International Student Financial Responsibility …

1 International Student Financial Responsibility Statement for F-1 Visa LSC-CyFair 9191 Barker Cypress Rd, Cypress, TX 77433 Email: LSC-Fairbanks Center 14955 NW Freeway, Houston, TX 77040 Email: LSC-Kingwood 20000 Kingwood Dr, Kingwood, TX 77339 Email: LSC-Montgomery 3200 College Park Dr, Conroe, TX 77384 Email: LSC-North Harris 2700 Thorne Dr, Houston, TX 77073 Email: For maps of locations please visit LSC-Tomball 30555 Tomball Pkwy, Tomball, TX 77375 Email: LSC-University Park 20515 249, Houston, TX 77070 Email: Applicant Family Name: _____ Applicant First/Given Name: _____ Lone Star College ID #: _____ Date of Birth: _____ Month/Day/Year Statement of Financial Support By signing below, I acknowledge that I have read and fully understand the information below regarding my Financial responsibilities while attending/sponsoring an F-1 Student at Lone Star College: The U.

2 S. Citizenship and Immigration Service (USCIS) requires proof of adequate Financial support for all International applicants wishing to enter the on an F-1 Student Visa. Proof of Financial support must be on file with the Lone Star College International Student Advisor/DSO in the amount listed at at minimum before a SEVIS I-20 will be issued. All students will be expected to pay tuition and fees by the scheduled due date and are responsible for his or her living expenses. Please see the estimated cost of attending Lone Star College located at This amount is for one year. Federal Financial aid is not available for F-1 International students .

3 Employment in the United States is not allowed unless it is authorized by the International Student Advisor/DSO at Lone Star College and the government. If I am the sponsor, I hereby certify that Financial support information is accurate and complete to the best of my knowledge and that I will make the amount reported below available to the Student for their academic, personal, and any dependent expenses for one year. I understand that a similar amount will be needed for the duration of the Student s program at Lone Star College. If I am the applicant, I certify that the Financial information listed is accurate and complete to the best of my knowledge and that I will have the full amount reported below available for my academic, personal, and any dependent expenses for at least one year and that a similar amount will be needed for the duration of my program at LSC.

4 I will need to present the Embassy or Consulate with the original Financial documentation as part of the Student visa application. Name Relationship to Student Occupation Annual Salary in $ Amount of Financial Support to be Provided to Student & any dependents in $ Signature Date Total Funding Available in $ Applicants with Dependents Please complete the following information about dependents that will accompany you to the F-2 children must change their visa status 90 days before their 21st birthday. If you bring your spouse or children, you will need to show extra funding per dependent annually in your Financial documentation.

5 The minimum amount per dependent for the current application period is published at Family Name First Name Date of Birth (mo/day/year) Country of Citizenship Gender Relationship to Student 1. 2. 3. 4. Applicant signature: Date: Mo/Day/Year Form version effective: 4/1/2015 BB