Fillable Printable Affidavit of Financial Support and Bank Certification - Florida

Affidavit of Financial Support and Bank Certification - Florida

1 UNF Drive

Jacksonville, FL 32224

Phone: (904) 620-2657 Fax: (904) 620-3925

E-mail: intlctr@unf.edu

INTERNATIONAL CENTER

Estimated Costs of Attendance for International Students

The University of North Florida is required by U.S. federal regulations to verify the financial

resources of each applicant prior to issuing a SEVIS I-20. Please complete the Affidavit of

Financial Support and Bank Certification and submit it along with any other relevant

verification of support (bank letters, awards, scholarships, etc.). You must show proof of

financial support for the first year of study at the University of North Florida and demonstrate

availability of funds for the entire length of your academic program.

Estimated International Student Costs for One Academic Year (two semesters)

These figures are subject to change without notice. Costs are adjusted yearly.

Undergraduate

Graduate

Tuition and Fees*

$16,560

$18,738

Room and Board**

$ 8,880

Books & Supplies

$ 900

Miscellaneous Expenses

$ 6,415

(health insurance***, transportation, etc.)

TOTAL****

(per one nine-month academic year / Fall & Spring

$32,755

$34,933

Semesters)

*Undergraduate tuition and fees are based on estimates for 12 hours per semester (undergraduate

students must register for a minimum of 12 hours each semester). Graduate tuition and fees are

based on estimates of 9 hours per semester.

**Room and Board is based on an average of on-campus housing options and the most popular

on-campus meal plan. Some housing choices will be higher and some will be lower. Actual

costs will vary depending on choice of room and meal plan. Off-campus costs will depend on

choice of accommodations and utilities.

***All F-1 international students are required to carry health insurance.

****Add $3,500 to the above totals for each dependent.

NOTE: The above figures are estimates only, not actual costs. Because tuition, housing, and food

costs tend to increase every year, it is recommended that you budget for an additional 5% to 10%

over the estimated costs above. If you plan to enroll for the summer term along with the fall and

spring terms, you should budget for at least an additional $8,000 to $13,000 depending upon the

number of credits you register for and your academic level.

Revised 09/2012

AFFIDAVIT OF FINANCIAL SUPPORT

AND BANK CERTIFICATION

Instructions

1. The financial sponsor must fully and properly complete this form. Incomplete Affidavits will not satisfy the financial

support requirement and thus may cause a delay in the immigration process for the applicant.

2. More than one sponsor is allowable. However, an individual Affidavit must be completed by each sponsor.

3. Only an original Affidavit or a certified true copy of the original is accepted. No changes, alterations, or modifications

may be made to any information on this form. Please type or print clearly in ink.

NAME OF APPLICANT: __________________________________________________________________________

(family name) (first name) (middle name)

On separate page list name(s), relationship(s), date(s) of birth, and country of birth for dependent(s) expected to accompany applicant.

Part I. Sponsor Information and Oath/Affirmation

Relationship to applicant:

Name: __________________________

___________________________

2. _____________________________

(family name)

(first name)

Address: ______________________________________________________________________________________

E-mail: _______________________________________

5. Telephone: ___________________________________

(include country and area codes)

Country of permanent residence: __________________

7. Country of citizenship: ___________________________

I make this Affidavit for the purpose of assuring the United States Government that the applicant, as well as the

applicant’s dependents in the U.S., will not become a public charge while in the United States. By my signature I state that

I have the following amount of funds (U.S. dollars) available for the academic year indicated and will make available

additional funds in similar amounts for subsequent years of study:

US $ __________________ for one academic year: _________________ to ________________ .

(beginning month/year) (ending month/year)

I acknowledge that I am aware of my responsibilities as the sponsor of the applicant. I swear or affirm that

(1) I understand the contents of this Affidavit signed by me and (2) the statements are true and correct.

Signature of Sponsor: _______________________________________________ Date: _______________________

Part II. Bank Certification

I certify that the total amount of readily available funds in the Sponsor’s bank account meets or exceeds the amount specified in

Part I above. Further, I certify that the information provided above is, to the best of my knowledge, true and complete.

THIS SPACE IS FOR STAMP/SEAL

OF BANK OR BANK OFFICIAL

Bank Official Signature: ________________________________

Bank Official Name/Title: _______________________________

Bank Name: ______________________________________

Bank Address: ____________________________________

Bank Telephone: ___________________________________

Bank Fax: ________________________________________

Date: _______________________________________________

AFFIDAVIT OF FINANCIAL SUPPORT

AND BANK CERTIFICATION