AFFIDAVIT OF FINANCIAL SUPPORT FOR INTERNATIONAL ...
AFFIDAVIT OF FINANCIAL SUPPORT FOR INTERNATIONAL ...
AFFIDAVIT OF FINANCIAL SUPPORT FOR INTERNATIONAL ...
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<strong>AFFIDAVIT</strong> <strong>OF</strong> <strong>FINANCIAL</strong> <strong>SUPPORT</strong> <strong>FOR</strong> <strong>INTERNATIONAL</strong> STUDENTS<br />
Important: You must return this from along with an official bank statement from your funding source. The Bank<br />
statement must not be any older than 60 days from date sent and must have enough funds to cover your<br />
designated expenses. We recommend you request 2 original copies of each statement in case one gets lost in the<br />
mail. If you are providing more than one bank statement, you must have a letter from each sponsor.<br />
Instruction: Before filling out this form, please refer to the enclosed Estimate of Expenses and make sure that your<br />
funding equals the amount necessary to attend Washington University. For students who have to take 60 credits<br />
you have to provide financial statements in the amount of $57,180 for your first academic year. For students who<br />
were given advanced standing (meaning you have a Bachelor in Social Work and only need to take 44 credits), you<br />
have to provide financial statements in the amount of $45,932 for your first academic year.<br />
Please complete this form in full. This form must be completed before Washington University can issue your visa<br />
eligibility document: I-20 or IAP-66. All sources of support must be shown in US dollars for a nine-month<br />
academic year, plus the cost of living expenses.<br />
APPLICANT’S PERSONAL IN<strong>FOR</strong>MATION (please print):<br />
Name: Last (family) First (given) Middle<br />
_____________________________________________________________________________________________<br />
Permanent Address:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Current Address: (if different from permanent address)<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Country of Citizenship:<br />
Date of Birth (month/day/year):<br />
Marital Status (circle one): Single Married Divorced Widowed<br />
DEPENDENT IN<strong>FOR</strong>MATION<br />
Check the appropriate item:<br />
1. ____ I plan to come alone<br />
2. ____ My dependent(s) will join me later<br />
3. ____ The following dependent(s) will accompany me to the U.S. (see next page)
List the dependents for 2 & 3:<br />
Dependent’s Name Birthdate<br />
m/d/y<br />
Country of birth /<br />
Country of citizenship<br />
Relationship to<br />
you<br />
Date they will<br />
join you<br />
<strong>AFFIDAVIT</strong> <strong>OF</strong> <strong>SUPPORT</strong>:<br />
Please indicate the amount of funds available to you for the 2013-2014 academic year from:<br />
1. Personal/Family $____________<br />
2. Grants/Scholarships $____________ From Whom__________________<br />
(must provide letter of award)<br />
$____________ From Whom__________________<br />
$____________ From Whom__________________<br />
3. Sponsor $____________ (to be filled out by the sponsor and bank statement must be provided)<br />
Name: Last (family) First (given) Middle<br />
_____________________________________________________________________________________________<br />
Address:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Relationship to applicant:<br />
_____________________________________________________________________________________________<br />
Signature:<br />
_____________________________________________________________________________________________<br />
Date:<br />
_____________________________________________________________________________________________<br />
4. Other source: $_________ Identify _____________<br />
(Please ask your funding agency to provide an original letter stating its support to you)<br />
5. Room and Board Sponsor* (circle one) YES or NO If yes, subtract $12,500 from total cost.*<br />
6. Add all funds $__________ Does this amount equal to necessary funds (circle one) YES or NO<br />
Amount Must Equal $57,180, or for Advanced Standing $45,932<br />
*If you have someone in the United States who will provide Room and Board for you at no charge, you can deduct $12,500<br />
from your cost of living, making $7,500 the amount you must show. A letter of support and bank statement from your sponsor<br />
must accompany this affidavit.