AFFIDAVIT OF FINANCIAL SUPPORT
Ple
ase print or type the following information:
Stu
dent’s name: _____________________________________________________________
(Last) (First) (Middle)
Spo
nsor’s name: _____________________________________________________________
(Last) (First) (Middle)
Sponsor’s address: ___________________________________________________________
(Street Address)
___________________________________________________________________________
(City) (State or Province) (Country) (Zip Code)
Spo
nsor’s occupation: _________________________________________________________
Sponsor’s relationship to student: ________________________________________________
Declaration of Student: I have read the estimated budget for an international student which appears on the next page. I
understand United States Citizenship and Immigration Services and the Department of Homeland Security require I show
proof to The University of Southern Mississippi of my financial ability to meet these expenses. I also understand I am
required by law to show proof of finances to cover, at least, my first year of study. In addition, I must provide proof of
adequate funding will be available to cover subsequent years. I understand that if I cannot meet my financial obligations to
the university, or if it becomes evident that I have given false information in this Affidavit of Financial Support, I may be
withdrawn from school.
________________________________ ___________________________
Signature of student Date
Declaration of Sponsor: I have read the estimated budget for an international student which appears on
the next page. I
agree to financially support the above named student for a period of ________ year(s) in the amount of
USD $_______________________ per year.
_____________________
___________ ___________________________
Signature of sponsor Date
Supporting evidence of financial support must be attached to the affidavit. Three months of bank statements must be
submitted from the bank or financial institution in which the sponsor has their financial accounts. This information should
be on letterhead with the bank information included, the account holder listed, with a total of available funds. ALL funding
for study must be currently available. These documents should be from the three months prior to this document being
signed.
Income tax statements, certificates of deposit, investment accounts that are not readily accessible, proof of property
ownership and statements of employment are not acceptable as evidence of the availability of funds.
AA/EO
E/ADAI
