Affidavit Of Financial Support
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1Office of Admissions
Belmont Abbey College
100 Belmont-Mt. Holly Road
Affidavit of Financial Support
Belmont, NC 28012
704.461.6665
THIS IS AN ELECTRONIC FORM. PLEASE FILL IT OUT, SAVE IT & EMAIL IT IN WITH THE REST OF YOUR
INFORMATION.
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In consideration of, and in exchange for, the acceptance of
Student’s Name)
(
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who is my
as a student at Belmont Abbey College for the
(Relationship/Self)
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academic year beginning
.
(Month/Day/Year)
I certify I am able, willing, and do promise the minimum amount of $28,794 payable in U.S. dollars for
his/her/my tuition, fees, and living expenses annually. Evidence of my financial resources accompanies
this affidavit.
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Name of Sponsor (Please Print)
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Address
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Home phone
Work Phone
Email
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Occupation
Employer
Annual Salary
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Signature of Sponsor/Applicant Signature if Self-Supporting
Date (Month/Day/Year)
………………………………………………………………………………………………
Notes:
1.
This form must be accompanied by:
Three months of bank statements from the sponsor’s bank or other financial institution demonstrating sufficient funds
a.
for the agreed upon amount.
b.
Proof of income (income tax returns; pay stubs for six months; or official letter from employer on letterhead
indicating position, annual salary, length of employment)
c.
List of dependents (name, relationship, and age), not including student named above
2.
Information provided must be no more than six months old at the time of enrollment.
3.
You are advised to keep copies of all financial documents submitted to Belmont Abbey College. Similar information will be
required by the United States Consular Office when you apply for your visa or by the Immigration and Naturalization Service
when you apply for a change of status within the United States.
4.
Belmont Abbey College offers limited financial assistance only in the form of institutional athletic and academic scholarships.
5.
The 2013-2014 cost is $28,794 USD. All fees are subject to approval and modification by the Board of Trustees, and the
college reserves the right to request that an applicant show additional funds reflecting tuition and fees increases when
applicable.
Revised 11/30/12
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