Fillable Printable Affidavit of Support Form - Park University

Affidavit of Support Form - Park University

___________________________________

Seal and signature of Notary Public

or Government Official or

Administer of Oaths

Office of International Student Services

8700 NW River Park Drive

Box 3

Parkville, MO 64152-3795

Tel. (816) 584-6834, 6379

Fax (816) 505-5443

AFFIDAVIT OF SUPPORT FORM

Affidavit of support for _________________________________________________

(Full Name of Applicant)

This document must contain all of the appropriate signatures and notarizations before a prospective

student application is considered for admission to Park University. Supporting bank statements and/or

other financial documents must be submitted with this document.

The affidavit and supporting bank statements must be dated within 6 months of submitting your

application for admission.

Statement from Family or Sponsor

I, _________________________________, commit to providing financial support to the above

named individual for their duration of studies, whose relationship to me is _________________.

The exact nature and amount of my support is as follows:

Tuition: ___Yes ___No Room/Food: ___Yes ___No Books: ___Yes ___No

Health Insurance: ___Yes ___No Personal Expenses: ___Yes ___No

Total Amount per 12-month Period: __________________

I understand that the University will not be able to assist the prospective student financially

(unless specified otherwise), and I, the undersigned, understand that I am fully responsible and

accountable to the University, for maintaining the terms and statements of this form.

(sign only in presence of Notary)

__________________________________ __________ ____________________________

Family/Sponsor Signature Date Email address/telephone

____________________________________________________________________________

Family/Sponsor Address

international@mail.park.edu