City/Country Zipcode
City/country Zipcode
Date of Birth Country of Birth Country of Citzenship
SELF, SPONSOR, OR GOVERNMENT FUNDING
Please check all appropriate boxes:
Self . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sponsor (Parents, Relative, others)* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional Funding from another source: If someone provides room and board at no expense to you, list that person's name and address.
Government or other Organization Scholarship*
Family/Last Name (Name on passport)
First Name (Name on passport)
Relationship to applicant
while he/she is enrolled at California State University, Sacramento.
Term applying for Fall Spring
F-2 DEPENDENT INFORMATION
Applicants who plan to bring dependents please complete the following:
*This includes embassies, government loan agencies, government contract agencies, CSU schools and departments, athletic scholarships, and approved
non-resident tuition waivers. Please send an original signed copy of the award letter on organizational letterhead that specifies in English the terms of the
support, the U.S. dollar amounts to be covered for tuition and/or living expenses and the duration of the sponsorship.
* If a sponsor other than a parent is providing all or partial financial assistance, a letter signed by the sponsor must accompany this form that specifies the
terms of the support, the U.S. dollar amount to be covered for tuition and/or living expenses, and the duration of the sponsorship.
If you are married and plan to have your dependent(s) live in the U.S. while you are attending California State University, Sacramento, you will need to
include in your calculation of academic years costs, the amounts of $3,000.00 for your spouse and $3,000.00 each child.
I certify that the statements made above are true, complete and accurate. I understand that providing false or misleading information can result in the denial
of my application, or if admitted in my disenrollment for California State University and / or deportation from the United States.
California State University, Sacramento
Affidavit of Financial Support for International Students (F-1)
Date of Birth (month/day/year)
certify that I will assume full financial responsibility, including educational and living expenses for
The Immigration and Naturalization Service requires that all students provided evidence of adequate funds to meet the financial obligations of
enrollment at a U.S. university. Thus, you must complete all areas of this affidavit that apply, including original signatures. The combined U.S.
dollar amount from your sponsor(s) must equal or exceed the minimum listed on the instruction sheet. Bank verification of funds must not be older
than six months. PLEASE NOTE YOUR APPLICATION FOR ADMISSION WILL NOT BE PROCESSED WITHOUT THIS FORM AND A
BANK VERIFICATION FROM YOUR FUNDING SOURCE STATED IN U.S. DOLLARS.
Assured amount in U.S. Dollars
