Self-Sponsor:
Are you sponsoring yourself? YES NO
*No: see Private/Family Sponsors
*Yes: submit your bank statement* OR Financial Statement Form completed by your bank official and explain
“How do you plan to secure financial support after the first year?”.
__________________________________________________________________________________________________________________
Private/Family Sponsors:
Your sponsors must complete the section below. They will need to submit either a bank statement* from
their checking/saving accounts or an official bank certification on the Financial Statement Form.
“I hereby guarantee without reservation to support the education cost and living expenses (tuition
and fees, room and board, health insurance, travel and personal expenses) for the student whose
name appears below while he/she is enrolled at OCC. I understand that the applicant, if accepted to
this college, will be a full-time student who may not accept unauthorized on‑campus or off‑campus
employment as specified under regulations of the U.S. Department of Homeland Security (DHS).”
Sponsor’s name: _______________________________________________________________________________________________
Relationship to Student: _______________________________________________________________________________________
Sponsor’s mailing address: ____________________________________________________________________________________
__________________________________________ ___________________________________________ _________________________
Sponsor’s Signature: __________________________________________________ Date: _________________________________
Applicant, please explain “How do you plan to secure financial support after the first year?”.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
I certify that the information provided above is complete and correct to the best of my knowledge.
Student’s Name: ___________________________________________________________________________________________________
Student’s Signature: ____________________________________________ Date: ____________________________________________
