DECLARATION AND CERTIFICATION OF FINANCES (DCF)

ENGLISH LANGUAGE INSTITUTE

Read all the pages of this form carefully. Then fill out this form on your computer. Be sure to complete all the parts of the form. Print the completed form from your computer and mail it to the ELI with your application, your $50.00 application fee, and your bank letter. (See below for details about the bank letter.) The ELI must have the ORIGINAL of this DCF form and your bank letter. Do not fax or photocopy this form.

To determine how much money one student needs for a semester in the ELI and in Akron, we add together the fixed costs for tuition and fees and the estimated costs for living expenses (housing and food), health insurance, books, and other expenses. The table below lists these fixed expenses and estimates.

Some students might spend more than these amounts each semester; other students might spend less. All students must provide written proof of having at least this much money available for one semester in the ELI. You may not need to use all of this money, but you must prove that it is available.

EXPENSES	FALL (15 weeks)	SPRING (15 weeks)	SUMMER (8 weeks)
TUITION (instruction, activities, academic advising, student ID card, and use of all University of Akron facilities.)	$4,800	$4,800	$2,880
MATERIALS FEE (course handouts and computer lab fee)	$ 50	$ 50	$ 40
UNIVERSITY TRANSPORTATION FEE (charged to all UA students for parking and use of the campus shuttle)	$ 115	$ 115	$ 75
LIVING EXPENSES (estimate for housing and food)	$2,975	$3,325	$1,890
HEALTH INSURANCE (estimate; subject to change)	$ 461 for Fall only	$ 724 for both Spring and Summer	$ 311 for Summer only
TEXTBOOKS/SUPPLIES (estimate)	$ 200	$ 200	$ 200
PERSONAL EXPENSES (estimate for clothing, entertainment, etc.)	$ 900	$ 900	$ 480
TOTAL ESTIMATED EXPENSES	$9,501	$10,114	$5,876

PLEASE NOTE: ELI tuition and fees and the cost for mandatory health insurance are subject to change without notice. These fees must be paid in full at the time of registration. The registration period is the week before each semester begins. Payment must be made in the form of a personal check from a U.S. bank, a money order, travelers' checks, or a credit card (VISA, Mastercard, or Discover). Students who pay after the registration period will be charged a $50.00 late fee.

If you plan to travel to the U.S. with a spouse (wife or husband) and/or children, the Declaration and Certification of Finances (DCF) and the bank letter must show that you have enough money to cover their living expenses while they are in the U.S. with you. These living expenses include health insurance, food and personal purchases such as clothing and entertainment. Refer to the chart below for the amounts for a spouse and each child.

You must have a health insurance policy for you and your dependents.

For us to issue you immigration documents,

1. the person responsible for your expenses (your sponsor) must sign this form. By signing, he or she agrees to be financially responsible for you for the amounts listed above for the semester in which you begin your ELI studies. If you travel to the U.S. with a spouse (husband or wife) and/or children, your sponsor must agree to be responsible for the additional amount listed for each dependent.
   

2. your sponsor must provide us with an official bank letter proving that he or she has the specified amount of money available. If your family members come with you, the letter must show the additional amounts for them.
   

3. the bank letter must:
   • be in English.
   • be signed and certified by a bank official.
   • show the amount of money in the bank account in local currency.
   • be an original document, not a fax or photocopy.
   • show that the sponsor has enough money available for the semester that the student wishes to begin plus additional funds for any dependents who will travel with the student.

1. If your sponsor (the person who will pay for your studies) is a family member or another private individual, this person must sign the form. He or she must also attach to the form an official letter from the bank which shows that the sponsor is financially able to pay for at least one session of the ELI. The bank letter must be in English and have an official signature. The bank letter must be an original and cannot be faxed.
   
   OR

2. If you are your own sponsor (if you are paying for your studies), you must sign this form and also attach an official letter from your bank. The letter must show that you are financially able to pay for at least one session of the ELI. The bank letter must be in English and have an official signature.
   
   OR

3. If you have a scholarship, you must ask the agency, business, or company which is giving you the scholarship to send a letter to the ELI stating the terms of your scholarship. The letter must be on official letterhead paper with the full address, phone/fax numbers, and e-mail address of the sponsor. The letter must be signed by an official of the agency, business, or company which is giving you the scholarship.

I certify that I am willing and able to pay $U.S. $9,501 (Fall Semester), $10,114 (Spring Semester), or $5,876 (Summer session) for the English Language Institute educational and living expenses of

Name of student:

I am attaching to this form an official bank letter to show my ability to pay this money. (See the details about the bank letter above.) I certify that this money can be transferred to the U.S.

In addition, if the student plans to travel to the U.S. with a spouse (wife or husband) and/or children, I certify that I am willing and able to pay the cost of living expenses for the student's dependents. The attached bank letter shows my ability to pay an additional US $3,627 (Fall), $4,284 (Spring), or $2,099 (Summer) for the spouse and US $2,494 (Fall), $2,954 (Spring), or $1,445 (Summer) for each child. Please provide information about each dependent below.

I understand that ELI tuition and fees are subject to change at any time. If the amount indicated on the enclosed bank letter is sufficient to cover an increase in fees, I agree to provide the additional support as needed. If the amount on the enclosed bank letter is NOT sufficient to cover an increase in fees, the ELI will notify me and request additional proof of ability to pay.

I guarantee to provide full financial support or partial financial support in the amount of .

(Print the name of the person who will pay for the applicant's studies. This name must be the same as the name on the account in the bank letter.)

(Sign your name the way you sign an official document like a check or a letter.)

(Examples: father, mother, brother, uncle, friend, self)

If the student's spouse and children are going to travel to the U.S., please provide the following information for each one:

Dependent # 1:

*Family Name:	*First Name:	Date of Birth:
Country of Birth:	City of Birth:	Country of Citizenship:
Relationship to Student:

Dependent # 2:

*Family Name:	*First Name:	Date of Birth:
Country of Birth:	City of Birth:	Country of Citizenship:
Relationship to Student:

Dependent # 3:

*Family Name:	*First Name:	Date of Birth
Country of Birth:	City of Birth:	Country of Citizenship:
Relationship to Student:

Dependent # 4:

*Family Name:	*First Name:	Date of Birth
Country of Birth:	City of Birth:	Country of Citizenship:
Relationship to Student:

*The NAMES must be the same spelling as on the passport.

When this form is complete, please mail (do not fax) all pages of the Application and DCF form with the official bank letter or scholarship letter to the address below. Also, if you have more than one sponsor, please mail (do not fax) all pages of the forms and an official bank letter and signed DCF for each sponsor.