***PRINT THIS FORM***                   CUESTA COLLEGE

All International Students must submit verification of having available at least $18,000 to cover expenses for the academic year at Cuesta College.

FEES PER SEMESTER - SUMMER & FALL & SPRING
(All fees are subject to change)

Non-Resident Tuition - $170.00 per unit - Summer
$181.00 per unit - Fall, Spring
ASCC Fee - $5.00 - Summer
$10.00 - Fall, Spring
Enrollment Fee -
(subject to change)
$20.00 per unit Parking - $7.50 - Summer
$20.00 - Fall, Spring
Health Fee - $11.00 - Summer
$14.00 - Fall, Spring
Student Center Fee - $10.00 - Fall, Spring
    Student Representation Fee $1.00 - Fall, Spring

ADDITIONAL COSTS:

Books - $1,242.00 per year
           Transportation - $1,008.00 per year

Housing - $8,226.00 per year
Miscellaneous - $2,338.00 per year

Source and amount of support:

Personal Checking / Savings..$__________                 Sponsors.....................$__________
Parents................................$__________                 Your Government..........$__________

CERTIFICATION:

1. This is to certify that I have read the information given by the applicant on this form, it is true and
accurate, and the funds are available.

Bank Official Signature and Seal ___________________________________    Date:_______________

Bank Official Name (Print)_________________________________________   Title:________________

Name and Address of Bank _____________________________________________________________

2. This is to certify that I have read the information furnished by the applicant on this form, it is true and

accurate, and the funds are available and will be provided as specified.

Parent/Sponsor Signature:________________________________________     Date:_______________

Parent/Sponsor Name (Print):____________________________________________________________

Relationship:__________________________________________________________________________

Address:_____________________________________________________________________________

3. I, (print)________________________________________, certify that I have at least $18,000 available for

each year that I will be attending Cuesta College. Further, I certify that the above information is correct and
complete and that I shall notify Cuesta College of any change in my financial circumstances.

Applicant's Signature:_____________________________________________    Date:_______________
3/22/2007