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#18Financial Sufficiency Form

Pursuant to 22 CFR Part 62.12(b)(1), participants must have “adequate financial resources to participate in and complete his or her exchange visitor program” and “to support an accompanying spouse and dependents, if any.” Complete this document to confirm that the applicant has sufficient funds to support themselves (and any J-2 dependents) and has a clear picture of the associated costs.

This document consists of important information pertaining to the applicant’s financial information. Please complete it carefully and truthfully as they will be used not only to verify their financial sufficiency but also be reported to SEVIS and printed on their Form DS-2019. Once completed, upload necessary proofs in PDF format via the application panel. This document consists of populated data from the application panel. Confirm the “program period” and fill “EV receives a stipend,” “If yes, amount,” and “Per” in Part B of the Form DS-7002 panel before generating PDF #18.

Step 1 Indicate the minimum funds

Indicate the minimum funds required for this program USD (minimum requirement). Incoming exchange visitors through FUSIA are required to demonstrate sufficient funds to cover all living expenses throughout the program period in the US.

USD 425.00 x (#) program weeks = USD (minimum requirement)
USD 212.50 x __________ program weeks x 1 J-2 spouse = USD __________
USD 106.25 x __________ program weeks x __________ J-2 minors = USD __________

PDF #18 Financial Sufficiency Form
PDF #19 Financial Sufficiency Proofs (as per step 2)

www.fusia.net/fundingproof1

Step 2 Indicate the declared sources of funding

Indicate the declared sources of funding for the program and the combined amount and provide documents to prove that they have enough money to cover all living expenses during their entire program.

(1) USD _______________ (required; must exceed USD (minimum), 50% of USD (minimum)) +
(2) USD _______________ (optional) +
(3) USD (minimum) (optional; must not exceed USD (minimum), 50% of USD (minimum)) =
(1)+(2)+(3) = USD ________________ (must exceed USD )

(1) Personal funds from participant, family members, and/or close relatives

• Account holder’s name _______________________________________________ relationship _________________________________
• Proof ☐ Bank statement ☐ Passbook dated within the past three months ____________________________ (mm/dd/yyyy)
• Used toward the total funds _____________ (amount) in ______________ (currency type) which is ______________ in USD

• Account holder’s name _______________________________________________ relationship _________________________________
• Proof ☐ Bank statement ☐ Passbook dated within the past three months ____________________________ (mm/dd/yyyy)
• Used toward the total funds _____________ (amount) in ______________ (currency type) which is ______________ in USD

• Account holder’s name _______________________________________________ relationship _________________________________
• Proof ☐ Bank statement ☐ Passbook dated within the past three months ____________________________ (mm/dd/yyyy)
• Used toward the total funds _____________ (amount) in ______________ (currency type) which is ______________ in USD

(2) Financial support. If applicable.

• ☐ Private ☐ School ☐ NGO ☐ US Gov’t ☐ Applicant’s Government ☐ The Binational Commission of the EV’s Country
• Financial sponsor’s name __________________________________________________________________________________________
• ☐ Scholarship ☐ Award ☐ Grant name ___________________________________________________________________________
• Proof ☐ Stamped/signed letter (on letterhead) dated within the past three months _______________________ (mm/dd/yyyy)
• Purpose, conditions, remarks, etc. ___________________________________________________________________________________
• Used toward the total funds _____________ (amount) in ______________ (currency type) which is ______________ in USD

• ☐ Private ☐ School ☐ NGO ☐ US Gov’t ☐ Applicant’s Government ☐ The Binational Commission of the EV’s Country
• Financial sponsor’s name __________________________________________________________________________________________
• ☐ Scholarship ☐ Award ☐ Grant name ____________________________________________________________________________
• Proof ☐ Stamped/signed letter (on letterhead) dated within the past three months _______________________ (mm/dd/yyyy)
• Purpose, conditions, remarks, etc. __________________________________________________________________________________
• Used toward the total funds _____________ (amount) in ______________ (currency type) which is ______________ in USD

(3) Salaries or wages. The following consists of populated data from Form DS-7002. If applicable, fill “EV receives a stipend,” “If yes, amount,” and “Per” in Part B of Form DS-7002 (enter via Part H of the application panel) before generating this document.

