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Fillable Printable International Students Affidavit of Support - Southern Arkansas University

Fillable Printable International Students Affidavit of Support - Southern Arkansas University

International Students Affidavit of Support - Southern Arkansas University

International Students Affidavit of Support - Southern Arkansas University

Southern Arkansas University
International Students Adavit of Support
You must certify that you will have funds available to cover your expenses for your rst academic year (9 months) at
Southern Arkansas University. Students who plan to stay in the United States through the summer will need additional
funds for that three-month period. F1 students are not authorized to work o campus and on campus employment is
limited to part-time during the academic year, so employment is not a signicant means of support while at SAU.
Please check the appropriate box:
I plan to come alone (F1).
I plan to bring the following dependents with me (F2 - include a copy of passport).
Family Name, First Name Relationship
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
I plan to have my dependents come later.
For dependents to be included on the I-20, add $2,500 for spouse and $1,200 for each child to expenses.
IF STUDENT IS BEING SPONSORED (Parent/Family/Other)
This is to certify that I have read the information furnished by the applicant on this form, that it is true and
accurate, and that the funds are available and will be provided as specied.
Sponsor's name (printed)______________________________________________________________________
Relationship of sponsor to applicant ____________________________________________________________
Sponsors signature __________________________________________________ Date ___________________
STUDENT STATEMENT
I understand that tuition and fees are payable in full at the beginning of each semester. I certify that the
above information provided is correct and complete and that I shall notify SAU of any change to my nancial
circumstances.
Students Signature___________________________________________________ Date ___________________
Family Name First Middle
Applicants Name:
Sources and amounts of nancial support (indicate amounts in U.S. dollars).
Indicate the amount from each source below.
a. FROM SAVINGS OR PERSONAL FUNDS .................................................................................................................... $ _______________
(Send bank statement or letter signed by bank ocial. If not in English, the bank statement or letter must be
accompanied by a translation.)
b. FROM FAMILY OR FRIENDS ........................................................................................................................................... $ _______________
(Complete Sponsor section below and send a bank statement showing the availability of funds.)
c. FINANCIAL SUPPORT FROM GOVERNMENT AGENCY, PRIVATE FOUNDATION, OR
OTHER ORGANIZATION ................................................................................................................................................. $ _______________
Name of sponsoring organization: ___________________________________________________________________
(Send the original form or ocial copy of your award as evidence of nancial support. The statement of nancial
support must be in English.)
d. FINANCIAL SUPPORT FROM SOUTHERN ARKANSAS UNIVERSITY ................................................................. $ _______________
(You must apply separately for undergraduate scholarships at
http://web.saumag.edu/international/tuition-scholarships/scholarship/ .)
TOTAL SUPPORT FOR FIRST YEAR OF STUDY AT THE SOUTHERN ARKANSAS UNIVERSITY ................... $ _______________
(Total must equal or exceed current estimated total academic year expenses per our cost at
http://web.saumag.edu/international/tuition-scholarships/cost/ .)
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