REV 07/20/20
TO BE COMPLETED BY OFF-CAMPUS HOUSING 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 will provide room and board at NO COST to the student at my residence while studying at Monroe.
My housing contributions will extend to each year of the student’s study at Monroe College until completion of his/her degree.
That I am employed by:
Name of Business: __________________________________________________ Position/Job Title: ______________________________________________________________
Street and Number: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
City: ________________________________________________________________ State/Province: __________________________________________ Zip/Postal Code ______________________________________ Country: __________________________________________________________
I affirm that I know the contents of this affidavit signed by me and the statements are true and correct.
Signature of Sponsor: _______________________________________________________________________ Date: ________________________________________________
OFF-CAMPUS HOUSING SPONSOR AFFIDAVIT OF SUPPORT
click to sign
signature
click to edit
![]()
