Affidavit of Financial Support for
International Students
All students who require an F-1 visa are required by U.S. government regulations to provide
financial documentation to support their tuition, fees, and living expenses for 1 year in the U.S.
Financial documentation of adequate funds must be submitted in the form of a recent bank
statement (within the last 3 months), with a bank logo, and must include the sponsor’s name.
An I-20 document WILL NOT be issued until proof of adequate funds is provided. If you are
receiving government sponsorship, a letter of support stating the exact terms and length of the
scholarship including any provisions must be provided.
To be completed by the STUDENT:
Last/Family Name:
First Name: Middle Name:
Date of Birth: / / (mm/dd/yyyy) Country of Citizenship: _____
Do you currently have a US visa? No Yes If yes, what kind?
A separate affidavit is required for each sponsor. The total funds on the affidavit(s)
must be equal or greater to the total funds needed for one year of study.
To be completed by the SPONSOR: Family Friend Self
Other
Last/Family Name:
First Name: Middle Name: _____
Relationship to Student: Telephone: ___________________
Address:
City:____________ Province/State:_____________ Postal Code:____________
Email Address: __
I will provide FULL FINANCIAL SUPPORT for the applicant’s educational and living expenses for the entire
length of study at Campbellsville University. I have attached a recent bank statement proving finances for the
first year of study.
I will provide PARTIAL FINANCIAL SUPPORT for the applicant’s educational and living expenses.
Amount of Support per year: USD$ Duration of Support: years
PLEASE CONTINUE COMPLETING THIS FORM ON THE BACK
Information on the back
To be completed by the SPONSOR: Family Friend Self Other
Last/Family Name:
First Name: Middle Name: _____
Please indicate your family’s monthly income, in American Dollars: $_____________
Please indicate your family’s monthly expenses, in American Dollars: $____________
Please indicate your monthly financial capacity to pay for the student expenses, in
American Dollars: $_____________
I certify that all information provided on this affidavit and the attached financial documentation is true and
valid. I understand that failure to provide adequate funding can result in the student’s dismissal
.
Signature: Date:
Return the Financial Affidavit of Support and three (3) months of financial statements:
Campbellsville University Center for International Education
1 University Dr. UPO 796
Campbellsville, KY 42718
Fax: (270) 789-5142 Email: international@campbellsville.edu
You must provide copies of bank state-
ments for past three (3) months, to support
the information on this form
By entering your full name above you agree that all the information provided on this form is true and genuine.By writing my name above, I certify that the information herein is complete, factually accurate, and honestly completed.