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CONFIDENTIAL STATEMENT OF FINANCES FOR INTERNATIONAL STUDENTS

DIRECTIONS TO THE APPLICANT:
Read the following questions carefully before completing and submitting this form. All international student applicants must document their ability to meet all education and living expenses for the entire period of their intended study before Bucknell University can
issue a Certificate of Visa Eligibility (Form 1-20 or IAP-66). Please review the information about anticipated costs of attending Bucknell
University here: bucknell.edu/admissions/international-admissions/paying-for-bucknell. If you are not applying for financial aid, attach an
original bank statement indicating U.S. dollar amount of personal/parent savings or notarized affidavit indicating guaranteed support
from a relative, government or other sponsoring agency.

1.

NAME
FAMILY NAME

GIVEN NAME(S)

PREFERRED FIRST NAME

TOWN OR CITY

PROVINCE OR STATE

2. HOME ADDRESS
NO. AND STREET

3. EMAIL

COUNTRY

4. DATE OF BIRTH
MM/DD/YYYY