Revised on 8/15/2015
This affidavit is a commitment of financial support that will be provided to the student. Please answer all of the questions.
Incomplete forms will not be accepted and will delay the student’s I-20.
Student’s Name:
_________________________________
____________________________
____/____/____
Last Name (Surname/Family Name)
First Name
Date of Birth
Sponsor’s Name:
________________________________
______________________
Last Name (Surname/Family Name)
First Name
Father
Mother
Other:_______________________________________
Address:
________________________________________________________________________________________
Email:
________________________________________________
Phone:_______________________________
Expenses to be covered by the sponsor:
All
Tuition/Fees
Living Expenses
Books/Supplies
Personal Expenses
Total value of commitment per year* (in US dollars): ___________________________ Term______________________
*Attach the required financial documents.
I declare that all information provided in this document is true and accurate to the best of my knowledge. I commit to
provide the amount of financial support listed above.
Sponsor Signature:
______________________________
_______________________
Date: __________________
Signature
Printed Name
MM/DD/YYYY
OFFICE OF INTERNATIONAL STUDENT SERVICES
AFFIDAVIT OF SUPPORT