2017-18 STATEMENT OF

FINANCIAL ABILITY

Student’s last name (surname) First name Middle name

As a non-immigrant international student accepted for admission to St. Petersburg College, you will be classified as
a non-Florida student and will be assessed out-of-state fees for the duration of your enrollment. An F-1 Student VISA
is considered a temporary status.

Each international student is expected to have sufficient funds to meet all personal and college expenses. Tuition
payment will be due before the first day of class.

St. Petersburg College requires you to have an equivalent yearly stipend (which is an estimate) for a minimum of two
terms, broken down as follows: Any special or lab fees are additional.

Estimated Budget Categories Associate

(for two terms) Intensive English Degrees/ English Baccalaureate
(A request for an exemption from any of the Program for Academic Degrees
categories below will not be approved) Purposes
Tuition Fees $8,918.00 $9,286.00 $10,219.00
Medical Insurance $1,000.00 $1,000.00 $1,000.00
Books and Supplies Included $1,600.00 $1,600.00
Transportation $2,408.00 $2,408.00 $2,408.00
Room and Board $8,060.00 $8,060.00 $8,060.00
Personal Expenses $2,270.00 $2,270.00 $2,270.00

Total Estimated Budget* $22,656.00 $24,624.00 $25,557.00

*Add $5,000.00 for each additional dependent

Source of funds: (check all sources of support)
Personal funds in U.S. Home government
Personal funds outside U.S. International organization
Family inside U.S. Private sponsorship, U.S.
Family outside U.S. Private sponsorship, foreign
St. Petersburg College Other: specify _______________________________

Please submit an original bank statement/letter as proof of your financial ability. It is the student’s responsibility to
review the U.S. Embassy’s website to determine what financial documents are required for the visa appointment.
SPC does NOT provide copies of financial documents to students for the visa appointment.

Please be advised that IRS regulations require St. Petersburg College to report any cash payments or money wires
of $10,000 or more during a fiscal year via Form 8300. This information is provided as a notice to you and no action
is needed on your behalf in regards to this reporting.

AS 549 (12/17) Page 1 of 2

 CONFIRMATION OF SUPPORT

SECTION 1: TO BE COMPLETED BY STUDENT (REQUIRED SECTION)

I understand that I am responsible for all tuition and fees in the event:

 I am paying my own education and living expenses

AND/OR
 My sponsor ceases their financial responsibility agreement

Further, I acknowledge that I have read St. Petersburg College’s “Statement of Financial Ability” and am aware of my
responsibility as a student.

Student’s Signature: _____________________________ (Required) Date: ________/ ________/ ________

Month Day Year

SECTION 2: TO BE COMPLETED BY SPONSOR (IF DIFFERENT FROM STUDENT)

This section will be required of each sponsor who is verifying funds for the above-named foreign student. The
sponsor shall be responsible for all college and living expenses while the student is enrolled at St. Petersburg College.
As sponsor, you are certifying you have sufficient funds to cover the student’s college and living expenses while
named student is attending St. Petersburg College.

Sponsor 1: (if applicable)

Sponsor’s full name: Sponsor’s relationship to student:

Sponsor’s e-mail address:

Sponsor’s telephone number (include country code):

By signing below, you certify you have read St. Petersburg College’s “Statement of Financial Ability” and are aware
of your responsibility as a sponsor.

Sponsor’s Signature: _____________________________ (Required) Date: ________/ ________/ ________

Month Day Year

Sponsor 2: (if applicable)

Sponsor’s full name: Sponsor’s relationship to student:

Sponsor’s e-mail address:

Sponsor’s telephone number (include country code):

By signing below, you certify you have read St. Petersburg College’s “Statement of Financial Ability” and are aware
of your responsibility as a sponsor.

Sponsor’s Signature: _____________________________ (Required) Date: ________/ ________/ ________

Month Day Year

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational
Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color,
ethnicity, religion, sex, age, national origin, marital status, sexual orientation, gender identity, pregnancy, genetic information, or against any
qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual
harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you
experience such behavior, please contact Pamela Smith, the director of EA/EO/Title IX Coordinator at 727-341-3261; by mail at P.O. Box
13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu.

AS 549 (12/17) Page 2 of 2