Fillable Printable Affidavit of Financial Support for International Students - Campbellsville University

Affidavit of Financial Support for International Students - Campbellsville University

Affidavit of Financial Support for

International Students

All students who require an F-1 visa are required by U.S. government regulations to provide

financial documentation to support their tuition, fees, and living expenses for 1 year in the U.S.

Financial documentation of adequate funds must be submitted in the form of a recent bank

statement (within the last 3 months), with a bank logo, and must include the sponsor’s name.

An I-20 document WILL NOT be issued until proof of adequate funds is provided. If you are

receiving government sponsorship, a letter of support stating the exact terms and length of the

scholarship including any provisions must be provided.

To be completed by the STUDENT:

Last/Family Name:

First Name: Middle Name:

Date of Birth: / / (mm/dd/yyyy) Country of Citizenship: _____

Do you currently have a US visa? No Yes If yes, what kind?

A separate affidavit is required for each sponsor.

The total funds on the affidavit(s)

must be equal or greater to the total funds needed for one year of study .

To be completed by the SPONSOR: Family Friend Self

Other

Last/Family Name:

First Name: Middle Name: _____

Relationship to Student: Telephone: ___________________

Address:

City:____________ Province/State:_____________ Postal Code:____________

Email Address: __

I will provide FULL FINANCIAL SUPPORT for the applicant’s educational and living expenses for the entire

length of study at Campbellsville University. I have attached a recent bank statement proving finances for the

first year of study.

I will provide PARTIAL FINANCIAL SUPPORT for the applicant’s educational and living expenses.

Amount of Support per year: USD$ Duration of Support: years

PLEASE CONTINUE COMPLETING THIS FORM ON THE BACK

Information on the back

To be completed by the SPONSOR: Family Friend Self Other

Last/Family Name:

First Name: Middle Name: _____

Please indicate your family’s monthly income, in American Dollars: $_____________

Please indicate your family’s monthly expenses, in American Dollars: $____________

Please indicate your monthly financial capacity to pay for the student expenses, in

American Dollars: $_____________

I certify that all information provided on this affidavit and the attached financial documentation is true and

valid. I understand that failure to provide adequate funding can result in the student’s dismissal

Signature: Date:

Return the Financial Affidavit of Support and three (3) months of financial statements:

Campbellsville University Center for International Education

1 University Dr. UPO 796

Campbellsville, KY 42718

Fax: (270) 789-5142 Email: international@campbellsville.edu

You must provide copies of bank state-

ments for past three (3) months, to support

the information on this form

By entering your full name above you agree that all the information provided on this form is true and genuine.