosed original bank statement. $<br />
2. Parents and/or sponsors<br />
Name(s) <strong>of</strong> each sponsor(s):_____________________________________________________________________________<br />
Note: Each sponsor must sign below and must provide a bank certification as below, along with an original current bank statement. $<br />
3. Your government<br />
Name <strong>of</strong> agency:______________________________________________________________________________________<br />
Note: Enclose a signed letter indicating that you have been awarded this amount. $<br />
4. University award from:<br />
Type <strong>of</strong> award:________________________________________________________________________________________ $<br />
5. Student loan<br />
Note: Provide copy <strong>of</strong> loan letter. $<br />
TOTAL AMOUNT (Lines 1–5 above) you will have available when you arrive at <strong>Florida</strong> Tech<br />
(Note that tuition, fees and university room rent are due at registration.) $<br />
BANK OFFICIAL’S CERTIFICATION<br />
Check one or both <strong>of</strong> the boxes below, as appropriate.<br />
Item 1 o This is to certify that I have read the information provided by the applicant in Item 1 above, that the information is true and accurate, and that the funds<br />
are available as indicated.<br />
Item 2 o This is to certify that I have read the information provided by the applicant in Item 2 above, that the information is true and accurate, and that the funds<br />
are available as indicated.<br />
Bank Official’s Signature and Seal __________________________________________________________________________________________________________<br />
Bank Official’s Name (printed) _____________________________________________________________________________________________________________<br />
Title __________________________________________________________________________________________________________________________________<br />
Name <strong>of</strong> Bank __________________________________________________________________________________________________________________________<br />
Address <strong>of</strong> Bank ________________________________________________________________________________________________________________________<br />
PARENT OR SPONSOR CERTIFICATION<br />
This is to certify that I have read the information provided by the applicant in Item 2 above, that the information is true and accurate, and that the funds are<br />
available as indicated.<br />
Sponsor’s Signature and Date _____________________________________________________________________________________________________________<br />
Sponsor’s Name (printed) ________________________________________________________________________________________________________________<br />
Relationship to Student __________________________________________________________________________________________________________________<br />
Address _______________________________________________________________________________________________________________________________<br />
FLORIDA TECH SCHOLARSHIP/AWARD/ASSISTANTSHIP: ___________________________________________________________________________________<br />
Amount awarded: $ _________________________________________<br />
STUDENT CERTIFICATION<br />
I certify that all the information provided on this form, including the total amount <strong>of</strong> support that will be available is correct and complete, and that I will not<br />
require any additional assistance from <strong>Florida</strong> Tech.<br />
Student Signature _______________________________________________________________________________________ Date__________________________<br />
150 West University Boulevard, Melbourne, FL 32901-6975 ■ (321) 674-8053 ■ Fax: (321) 728-4570<br />
admission@fit.edu<br />
SA-741-912<br />
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