Certificate of Finances Form
Declaration of International Student Support
Please complete the sections below to be issued your Form I-20 from Saint
Leo University. Type or print clearly. Your name must be consistent with all
of your immigration documents.
Section I. Personal Information
Please complete the sections below. Type or print clearly. Your name must be consistent with all of your immigration documents.
Country of Birth: _______________________ City of Birth: ________________________ Country of Citizenship: _______________________
Name (as on passport): _____________________________ __________________________________ _______________________________
(Family/Last Name) (Given/First Name) (Middle)
Date of Birth: ____________/____________/__________ Gender: Male Female Email Address:__________________________________
Month Day Year
PERMANENT ADDRESS (Required – this must be an international address):
_____________________________________________________________________________________________________________________________________
House Number and Street Apt. # (if any) City
_____________________________________________________________________________________________________________________________________
State/Province Country Postal Code (if any) Phone Number
MAILING ADDRESS (complete this section only if you intend to have your I-20 sent to this address):
_____________________________________________________________________________________________________________________________________
House Number and Street Apt. # (if any) City
_____________________________________________________________________________________________________________________________________
State/Province Country Postal Code (if any) Phone Number
Section II. Source & Amount of Funding
Please complete each section below and attach the required official
documentation. Financial documents cannot be older than 6 months at the
time of submission to be considered valid. Official English translations must
be provided. Funds must be liquid assets available for support.
Section III. Verification
Sponsor’s statement: This is to certify that I / we the undersigned have
agreed to provide the funds indicated above to the applicant for the
purpose of full-time study at Saint Leo University, and that I am / we are
submitting bank statements indicating the availability of these funds.
___________________________ __________________________
Primary Sponsor’s Signature Date
___________________________ __________________________
Print Name Relationship to Applicant
___________________________ __________________________
Second Sponsor’s Signature Date
___________________________ __________________________
Print Name Relationship to Applicant
Section IV. Student Signature
Student’s statement: This is to certify that the information given on this
form is complete and accurate to the best of my knowledge.
___________________________ __________________________
Student’s Signature Date
Your Personal Funds
Name of Bank: _____________________
Official bank statement
Family/Relative Funds
Official bank statement and sponsor signature (see
Section III below)
Government/Sponsoring Agency or
Organization Source: ___________________________
Official letter of support
Other Source: _________________________
Describe the source of funds and attach the
appropriate documentation.
Saint Leo University Merit Award
TOTAL*
This amount should be equal to or greater than the
amount that is required for one academic year.
Please see specific program for estimated cost of
attendance.
