Affidavit of Financial Support
Western Nebraska Community College
1. SPONSOR'S INFORMATION
Last/Family Name(s)
First/Given Name(s)
Phone Number E-mail
Address Line 1
Address Line 2 (Optional)
City Postal Code
Country
Relationship to Applicant
2. APPLICANT'S INFORMATION
Last/Family Name(s)
First/Given Name(s)
Phone Number E-mail
3. SPONSOR'S STATEMENT
I certify, that I am willing and able to maintain and support the applicant named above for all
educational, living, health, transportation, and personal expenses while he or she is a student at
Western Nebraska Community College. I assume any and all debts, obligations and liabilities
determined to be owing by the applicant to Western Nebraska Community College.
I certify that I provided or authorized the financial evidence included with this affidavit and that all of
the information is complete, true, and correct.
4. SPONSOR'S SIGNATURE
By typing my name below, I agree that it represents the legal equivalent
of my manual signature on this Affidavit. Date
