Affidavit Of Support Form printable pdf download

Affidavit Of Support Form

AFFIDAVIT OF SUPPORT FORM

Undergraduate Program

Name of Applicant __________________________________________________

Last (Family Name)

First

Middle

Nationality

Date of Birth

________________________________________

______________

Month/Day/Year

Country of Birth

___________________________________

Directions: Please print or type. This form is only required if you are planning to be in the

United States with an F-1 Student Visa. If you are privately sponsored (by parents, relatives,

yourself, etc.), please have your sponsor complete Section A below. If you are sponsored by

your government or by your employer, please have your sponsoring agency complete Section B

on the second page. An International Student may have more than one financial sponsor. We

must receive a bank statement indicating an account balance from each sponsor listed to

verify available funds. The total amount of funds required is to $27,825 US.

Section A

Privately Sponsored Student

I am willing, able, and committed to provide financial support for all expenses during this

applicant’s education at Bellevue University. I promise to provide a minimum of to $27,825 US

per academic year to this applicant to cover all tuition, educational, and living expenses.

Name of Sponsor _____________________________________________________________

Relationship to Applicant ______________________________________________________

Signature of Sponsor _________________________________ Date ___________________

Affidavit Of Support Form