Economic Hardship Page 5
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7INTERNATIONAL STUDENT SERVICES
DELAWARE STATE UNIVERSITY
1200 North Dupont Highway, Dover, DE 19901
Phone-1-302-857-6474; Fax: 1-302-857-6567
ECONOMIC HARDSHIP
THIS IS MY REVISED STATEMENT OF ANNUAL CASH SUPPORT
I,
, promise that I can and will give no less than
Name
U.S. $ ____________________ in cash (including annual cost of living increases) FOR EVERY
YEAR of study to:___________________________
___.
Full name of student
My relation to the student is _________________________________________.
Parent, spouse, brother/sister, friend
Address
_____________________
City
State
Zip code
Phone __________________
Fax___________________ email_______________________
The following persons are fully or partially dependent upon me for their support. (Do not
include the student named above).
Name
Relationship to me
Age
Name of my employer
___________.
Annual salary
(US Dollars)
Other Income
(US Dollars)
My proof of income and bank statements are attached:
Yes
No
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