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10650 Hickory Ridge Rd. | Columbia, Maryland 21044 | Phone: 443-518-1681 | Fax: 443-518-4067
E-mail: ei@howardcc.edu | http://www.howardcc.edu/ei
To be completed by Room and Board sponsor in the United States
If you do not have a room and board sponsor, or if your financial sponsor will ALSO provide
funds for room and board, you do not need to complete this form.
I will be providing Room and Board for ______________________________________while he/ she studies in the
United States. Student’s name
Name: _________________________________________________________________________
First Middle Last
Address: ________________________________________________________________________
Street address Apt. #
_________________________________________________________________________________________________
City State Zip code
Phone number: (____)____________________ (____)_________________________
Home Cell phone/work phone
E-mail address: __________________________________________
Relationship to student: _________________________
Select one
ROOM AND BOARD SPONSOR’S AGREEMENT AND SIGNATURE:
I will be providing room and board for this student. I understand that he/she may not work as a condition of
my sponsorship. I understand that this would seriously jeopardize the student’s immigration status.
______________________________________________________ _______________________
Sponsor signature Date
EI International F1 Student
Room and Board Sponsorship