• Proof ☐ Written offer letter ☐ Form DS-7002
• USD weekly salary/wage x program weeks = USD total estimated salary/wage
• Used toward the total funds USD

www.fusia.net/fundingproof1

Step 3 Complete worksheet in consultation with the prospective host, then indicate the total estimate. Use the space below as a guide to budget enough money for costs and expenses associated with your internship in the US. Amounts shown are hypothetical estimates for general reference. Situations vary by location and individual. Please be realistic, and adjust based on your situation, personal preferences, and the city where your internship takes place.

(1) USD _______________ +
(2) USD _______________ +
(3) USD _______________ x _______________ months = USD _______________
(1)+(2)+(3) USD ________________

(1) Predeparture fees (estimate USD 1,965+)

☐ Program sponsorship (~USD 1,500) _____________
☐ SEVIS (USD 220) _____________
☐ Courier FedEx/UPS (USD 85) _____________
☐ Nonimmigrant MRV fee (USD 160, required for non-Canadians) _____________
☐ Reciprocity fee (depending on the nationality) _____________
☐ More ______________________________________________________________________________
☐ More ______________________________________________________________________________
☐ More ______________________________________________________________________________

(2) Initial expenses (estimate USD 4,510+)

☐ Travel insurance (optional) _____________
☐ Health insurance premiums (USD 60 per month x _ months; a 6-month program would cost ~USD 360) __________
☐ Roundtrip airfare (~USD 200 from Canada; ~USD 1,700 others) _____________
☐ Transportation (~ USD 200, from/to airport, around town) _____________
☐ Housing deposit (~USD 1,250, generally refundable) _____________
☐ Hotel (~USD 1,000. upon arrival) _____________
☐ Car and insurance _____________
☐ More ______________________________________________________________________________
☐ More ______________________________________________________________________________
☐ More ______________________________________________________________________________

(3) Monthly expenses (estimate USD 1,930+)

☐ Rental (~USD 1,250) _____________
☐ Utilities & internet (~USD 80) _____________
☐ Daily public transit (~USD 130)
☐ Taxi/Uber/Lyft (~USD 30)
☐ Groceries, personal care items, etc. (~USD 400)
☐ Cell phone bill (~USD 40)
☐ Pharmacy and physician copays _____________
☐ Car maintenance, insurance, gas, and parking fees _____________
☐ Dining out _____________
☐ Local trips, attractions, and events _____________
☐ More ______________________________________________________________________________
☐ More ______________________________________________________________________________
☐ More ______________________________________________________________________________

www.fusia.net/fundingproof1

Step 4 Declarations. Pursuant to CFF 22 Part 62.12(b)(1), sponsors must verify that applicants possess “adequate financial resources to participate in and complete” their (and any accompanying dependents’) exchange program. This document reflects the applicant’s ability to meet the outlined financial requirements.

Affirmation. The applicant confirms that the sources of funds and amounts reported in this document are accurate, that they have sufficient funds for their trip to the US, and that they possess a clear understanding of the itemized costs and possible associated expenses. When estimating their expenses, the applicant understands that their stipends or wages might not cover all of their expenses, thus they shall bring additional personal funds. Check one of the following applicable boxes to describe the “total funds” for this trip.

☐ Yes – 100% of personal funds for the program are from the applicant and/or their family members/close relatives
☐ Yes – The “total funds” includes personal funds plus permissible financial support and/or salaries/wages from host
☐ No – The applicant does not meet financial sufficiency requirements

SEVIS reporting. Information in this document must be “accurate, current, complete, and verifiable” as they will be entered into SEVIS and reflected on the applicant’s Form DS-2019. Any changes require initiation and completion of the amendment process at least 72 business hours prior to changes/expiration (or immediately if the changes are unexpected).

Itemized costs. Applicants should have a clear understanding of the costs involved with joining as stated in www.fusia.net/bill1.

