Fillable Printable International Student Affidavit of Support - LDS Business College

International Student Affidavit of Support - LDS Business College

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month/year

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International Student Affidavit of Support

Instructions to the Parent/Sponsor: Please answer all items completely. State monetary

amounts requested below in equivalent US dollars. Amounts must be equal to or greater than the

amounts required. Please discuss these amounts with the applicant before submitting this form.

Please fill out legibly.

If you do not complete all information, it will delay the student’s visa

process.

Estimated Undergraduate expenses for LDS Business College for two semesters (8 months)

Member Non Member

Tuition $3,100 $6,200

Living Expenses $8,000 $8,000

Other (Books, Supplies, Health Insurance) $1,500 $1,500

Total Expenses $12,600 $15,700

An additional U.S. $2,000 per year should be added to the above estimates for each dependent. All fees are subject to change

without notice.

This affidavit is executed on behalf of the following person:

Name: / Net ID: _______________

Surname/Family Name First,Middle

Date of Birth:_____________________ Citizen of (Country):_______________________ Marital Status:______________

Presently Resides At:

Street Address City State Country

Parent/Sponsor(s) Inform ation:

Parent/Sponsor’s Name: /

Surname/Family name First,Middle

Address:

Work Telephone: _____________________ Home Telephone: _____________________ Cell Phone:___________________

Email:________________________________________________ Parent/Sponsor’s Age:_________

Relationship to Applicant: Sponsor Father Mother Other (specify):________________________________________

Employment:

Pos it ion Held Co m pany Name

Net Annual Income (convert to US dollars):________________

Location

Convert the amount of money deposited in saving banks into US Dollars:__________________________

Types of Contribution: (check all that apply) All support Room and board Other:____________

Money/tuition Books and supplies

Total value in US$ per year:____________________ for a period of _____________ years, starting from ___________ to

_____________ or until applicant gr aduates college.

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Parent/Spons or Signature

Date

U.S. Immigration laws require international students to verify their ability to finance their educational and living

expenses for the entire time they are in the United States. Evidence of financial ability, not including travel expenses,

must be provided in one or a combination of the following ways:

1. Proof of the applicant’s personal funds (official bank statement is required to show the entire amount personally committed).

2. Sponsor and/or parent funds (official bank statement that matches the first-year expenses that they have committed to on the

Affidavit of Support [no inter net pr int -outs acceptable]).

3. A letter from the government must accompany this form if the government is contributing to the cost of the applicant’s

application.

Note: Student’s name and Net ID must be on each bank statement. Please keep a copy of documents (e.g. Affidavit of Support,

bank statement) for your own file.

This affidavit is made by m e for the purpose of assuring the U.S. Government that the person(s) named above will not

become a p ublic charge in the United States. I am willing and able to receive, maintain, and support the person(s)

named ab ove. I understand that if I do not provide the student financial assistance, the burden does not shift to LDS

Business College and the student will be required to return home due to lack of funds.