REV 07/20/20
TO BE COMPLETED BY SPONSOR (Please type or print neatly):
I, Last Name:____________________________________________________________ First Name: ______________________________________________________________
residing at, Street and Number: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
City: ________________________________________________________________ State/Province: _________________________________________ Zip/Postal Code: ______________________________________ Country: __________________________________________________________
Home Phone: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Cell Phone:________________________________________________________
Email: _______________________________________________________________________________________________________________________________________________________________________ Sponsor’s Relationship to Student:________________________________________________________
Execute this affidavit on behalf of the following person:
Student’s Last Name: ____________________________________________________ First Name: ______________________________________________________________
Date of Birth: ______________________________________________________________________________ Sex: ___________________________________ Marital Status: ___________________________________ Citizen of: __________________________________________________________
Home Country Address:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
City: ___________________________________________________________ State/Providence: __________________________________________ Zip/Postal Code ______________________________________ Country: __________________________________________________________
In support of this affidavit, I certify and state:
I assure Monroe College and the United States government that the person named in item #1 will not become a public charge in the
United States.
I have reviewed the Estimated Expense Statement and will contribute no less than $ _________________ USD towards the student’s annual
estimated living and educational expenses (including annual cost of living increases on this amount) for EVERY YEAR of the student’s
program of study at Monroe College.
I understand that all payments of tuition are payable in full at the start of each semester.
That I am employed by:
Name of Business: __________________________________________________ Position/Job Title: ______________________________________________________________
Street and Number: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
City: ________________________________________________________________ State/Province: __________________________________________ Zip/Postal Code ______________________________________ Country: __________________________________________________________
That I have attached current PROOF OF INCOME and BANK STATEMENTS dated and signed by a bank official no more than six months
before the student’s enrollment at Monroe College. I certify that the amounts indicated on my financial statement(s) are solvent and
sufficient to meet my financial contributions as stated in item 3 of this affidavit.
I affirm that I know the contents of this affidavit signed by me and the statements are true and correct.
Signature of Sponsor: _______________________________________________________________________ Date: ________________________________________________
FINANCIAL SPONSOR AFFIDAVIT OF SUPPORT
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