Fillable Printable Affidavit of Support Form - Santa Clara University

Affidavit of Support Form - Santa Clara University

FORMS (Affidavit-of-Support-2013.pdf) 03/2013

International Student Services

Global Engagement Office

Phone: (408) 551-7037

Fax: (408) 554-2340

AFFIDAVIT OF SUPPORT

__________________________________________________________________________________

This form is required of all admitted students requesting an I-20/DS-2019 immigration form. The University is required by

U.S. federal regulations to obtain documentation proving that you have current resources available to support yourself (and

your dependents, if applicable) during your first year of study at SCU. For a list of the current estimated expenses for

international applicants, please visit: http://www.scu.edu/advising/internationalstudents/Estimated-Expenses.cfm

__________________________________________________________________________________________

PART A: Financial Certification (the person/persons responsible for paying your expenses must sign this portion of the

form)

Source of funding (check all that apply): □ Personal □ Parent/Guardian or other family member(s)

□ Sponsor (non-family member) □ Other (circle one): government company university

Type of Award: ________________________________

Sponsor certification (to be completed by each family member or sponsor). If you have more than one sponsor, please

attach an additional sheet(s).

This is to certify that I will provide financial support in the amount of $_______________ (U.S. dollars) for the student’s

first academic year of study at Santa Clara University (and dependents, if applicable). I understand that I will need to

provide at least the previously mentioned amount each year for the duration of the student’s studies at SCU. I further

certify that the funds are available to the student and the financial documents are attached with this form.

Sponsor’s Signature: ___________________________________________________ Date: ______________

Printed Name of Sponsor: ______________________________________________________________________

Sponsor’s Relationship to Student (i.e., parent, brother, aunt, friend):

_____________________________________________________

Sponsor’s Address: _____________________________________ Sponsor’s E-mail:______________________

_____________________________________________________ Sponsor’s Phone:______________________

PART B: Student Certification

This is to certify that the total amount of money that is available for my first academic year of study at Santa Clara

University (and dependents, if applicable) is $_______________ (U.S. dollars). I further certify that the above information

is correct and complete, and that I shall notify International Student Services at SCU of any changes in my financial

circumstances. I understand that I am ultimately responsible for all anticipated yearly expenses for the entire length of my

stay at SCU.

Student’s Signature: ___________________________________________________ Date: ______________