CLARKSON UNIVERSITY
I
NTERNATIONAL
S
TUDENT
C
ERTIFICATION OF
F
INANCES
–
U
NDERGRADUATE
A
DMISSIONS
2 | Page
SECTION IV – SOURCE OF FUNDING AND REQUIRED DOCUMENTATION –
Please specify all sources
of support to finance your education. You and your sponsor must sign the verification statements below indicating that you are
responsible for all costs.
Check the appropriate source of funding (multiple sources are acceptable) and attach appropriate financial documentation for
each showing availability of at least the total of your estimated expenses for the first year and barring any unforeseen
circumstances – the funding will be available for each additional year of study.
Please note –
Bank statements carry no liability to the bank.
All documents must be dated within one year of initial enrollment and translated into U.S. dollars
This information is required for visa eligibility
Clarkson University reserves the right to require additional financial documentation as necessary
Note: Real estate holdings – salary verification letters – retirement funds – stocks/bonds – life
insurance policies are not acceptable.
Required Documentation Types of Funding
Amount
Available
Official letter or statement – signed and dated – from a bank
official or financial institution. Must be no more than 6 months
old and shows a current balance sufficient to cover funds
needed (as shown on page 1)
Personal Savings
Name of
Bank_______________________
$
Official letter or statement – signed and dated – from your
sponsor’s bank or financial institution indicating a current
balance to cover the funds needed (as shown above). Funds
must be in the form of liquid assets, i.e. cash or assets that
can easily be converted into cash (checking or savings
accounts).
Sponsor (i.e. parents – relative -friend)
Note: This person is to complete the
sponsor statement below
$
A copy the financial aid award letter
(provided by admissions)
Clarkson Financial Aid/Scholarship
$
Official letter indicating amount of support. Letter must
include full name – amount of money available for each year
of study – duration of the award – and – institution to which
award is applicable.
Government/Company
$
Official letter indicating amount of support. Letter must
include full name – amount of money available for each year
of study – duration of the award/loan – and – institution to
which award is applicable.
Other scholarships or student loans
Other support _____________________
$
Total Funding
=$________
SECTION IV – AFFIDAVIT OF SUPPORT –
By completing this affidavit, you are verifying to the U.S. government that you
will provide this student with a specific amount of money (as stated above) for each year he or she is studying at Clarkson University. You
are also proving that you can afford this support from the documents you have attached.
Sponsor Certification
:
This is to certify that I (we) the undersigned have read the information on this form and find it to be
true and accurate. I (we) agree to provide the funds required for all years of study at Clarkson University and that I (we) are
submitting bank statements indicating the availability of funds.
Parent/Sponsor Name (please print) Relationship
Parent/Sponsor Signature Date
Student Verification
:
This is to certify that the information given on this form is complete and accurate to the best of my
knowledge. I am fully aware that any false or misleading statement will result in denial of my admission to Clarkson University or
in cancellation of my registration following enrollment.
Student Signature Date
