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Financial Information for F-1 International Students
Student Name: ____________________________________ _________________________________
Last/Family Name First/Given Name
Source of Funds: Check all that apply and enter the funding amount of each category on the right.
Personal………………………………………………………………………………..$____________
Submit an original bank statement dated within the last three months.
Family/Private Sponsors……….………..……………………………………………...$____________
Sponsor(s) must complete the Affidavit(s) below and submit official bank letters or
statements dated within the last three months.
Scholarship…………...………………………………………………………………….$____________
Submit the original award letter or an official copy. Your name, exact amount awarded, and
duration of award must be listed in the letter.
Government Sponsor…….…………………………………………………………….$____________
Submit a letter on official letterhead from the sponsor that includes your name and date, and
details which costs (tuition, fees, housing, meals, etc.) will be provided.
TOTAL FUNDING……………………………………………………………………………...…..$____________
Amount should be a sum of all checked categories above and must equal the total amount of estimated
expenses for the academic year, as listed on the MSU Denver International Admissions website.
I certify that the statements given by me in this form are complete and accurate. Additionally, if my source
of funding as listed above changes in any way, I understand that I remain responsible for all financial
obligations.
Student’s Signature __________________________________________ Date ___________________
Please note:
1. An I-20 cannot be issued without this form and the supporting documentation.
2. If you have more than one sponsor, each one must sign an Affidavit of Financial Support. Use the
additional Affidavits on Page 2 when you have multiple sponsors.
3. If you are going to live with a local host who is a U.S. citizen or permanent resident, you can subtract
the expense for Room and Board from the total amount of funding. In this case, please also submit a
letter from the host alongside with a copy of their ID.
4. Please keep copies of all financial documents, as you will need them to show proof of funding to
U.S. Consular officials when you apply for a visa and when you enter the United States.
Affidavit of Financial Support
(To be completed by financial sponsors)
I certify that I will provide funds in the amount of at least U.S. $_____________, plus any increase due to
(amount)
inflation, per academic year, for tuition & fees, books & supplies, room & board, insurance, etc. for the
above-named student. This support will continue for the duration of the student’s program of study at
Metropolitan State University of Denver.
Sponsor’s Name ________________________ Sponsor’s Signature __________________________
Sponsor’s Relationship to Student ______________________________ Date ___________________
Updated 01/15/2020
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Affidavit of Financial Support
(To be completed by financial sponsors)
I certify that I will provide funds in the amount of at least U
.S. $_____________, plus any increase due to
inflation, per academic year, for tuition & fees, books &
supplies, room & board, insurance, etc. for the
above-nam
ed student. This support will continue for the duration of the student’s program of study atat
Metropolitan State University of Denver.
Sponsor’s Name ________________________ Sponsor’s Signature __________________________
Sponsor’s Relationship to Student ______________________________ Date ___________________
Affidavit of Financial Support
(To be completed by financial sponsors)
I certify
that I will provide funds in the amount of at least U.S. $_____________, plus any increase due to
inflation
, per academic year, for tuition & fees, books & supplies, room & board, insurance, etc. for the
above-nam
ed student. This support will continue for the duration of the student’s program of study atat
Metropolitan State University of Denver.
Sponsor’s Name ________________________ Sponsor’s Signature __________________________
Sponsor’s Relationship to Student ______________________________ Date ___________________
Affidavit of Financial Support
(To be completed by financial sponsors)
I certify that I will provide funds in the am
ount of at least U.S. $_____________, plus any increase due to
inflation, per academic year, for tuition & fees, books & supplies, room &
board, insurance, etc. for the
above-nam
ed student. This support will continue for the duration of the student’s program of study atat
Metropolitan State University of Denver.
Sponsor’s Name ________________________ Sponsor’s Signature __________________________
Sponsor’s Relationship to Student ______________________________ Date ___________________
Updated 01/15/2020
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(amount)
(amount)
(amount)
Please use this page if you hav
e more than one sponsors. Each sponsor must be identified and an
Affidavit of Financial Support must be signed.
Updated 01/15/2020 3
Please complete the following section if your spouse and/or your minor children will accompany you to the United States in
F-2 status while you are enrolled at the Metropolitan State University of Denver. Additional support will be required for each
dependant.
DEPENDANT(S)
INFORMATION
1. First Dependa
nt: ________________________________________________________________________________
(PLEASE USE NAME EXACTLY AS IT APPEARS ON PASSPORT) FAMILY (SURNAME) FIRST (GIVEN) MIDDLE
2. Relationship to
Student: O SPOUSE O CHILD
3. Date of Birt
h: ___________________________________________
MONTH DAY YEAR
4. Gender: MALE FEMALE
5. Place of Bir
th: __________________________________________ ______________________________________
CITY COUNTRY
6. Country of Citizenship:___________________________Country of Permanent Residency:_____________________
1. Second Dependan
t:_____________________________________________________________________________
(PLEASE USE NAME EXACTLY AS IT APPEARS ON PASSPORT) FAMILY (SURNAME) FIRST (GIVEN) MIDDLE
2. Relationship to Student: O CHILD
3. Date of Birt
h: ___________________________________________
MONTH DAY YEAR
4. Gender: MALE FEMALE
5. Place of Bir
th: __________________________________________ _____________________________________
CITY COUNTRY
6. Country of Citizenship:___________________________Country of Permanent Residency:____________________
1. Third Dependant:_
____________________________________________________________________________
(PLEASE USE NAME EXACTLY AS IT APPEARS ON PASSPORT) FAMILY (SURNAME) FIRST (GIVEN) MIDDLE
2. Relationship to Student: O CHILD
3. Date of Birt
h: ___________________________________________
MONTH DAY YEAR
4. Gender: MALE FEMALE
5. Place of Bir
th: __________________________________________ _____________________________________
CITY COUNTRY
6. Country of Citizenship:___________________________Country of Permanent Residency:____________________
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