Minimum reserve. Participants should have sufficient personal funds to cover their costs of living in the US. While each participant’s individual circumstances differ, participants shall have at least USD 4,500 readily accessible funds to cover their initial expenses upon arrival in the US and maintain sufficient funds (including an emergency reserve of USD 1,500 in their bank account) to comfortably support their living expenses for their entire stay in the US.

Costs vary by location. When estimating expenses, participants should consider the of cost of living, which varies greatly depending on region. So, participants should do their own research to find out the average living costs for their program destination. Check out the City Spotlights section.

Valid proofs. For verification purposes, proofs of the financial information reported by applicants are required by their program sponsor, the US consulate or embassy that issues the visa, and the CBP. Examples of valid proof include bank statements and funding support letters addressed to the applicant. Generally, original proofs are required. Relationship proofs may also be required for personal funds from applicants’ immediate family members. When applying to the program, applicants are generally required to show proof of their latest financial information. However, they must note that when attending the visa interview, the US consulate or embassy may require them to show proof of their latest financial information dating back to the last three consecutive months to ensure that such money is not temporarily (e.g., borrowed from someone). If the financial supporter is an individual, the US consulate or embassy may require them to show proof of steady income such as salary slips and tax documents.

Personal funds. Personal funds generally refer to readily accessible funds from applicants’ and/or their immediate family members’ bank accounts (e.g., savings, money market, CDs). Whether or not relatives and non-immediate family members are considered is up to the discretion of the US consulate or embassy that the applicant visits. Money in investment portfolios and any other nonliquid funds may be taken into consideration at the discretion of US consulates or embassies. Assets (e.g., cars and houses) are generally not counted towards the calculation.

www.fusia.net/fundingproof1

Declarations. By affixing the signature in this document, the participant confirms that they accept and agree to abide by all the terms and conditions before and during their program periods and satisfy all requirements listed herein. If participant is under 18 years of age at the time of signing, a co-signer is required (have one of the parents to sign next to each of the participant’s signature). Generate the PDF from the participant’s panel to show populated data and sign in the space provided to confirm that:

(1) Prospective participant is applying for participation in BridgeUSA (J-1 visa) Exchange Visitor Program administered by DOS-designated program sponsor FUSIA under the name of “the Cross Cultural Internship Program (CCIP)” or “(the) program” as a “J-1 intern;”
(2) Participant’s admission and continued enrollment in the program is contingent upon their ability to meet all the criteria listed in PDF #25 and ability to meet all program rules - situations that may affect participant’s ability to remain eligible for the program require immediate notification to FUSIA;
(3) All data and documents provided to FUSIA are “accurate, current, and complete”;
(4) Participant has been informed of the costs and all details associated with their participation in the program – if they have questions, doubts, or unclear points, they shall have clarified them with FUSIA before signing any documents, and they (and respective heirs, successors, and representatives) shall not put forth claims of being misled, confused, or in dispute with the program;
(5) Participant has made an informed decision with their family members and any financial supporters by reviewing related materials and conducting their own research;
(6) Participant shall keep their family members and any financial supporters informed of program terms and updates;
(7) if any of them aren’t proficient in English, participant shall translate the terms and the costs outlined herein;
(8) Situations that may affect participant’s ability to remain eligible for the program require immediate notification to FUSIA;
(9) Changes to information in any signed documents and/or deviations from Form DS-7002 require prior approval from FUSIA – if approved, initiate and complete the amendment process at least 72 hours prior to changes (or immediately for unexpected changes);
(10) Proofs with a validity period require resubmission with an updated expiration date at least 72 hours before they expire;
(11) Failure to comply with any program-related terms and requirements may result in being reported to corresponding US government agencies and program termination by FUSIA.

Fill (12) when signing PDFs #26, 27 or #28.
(12) Pre-Acceptance Orientation and Interview on ____ / ____ / ____ via ☐ audio call ☐ video call ☐ in-person meeting

_______________________________________________ sign with a pen or an e-signer (e.g., Adobe/DocuSign)
Participant ID:
Name:
Signature date: EST

Remarks, if any. If there are any additional details FUSIA should be aware of, indicate them in the space provided.

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

www.fusia.net/fundingproof1

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