KENTUCKY STATE UNIVERSITY
Declaration & Certification of Finances
(For International Students Only)
A Certificate of Eligibility (form I-20 or DSP-66) will not be authorized until this form is completed and returned. When all admissions criteria have been appropriately met for Graduate Studies, a copy of this form will be attached to the Certificate of Eligibility. Both must be shown to the U.S. Consulate for issuance of the Visa.
*ESTIMATED GENERAL EXPENSES FOR THE GRADUATE STUDENT * 2009-2010 ACADEMIC YEAR (FALL AND SPRING SEMESTERS)
| Tuition @811 per credit hour x 9 credit hours or Full-Time | 811 x 9 x 2(semesters) | 14,598 per year |
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| Books and Supplies | | 1,200 per year |
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| Personal Expenses 3,500 deposit +2,000 for 2 semesters | | 5,500 per year |
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| Miscellaneous (Includes Transportation) | | 1,310 per year |
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| TOTAL COST PER ACADEMIC YEAR | | 19,108 |
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| *Travel Cost Will Vary |
A confirmation deposit of $3,500 (US) is sent to the Office of Graduate Admissions. A student may use a maximum of 65% of the $3,500 deposit to pay the first semester's tuition and fees. The balance will remain on account until the student graduates or withdraws from Kentucky State University.
**ALL FEES SUBJECT TO CHANGE WITHOUT NOTICE**
| Family Name | First Name | Middle Name |
|---|
| Complete Street Address |
| Complete Street Address (cont'd) |
| City | Province | Country | Zip Code |
|---|
| Major | | Date of Expected Graduation |
|---|
| Birth Date | | Country of Birth |
|---|
| Intended enrollment at KSU | Fall | Spring | Summer | Year |
|---|
$3,500 initial deposit $
Student’s Personal Funds $
Funds from Family $
Funds from another source (please specify) $
TOTAL
$_____