Fill - Free fillable Form 2.: FINANCIAL SUPPORT FORM - F1 Dependents (Tallahassee Community College) PDF form

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FINANCIAL SUPPORT FORM - F1 Dependents

Instrucons:

1.Completestatement(printortype)andsign.Make sure to include all dependent's information.

2.

Includeyourspo

nsor’sinformaoninthespacesprovidedbelow.

3.Aachanyrequireddocumentaonshowingsourceoffunding(e.g.,cerﬁcaonleerfromabankonoﬃcialbankleerhead,bankstatement,

sponsorleer,etc.).Acco

mpanyingdocumentsmustbearoriginalsignatureorseal.Pleaserefertopage5formoreinformaon.

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_______________________________________________________________________________________________________________________________________

LastNameFirstNameMiddleName



________________________________________________________________________________________________________________________________________

AddressTownorCity

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______________________________________________________________________________________________________________________________________

ProvinceorStateCountryZipCode



Indicatebelowthenameofyoursponsor(s)andthesponsor(s)address.YouwillalsoneedtoindicatetheamountsandsourcesoffundsinU.

S.dollar

syouexpecttohave

availabletomeetthenecessaryexpenses.Aminimumof$23,850isrequired.Addionalfundsmustbeallowedforspouse(h usband/wife)orfamily(approximately$3,000

forspouseand$1,000foreachchildperyear).Theamountshownshouldbeincludedbelow.NOTE:

Ifyouhavemorethanonesponsor,pleasestatethenameandamount

providedbyeachsponsorseparately(submitasponsorshipleerfromeachsponsor).Pleaserefertopage5formoreinformaon.

NameofSponsor:

______________________________________________

RelaonshiptoStudent:

______________________________________________

Address:

______________________________________________



City:

______________________________________________

Country:

______________________________________________

Amount$________________________________

NameofSponsor:

______________________________________________

RelaonshiptoStudent::

______________________________________________

Address:

______________________________________________



City:

______________________________________________

Country:

_________________________________________

Amount$________________________________

NameofSponsor:

_________________________________________

RelaonshiptoStudent::

_________________________________________

Address:

_________________________________________



City:

_________________________________________

Country:

___

_____

_________________________________

Amount$________________________________

WillyourfamilyaccompanyyoutotheUnitedStates?_____Yes_____NoIf‘yes’howwilltheybesupported?

______________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________

Name:________________________________________________________________

DateofBirth:_______/_______/_______

RelaonshiptoStudent:__________________________________________________

PlaceofBirth:___________________________Cizenship:____________________

Name:________________________________________________________________

DateofBirth:_______/_______/_______

RelaonshiptoStudent:__________________________________________________

PlaceofBirth:___________________________Cizenship:____________________

Name:________________________________________________________________

DateofBirth:_______/_______/_______

RelaonshiptoStudent:__________________________________________________

PlaceofBirth:__

_________________________Cize

nship:____________________

Inthespacesbelow,pleaseprovidebiographicaldataoneachpersonaccompanyingyoutheUnitedStates.Pleaseaachanyaddionalinformaonif

necessary.

Iherebycerfythattheabovestatementsarecompleteandaccuratetothebestofmyknowl edge.Iamfullyawarethatanyfalseormisleadingstatementbymeormy

sponsor(s)canresultinadenialorcancellaonofadmission.

SignatureofApplicant

_______________________________________________________________________Date_________________________________

PrintedName

_____________________________________________________________________________

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Form 2.: FINANCIAL SUPPORT FORM - F1 Dependents (Tallahassee Community College)

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