Declaration & Certification Of Finances For Undergraduate Students Page 2

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Student and Scholar Immigration Services
Fax: (330) 972-6475
immigration@uakron.edu
PART 2 (TO BE COMPLETED BY THE SPONSOR OF THE STUDENT):
I certify that I am the financial sponsor of
(please enter student’s name). I am
providing financial support in the amount of USD $
per year to cover the all costs associated with the
student’s education.
(Please attach a copy of your financial documentation).
Relationship to the student:
(example: parent, friend, employer, etc.).
(If you are a U.S. Citizen/Permanent Resident planning to sponsor an international student, you must also attach the completed Form I-134 “Affidavit of Support”. The
form can be downloaded from If the student is currently outside of the USA and will apply for an F-1 or J-1 visa, you should also send the
original I-134 and supporting documentation to the student to submit to the U.S. Embassy during their visa application process. )
Sponsor’s Full Name:
Signature:
Date:
PART 3 (TO BE COMPLETED BY THE STUDENT):
(If you will be bringing your spouse and/or children, complete the chart below. Otherwise, please leave this section blank).
This information will be used to issue the dependent I-20(s) or DS-2019(s) for your spouse and/or child(ren):
Date of Birth
Country of
Relationship
Family (Last) Name, First Name(s)
Country of Birth
Gender
(mm/dd/yyyy)
Citizenship
(Spouse or Child)
1.
You must submit copies of passports for all of your dependents.
2.
If bringing your spouse, submit a copy of your marriage certificate (translated into English).
3.
If bringing your child(ren), submit a copy or copies of their birth certificate(s) (translated into English).

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