Affidavit Of Support - Upper Iowa University
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1Center for International Education
605 Washington Street
PO Box 1857
Fayette, IA 52142
Phone: +1 (563) 425-5852
Fax: +1 (563) 425-5833
E-mail:
international@uiu.edu
Web:
AFFIDAVIT OF SUPPORT
I, ___________________________________ agree to provide complete financial support for
(Name of Financial Supporter)
_______________________________, who is my ____________________________, during
(Name of Student)
(Relationship to Supporter)
their academic program at Upper Iowa University located in Fayette, Iowa in the United States of
America. This financial support will include tuition, room, board, health insurance, books, supplies, and
other items as necessary for a successful education at Upper Iowa University.
I affirm that the attached bank statement is a true reflection of my commitment to support the
individual named above throughout their academic program at Upper Iowa University.
Signature of Financial Supporter: ________________________________________
Name of Financial Supporter: ___________________________________________
Date: _______________________________________
Please send completed form and original bank statement to:
Center for International Education
Upper Iowa University
605 Washington Street
Box 1857
Fayette, IA 52142
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