Fillable Printable Affidavit of Support - Goldey-Beacom College

Affidavit of Support - Goldey-Beacom College

Affidavit of Support

Dear International Applicant:

It is your responsibility to demonstrate that sufficient funding is available to meet all College and living expenses for the

duration of your studies. An I-20 form can only be issued after this form is completed, notarized, and returned to the

Admissions Office of Goldey-Beacom College. As you will need copies of your financial documentation to prove to United

States Consular Officials that you have sufficient funds, we recommend that you make copies of this form and all

supporting documents. Please note: The Office of Admissions will accept only documents that bear ORIGINAL

signatures, stamps and seals. No photocopies will be accepted. If you have more than one sponsor, please make a

photocopy of this form for each sponsor before having it completed.

1. Student’s Name________________________________________________________________________

Surname (family name) First Middle

2. Sponsor: (This section must be completed by the sponsor or sponsoring organization.)

NAME OF SPONSOR (print)_____________________________________________________________________

COMPLETE ADDRESS_________________________________________________________________________

RELATIONSHIP OF SPONSOR TO APPLICANT_____________________________________________________

This is to certify that I, the sponsor (sponsor’s name)_________________________________, will provide the funds in

the amount of at least U.S. $30,733 plus any increase due to inflation per academic year for tuition, fees, living expenses

and miscellaneous expenses for (student’s name) ____________________________. The support will continue for the

duration of this student’s program of study. Furthermore, I understand that I am responsible for any and all debts incurred

by the student while attending Goldey-Beacom College. My signature below certifies my sponsorship.

___________________________________________________________________________________________

Signature of Sponsor (to be signed in front of Notary Public or other legal official) Date

Subscribed and Sworn to before me this

______date of_____A.D., 19_____

____________________________________ Signature of official

____________________________________ Title of official (Seal or stamp of certification)

3. Student: (This section must be completed by the applicant.)

I certify that I take all financial responsibilities should my source of funding, as specified above, be interrupted or stopped.

_________________________________________________________________________________________

Student’s Signature Date

BANK STATEMENT

(To be completed by bank official)

This is to certify that___________________________________________________________________________

Family's Name or Sponsor’s Name (please print)

is a customer of______________________________________________________________________________

Name of Bank (please print)

His/her account was opened on ____________________________________ and, for the past year, has shown an

average balance of $_______________, which is equivalent to U.S.$____________.

The funds that are currently in this/these account(s) total $___________ which is equivalent to U.S.$___________.

These funds are available to___________________________________________________ upon his/her request.

Name of Sponsor

Account number(s)________________________________________________________

Signature of bank official____________________________________________________

Title____________________________________________________________________

Address_________________________________________________________________

_________________________________________________________________

Telephone Number________________________________________________________

Date___________________________________________________________________ Bank Seal

Required

___________________________________________________________________________________________

Estimate of Expenses of International Students

Division of Graduate Studies

Goldey-Beacom College

Tuition and fees $16,956

Living expenses $13,777

Estimated expenses for one academic year* $30,733

*Please note: Estimated expenses for one academic year quoted above are for students alone; expenses for married

students and those with dependents will be higher.