Fillable F-1 Student Financial Statement (Piedmont Virginia Community College)

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F-1 Student Financial Statement (Piedmont Virginia Community College)

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The F-1 Student Financial Statement (Piedmont Virginia Community College) form is 2 pages long and contains:

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  • 18 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Piedmont Virginia Community College

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F-1 Student Financial Statement
As a student, it is your responsibility to demonstrate that you will have sufficient financial support available to
cover all educational and living expenses while studying at PVCC. As an F-1 student, employment options are
limited. Therefore, all support must come from one or more of the four areas listed below. Students must maintain
access to this amount during their time at the college. PVCC reserves the right to request updated financial
statements or support at any time.
Estimated Cost of One Academic Year (2 semesters/9 months):
Tuition (minimum 12 credits per semester):
$8,500
Living Expenses (housing & food):
$8,500
Other Expenses (books, supplies, health insurance):
$3,000
TOTAL: $20,000 USD
Dependent Expenses: If you will be accompanied by dependents (spouse and/or child) you must add $1000
USD per dependent.
SECTION I: TO BE COMPLETED BY STUDENT
Family (Last) Name:
Given (First) Name:
Middle Name(s):
Source of Funds to Meet Expenses (must total $20,000 USD):
Student
Sponsor(s)
Your Government
Other (Scholarship, etc.)
I certify that the information I have provided is a correct statement of my financial support. I understand that if these
funds are not available, PVCC is under no obligation to support me and it is likely that I will not be able to continue
my education in the United States. I understand that as an F-1 student, I must enroll in full-time studies
and I am not
permitted to work off-campus without written approval.
Student's Signature
Date
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signature
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Sponsor's Affidavit of Support
A sponsor may be a parent, family member, or another person who will provide financial support. It is not necessary
that a financial sponsor live in the U.S. If there is more than one sponsor, please make a copy of this document for
each sponsor to complete. One financial sponsor may provide complete or partial support for a student, but the
student's total financial support must equal or exceed the total estimated costs listed on the previous page.
To the financial sponsor: In addition to signing this document you must provide a bank statement that includes
your name, the name of your bank, the statement date, amount of the available funds and type of currency. The
bank statement must be in English, be a certified English translation, or clearly show the information required. The
statement must be recent (dated not more than six months before the date classes will begin).
This evidence is required to complete an official U.S. government form on which the school official is confirming that
financial support is available. Therefore, Piedmont Virginia Community College reserves the right to request
additional information or clarification.
SECTION II: TO BE COMPLETED BY SPONSOR
I guarantee that I will be responsible for providing financial support for:
Student's Family (Last) Name:
Student's Given (First) Name:
Student's Middle Name(s):
Amount of Support in USD:
I understand that the document I am signing will be used by the student for the purpose of obtaining F-1 status, an
F-1 visa from the U.S. government, or updating the student's SEVIS record. If I am unable to provide the financial
support I have promised, I understand that PVCC is not obligated to support the above named student. I
understand that without my financial support, it is unlikely the student will be able to continue his/her education in
the United States.
I understand that F-1 students are not permitted to work off-campus or provide any services in exchange for financial
support. I will not suggest or require this student to provide any services while in the United States.
Sponsor's Full Name:
E-mail address:
Telephone Number (with country/
area code):
Relationship to Student:
Sponsor's Signature
Date
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signature
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F-1 Student Financial Statement (Piedmont Virginia Community College)

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Completed 8 October 2020

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