ILLINOIS INSTITUTE OF TECHNOLOGY
FINANCIAL AFFIDAVIT OF SUPPORT FOR
F-1 INTENSIVE ENGLISH PROGRAM STUDENTS
United States visa regulations require all international students to provide evidence of funds to meet expenses incurred during their first year of study. This
document must reflect the estimated expenses outlined below:
ESTIMATED AND ADDITIONAL EXPENSES
One Semester
Two Semesters
* This amount does not include travel and personal
expenses, and emergency costs. Note that this
figure is an estimated cost for the upcoming year.
Tuition is not fixed and one can expect a slight
increase annually.
Tuition $4,920.00 $9,840.00
Fees $1,400.00
Books/Materials $800.00
IIT Health Insurance (Mandatory for F-1, J-1 students) $1,441.00
Room and Board $11,440.00
Total Estimate $12,600.00* $24,921.00*
If any dependents (i.e. your spouse or child) will be accompanying you to the United States they must apply for an F-2 visa. In order for IIT to issue your dependent an I-20
you must demonstrate at least an additional $4,500 per year or $375 per month for your spouse and $3,000 per year or $250 per month for each child that will accompany
you to the United States.
Do you have dependents you plan on bringing with you to the United States? Yes No
If yes, please attach copy of a passport for each dependent.
I. ACKNOWLEDGEMENT OF UNDERSTANDING
Please read all of the statements below and check the boxes as an indication that you understand the accompanying statement.
I understand that some costs (including tuition and housing) may increase during my time at IIT.
I understand that on-campus employment is not guaranteed and should not be considered as a means of support.
I understand that my family or sponsors and I will be responsible for the costs of my education.
I understand that this document must contain all original signatures and stamps, or be accompanied by all original financial documents.
Applicant’s Signature ___________________________________________________________________________ Date ______________________________________
Sponsor’s Signature _____________________________________________________________________________ Date ______________________________________
Mail this document to:
Illinois Institute of Technology
English Language Services
Technology Park—South
3424 S. State Street, Room 4041
Chicago, IL 60616-3793, USA
Phone: 312.567.5220
Email: ELS@iit.edu
$700.00
$400.00
$860.00
1
$5,720.00
1
Students beginning in fall are charged for the full
year of health insurance and must request a
refund if they do not plan to continue.
Revised 5.4.2017
II. CERTIFICATION OF AGREEMENT BY STUDENT
I understand that as a non-U.S. student I am required to engage in full-time study at IIT. I certify that I have arranged for financial support equivalent to the number of
semesters that my program requires.
Name as Printed on Your Passport (Please print and underline last or family name)
IEP Application Number
Do You Currently Hold an F or J Visa?
Yes No
If Yes, What Institution Issued Your I-20?
Student Signature Date
III. CERTIFICATION OF AGREEMENT BY SPONSOR
This is to certify that I have read the information provided on this form and assume financial responsibility for the student. I understand that tuition and fees are subject to
yearly increases and additional costs will be my responsibility.
Name of Sponsor or Agency (please print)
Relationship to Student
Phone Number of Sponsor Email
Signature of Sponsor Date
IV. CERTIFICATION BY A BANK OR AGENCY OFFICIAL
This is the certify that the above named sponsor has funds available, free from government restrictions, for a minimum of $12,600.00 USD to support this student during
his/her semester at IIT or a minimum of $24,921.00 USD
during his/her full academic year of study at IIT.
Official’s Name (please print)
Official’s Title
Name of Institution or Agency
Signature of Official Date
As an alternative to completing Section IV, an institution may attach a letter on
official letterhead specifying availability of require
d funds of sponsor. This letter
must be signed and stamped with an official seal.
OFFICIAL STAMP
OR SEAL OF
FUNDING
INSTITUTION
Revised 5.4.2017