Affidavit Of Support - Westcliff University Page 3
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4Please indicate below the source and funds available for tuition and fees in support of your enrollment for
one year:
SECTION A: STUDENT
Please note: Self-sponsoring students residing in the U.S. must complete the
Form I-134 Affidavit of
Support from USCIS
instead of Westcliff University’s Affidavit of Support Form
Student’s Name: _______________________________________________________________________
Date of Birth (mm/dd/yy): ______ Country of Birth: ___________ Country of Citizenship: ___________
Email: _____________________________________________ Phone: ___________________________
Student’s Address (in U.S.): _____________________________________________________________
City, State, Postal Code: ________________________________________________________________
If the spouse or children will reside with the student in the U.S., please complete the following:
Last Name, First Name
Date of Birth (mm/dd/yy)
Country of Birth
Relationship to Student
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Available Funds: _____________________________________________________________________
Source of Funds (check all that apply):
Personal Savings
Sponsor
I certify that this document and all other documents submitted to Westcliff University in support of my
application are true and correct to the best of my knowledge:
_____________________________________
_____________________
Student’s Signature
Date
4199 Campus Drive, #650 IrvineCA 92612
888-491-8686 888-409-7306
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