1. What is the present exchange rate of your country's currency to the U.S. dollar as of today? For example, 3,100 pesos = $1
2. Does your country's government currently impose restrictions on the exchange and release of funds for study in the United States?
Source of Income
Amount of 2013 Total Income before taxes or expenses
Amount of Savings
Father's Work and Savings:
Mother's Work and Savings:
Your Work and Savings:
Spouse's Work and Savings:
Family Business:
Family real estate income:
Pension/Retirement Income:
Other family member's income and savings:
Interest and dividends income:
Other income and savings:
Total:
Will there be a significant change in your family's income next year?
Please complete the following chart providing information for ALL of the family members in your household. Do not include information about yourself.
All students should have a source of emergency funds. What emergency funds will have you once you arrive in the United States in addition to to the funds needed to cover expected tuition, fees, books, and normal living expenses?
"I declare that the information on this form is true, correct, and complete. Liberty has my permission to verify the information reported by obtaining documentation as needed."
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