Fillable Printable International Student Affidavit of Support - LDS Business College

International Student Affidavit of Support - LDS Business College

Page 1 of 2 mo nth/ y ear mo nth/ y ear Ple as e s ee nex t p ag e: Int erna t io na l St udent Affi davi t of S upp or t Instr uctions to t he Pa re nt/S ponsor : Please answer all i tems completely. State monetary amounts requested below in equivalent U S dollars. Amounts must be equal to or greater than the amounts required. Pleas e discus s these amounts with the appl ica nt before submitting this form. Please f ill out legibly. If you do not compl ete al l i nformatio n, it w ill de lay the studen t ’s visa Estimated Undergraduate expenses for LDS Business College for two semesters (8 months) Member Non Member Tuitio n $3,100 $6,200 Living E xpenses $8,000 $8,000 Other (Books, S upplies, Health Insurance) $1,500 $1,500 Total Expenses $12,600 $ 15,700

An additi onal U.S. $2,000 per year should be added to the above estimates for each dependent. A ll fees are subject to change

without noti ce. This affi davit i s exe c uted o n be half of the fol lowi ng pe rs on: Name: / Net ID: _______________ Sur name/ Fami ly Nam e First,Mi dd le

Date of Birth :_____________________ Citizen of (Country):_ ______________________ Marital Status :______________

Presently Resides At: Stre et Add ress City Sta te Cou ntry Pa rent /S ponsor( s) Infor m ation: Parent/S ponsor’s Name: / Sur name/ Fami ly nam e First,Mid dle

Work Telephone: _____________________ Home Telephone: _____________________ Cell P ho ne:___________________

Email:________________________________________________ Parent/S ponsor’s Age:_________

Relations hip to Applicant: Sponsor Father M other Other (speci fy):________________ ________________________

Employment: Pos it ion Hel d Co m p any N am e Net Annual Income (convert to US dollars):________________ Loc ati on Convert the amount of money deposited i n saving banks into US Dollars:__________________________ Types of Contribution: (check all that apply) All support Room and board Other:____________ Money/tuition Books and s upplies

Total value in U S$ per year:____________________ for a period of _____________ years, starting from ___________ to

_____________ or until applic ant gr aduates college.

Page 2 of 2 Par ent/S pons or Sign atur e

U.S . Immigra tion law s r equir e i nterna tional s tude nts t o v er ify their ability to finance their educational and living

expenses for the e n ti re time th ey are in the United States. Evidence of financial ability, not in cluding travel expenses,

must be pr ovided i n one or a c ombinatio n of the fol lowi ng wa ys:

1. Proof of the appli cant’s personal funds ( official bank statement is required to show the entire amount personall y committed ) .

2. S ponsor and/or parent funds (offic ial bank statement that matches the first - year expenses that they have committed to on the

Affidav it of Support [ no inter net pr int - outs acceptable ] ).

3. A letter from the government must accompany this form if the government is contributing to the cost of the applic ant’s

application.

Note: S tudent’s name and Net ID must be on each bank statement. Please keep a copy of documen ts (e.g. Affidavi t of Support,

bank statement) for your own fil e.

This affidavit is made by m e for the purpose of assuring the U. S. Gover nment t hat the p erson (s) named above will not

become a p u blic char ge in the United States. I am willing and able to receive, maintain, and s upport the pers on(s)

named ab o ve. I u nder stand t hat if I do n ot prov ide t he student f inancia l ass ista nce, the b ur den does no t shift to LD S