affidavit of financial support for international students

AFFIDAVIT OF FINANCIAL SUPPORT FOR INTERNATIONAL STUDENTSImportant: You must return this from along with an official bank statement from your funding source. The Bankstatement must not be any older than 60 days from date sent and must have enough funds to cover yourdesignated expenses. We recommend you request 2 original copies of each statement in case one gets lost in themail. If you are providing more than one bank statement, you must have a letter from each sponsor.Instruction: Before filling out this form, please refer to the enclosed Estimate of Expenses and make sure that yourfunding equals the amount necessary to attend Washington University. For students who have to take 60 creditsyou have to provide financial statements in the amount of $50,145 for your first academic year. For students whowere given advanced standing (meaning you have a Bachelor in Social Work and only need to take 41 credits), youhave to provide financial statements in the amount of $40,189 for your first academic year.Please complete this form in full. This form must be completed before Washington University can issue your visaeligibility document: I-20 or IAP-66. All sources of support must be shown in US dollars for a nine-monthacademic year, plus the cost of living expenses.APPLICANT’S PERSONAL INFORMATION (please print):Name: Last (family) First (given) Middle_____________________________________________________________________________________________Permanent Address:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Current Address: (if different from permanent address)_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Country of Citizenship:Date of Birth (month/day/year):Marital Status (circle one): Single Married Divorced WidowedDEPENDENT INFORMATIONCheck the appropriate item:1. ____ I plan to come alone2. ____ My dependents will join me later3. ____ The following dependents will accompany me to the U.S. (see next page)

List the dependents for 2 & 3:Dependent’s Name Birthdatem/d/yCountry of birth /Country of citizenshipRelationship toyouDate they willjoin you (no. 3)AFFIDAVIT OF SUPPORT:Please indicate the amount of funds available to you for the 2010-2011 academic year from:1. Personal/Family $____________2. Grants/Scholarships $____________ From Whom__________________(must provide letter of award)$____________ From Whom__________________$____________ From Whom__________________3. Sponsor $____________ (to be filled out by the sponsor and bank statement must be provided)Name: Last (family) First (given) Middle_____________________________________________________________________________________________Address:__________________________________________________________________________________________________________________________________________________________________________________________Relationship to applicant:_____________________________________________________________________________________________Signature:_____________________________________________________________________________________________Date:_____________________________________________________________________________________________4. Other source: $_________ Identify _____________(Please ask your funding agency to provide an original letter stating its support to you)5. Room and Board Sponsor?* (circle one) YES or NO If yes, subtract $11,400 from total cost.*6. Add all funds $__________ Does this amount equal to necessary funds? (circle one) YES or NOAmount Must Equal $50,145, or for Advanced Standing $40,189*If you have someone in the United States who will provide Room and Board for you at no charge, you can deduct $11,400from your cost of living, making $6,700 the amount you must show. A letter of support and bank statement from your sponsormust accompany this affidavit.