Yes
No
Not Applicable
*Additional $2,000 for one dependent, $3,000 for two dependents, $4,000 for three dependents.
*On-campus housing rate based on Vandiver/Myers/North/West Residence Halls for 2019-2020.
Other
Do you need an acceptance letter to secure funding from your government or sponsoring agency?
This affidavit is to assure the United States government that the student named above will not become a
public charge while in the United States. I, the sponsor, hereby affirm that I will make the following amount
available:
I have attached a bank statement to verify my capability to provide this amount.
YES NO
INTERNATIONAL STUDENT
AFFIDAVIT OF FINANCIAL SUPPORT
Sponsor's Signature:
Date:
INTERNATIONAL STUDENT
AFFIDAVIT OF FINANCIAL SUPPORT
Office of International Education and Services
One University Plaza MS2000 Cape Girardeau, MO 63701 - 573.986.6863 - international@semo.edu
Please have your sponsor complete this form and email it to international@semo.edu.
Student Full Name:
Student's E-mail address:
Source of Support:
Self
Family
Government/ Sponsoring Agency
SPONSOR INFORMATION (if self-sponsored, leave this section blank)
Sponsor Name:
Sponsor's E-mail address:
Relationship to student:
Intensive English Program (IEP)
& Undergraduate (Bachelor's)
$13,830.00 (30 hours per year)
$364.00
$6,664.00 (on-campus housing*)
$2,952.00 (15 meals/week)
$1,000.00
$1,241.76
$26,051.76
Graduate
(Master's)
$10
,512.00
(18 hours/year)
*Based on 2019-2020 fees
Tuition & General Fees (Fall and Spring)
Estimated Books & Supplies
Housing
Meals
Estimated Personal Expenses (toiletries, local transportation, recreation)
Health Insurance (mandatory; 12 months)*
Total Estimated Cost (Fall and Spring)
$850.00
$4,500.00
(off-campus)
$2,100.00
(off-campus)
$1,000.00
$1,241.76
$20,203.76
Student's Date of Birth:
Fall/Spring - Academic Year Estimate (August 2019 - May 2020)
