International Student Financial Statement

Freshman and Transfer Admission 2018-2019

Office of Admission-MS 17 • P.O. Box 1892 • Houston, Texas 77251-1892 • www.rice.edu/admission
This Financial Statement is required for undergraduate applicants who live outside the U.S. and those living in the U.S. with a valid visa. International
students not requesting need-based financial aid must demonstrate ability to finance their education at Rice; those requesting need-based financial aid
must provide information about their family financial status. Whether applying for need-based aid or not, all international applicants must complete this
Financial Statement and supply the appropriate supporting documentation (in English and converted to U.S. dollars).

Your application will not be reviewed until this form, along with all required documentation, completed to our satisfaction, is returned to Rice.
The preferred method of application submission is via your Rice Admission Student Portal using the Upload Materials tool. If submission via your
Student Portal is not an option, please return materials via airmail, express mail or fax to expedite processing and ensure you meet the appropriate
deadlines.
Mailing address Physical address Fax
Rice University Rice University (713) 348-5323
Office of Admission-MS 17 Office of Admission-MS 17
P.O. Box 1892 6100 Main Street
Houston, Texas 77251-1892 Houston, Texas 77005
USA USA

Student Information

Check one:
 Fall 2019 Freshman applicant
 Fall 2019 Transfer applicant
(Please type or print in ink.)

1. Name _______________________________________________________________________________________________________________
Family Name Given Name Middle (Complete) Preferred/Nickname

2. Date of Birth _____________________________________

mm/dd/yyyy

3. Permanent residence____________________________________________________________________________________________________
Street Address

____________________________________________________________________________________________________
City State/Province Zip/Postal Code Country

4. Check the box next to the statement that best describes your financial circumstances should you matriculate at Rice:
 I will require need-based aid to attend at Rice.
 I will not require need-based aid at any time during my undergraduate career to attend at Rice.

Financial Requirements and Cost

STUDENT BUDGET FOR 2018-2019
Tuition $46,600
Room/Board $14,000
Fees $745
Books and Supplies $1,200
Health insurance $2,682
Personal Expenses* $2,500
TOTAL $67,727
*estimated
Transportation costs not included

* You should expect future years' costs to increase 5 to 10 percent per year.

1
International Student Financial Statement - continued
Applicant Name _______________________________________Birth Date______________
Last First mm/dd/yyyy

Student Explanation of Financial Circumstances

5. In the table below, list your available sources of financial support and demonstrate how you plan
to meet Rice's financial requirements and costs as determined by the Student Budget for 2018-2019. The total sum of your sources
of support should equal the 2018-2019 total cost of attendance, approximately $68,000. The Student Budget is subject to change
prior to fall 2019 enrollment since student fees are set at the end of each year.

Documentation (appropriate affidavits and/or scholarship awards) must also be sent with this form as proof of financial support for
your first year of study. All supporting documents must be in English and converted to U.S. dollars.

Source of Support Amount available for educational

expenses
Personal, family, or sponsor's funds:
Bank affidavit confirming funds required $___________________

Scholarship from:
___________________________________________
___________________________________________ $___________________
Include only scholarship(s) already assured.
Letter(s) of award must be included with documentation.

TOTAL:
Amount should equal or be greater than $68,000. $___________________
If not, please answer question 6 below.

6. If your total resources (TOTAL above) is not equal to or greater than $68,000, and you are not applying for need-based aid from Rice, how do
you plan to meet the required costs for the 2019-2020 school year, and beyond? _______________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________

7. Please note that your application cannot be considered for admission until you have documented the above sources of support for your first
year of study with the proper certification (i.e., a bank affidavit signed by a bank official, affidavit of support from each sponsor, an official
copy of each scholarship or award). The United States Consulate in your home country will require the same documentation before issuing you a
student visa.

 I acknowledge I have read and understand these requirements.

As an undergraduate international student you will not be eligible to apply for financial aid at any time during your undergraduate
career, unless you apply for and receive such aid in the freshman admission process; also, you will not be permitted to work off
campus (as stipulated by U.S. immigration regulations). This policy is regardless of unforeseen family difficulties, political changes in your
home country, currency devaluation, etc., that may alter your financial situation. PLEASE NOTE: Rice students are required to pay each
semester’s bill prior to the beginning of the semester.

I, (print name)___________________________________________________________, certify that the total amount of money that I have
available for my first academic year of study at Rice University is $______________. Further, I certify that the information provided
above is correct and complete.

Applicant's Signature __________________________________________________________ Date ___________________________________

mm/dd/yyyy

Rice University is committed to affirmative action and equal opportunity in education and employment. Rice does not discriminate on the basis of race, color,
religion, sex, sexual orientation, gender identity, national or ethnic origin, age, disability or veteran status.