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I cannot fully fund my Taylor education.
I recognize that I will need scholarship assistance if I am to attend Taylor University. If I do not receive scholarship assistance, I will not be admitted to
Taylor University. I will indicate the amount that I am able to contribute toward my education on the Affidavit of Support Form and provide financial
documentation to verify this amount.
I am not in need of financial assistance.
My family and I will be providing full funding for the duration of my Taylor University education. I recognize that I am still eligible for merit-based
scholarships but I also affirm that I take responsibility for covering my billed and personal expenses while at Taylor University. I will complete the
Affidavit of Support Form and provide financial documentation to verify my ability to finance my education.
AFFIDAVIT OF SUPPORT FORM
CONFIDENTIAL INFORMATION
SECTION A – STUDENT INFORMATION
Write your name exactly as it appears on the application for admission and on your passport.
This is the name we will use on any applicable immigration forms.
Legal Name Surname (family name)
First (given name)
Middle
¨ Mr. ¨ Miss ¨ Mrs.
Permanent Address (Number & Street, City, State/Province, Zip/Postal Code, Country)
Home Phone Number
( )
Cell Phone (if available)
( )
Email Address (print clearly)
Country of Citizenship
Mailing address to receive paperwork (if different than permanent address)
Country of Birth Date of Birth
For applicants currently in the United States on a non-immigrant F-1 visa, please fill in this section:
Visa Status _____________________________________________________________________________________________________________________________________
SEVIS number, if applicable ___________________________________________________________________________________________________
SECTION B – FAMILY INFORMATION
Father’s Name _____________________________________________________________________________________________________________________________ Occupation _________________________________________________________________________________________________________________
Mother’s Name ___________________________________________________________________________________________________________________________ Occupation _________________________________________________________________________________________________________________
Give the following information for those who are dependent on your parents for daily living expenses:
NAME
R
ELATIONSHIP
AGE
___________________________________________________________
_________________________________________________________
___________________
_
_
_________________________________________________________ _________________________________________________________ ___________________
___________________________________________________________ _________________________________________________________ ___________________
SECTION D – FINANCIAL INFORMATION(DO NOT LEAVE BLANKS. ENTER “0” IF NONE.)
Give the present value of family assets. Please be sure to indicate the amount in US dollars.
Home Checking Account U.S. $______________________ Investments U.S. $______________________
Land/Buildings Savings U.S. $______________________ Other U.S. $______________________
2019 INCOME
U.S. $______________________
U.S. $______________________
U.S. $______________________
U.S. $______________________
List your sources of income:
SOURCE
Yoursel
f: _____________________________________________________________________________________
Parent
s: ______________________________________________________________________________________
Other: ____________________________________________________________________________________________________
U.S. $______________________
ESTIMATED 2020 INCOME
U.S. $______________________
NAME RELATIONSHIP AGE
___________________________________________________________ _________________________________________________________ _________________
___________________________________________________________ _________________________________________________________ _________________
___________________________________________________________ _________________________________________________________ _________________
SECTION C – FINANCIAL STATUS
Please indicate your financial status by checking one of the boxes below.
Any nondisclosure/omission of a substantive material fact (the hiding of important information) will result in termination of the student’s SEV
IS record and I-20.
1
U.S $________. ______________
U.S $________. ______________