Affidavit of Financial Support - Calhoun Community College

Affidavit of Financial Support
For
Admission to Calhoun Community College
NOTE: Colleges and Universities in the United States are required to have documentation of adequate financial support
before they may legally admit an international student for study. Proper completion and submission of this form by the
financial sponsor with adequate bank statements are required.
This form must be TYPED or PRINTED clearly in INK
INSTRUCTIONS: This form is to be completed by prospective STUDENTS’S FINANCIAL SPONSOR ONLY.
1. Studen t ’s Name: _____________________________ _______________________________________
(Family Name in Capital Letters) (First) (Last)
2. Sponsor ’s Name:__ _______________________ _______________________________________ ____
(Family Name in Capital Letters) (First) (Last)
3. Mailing Address of Sponsor: ____ _________ ________________________ _____________________
4. Relations hip to Studen t:________________________ 5. County of Birth:______________ _________
6. Date of Birth: ________________ _________ __7. Country of Citizenship____________________ ___
(Month) (Day) (Year)
8. Employer of Source(s) of income and net amount (U.S. Dollar) received per year.
_________________________________________ $ _______________________________________
_________________________________________ $ _______________________________________
9. Position or Job Title:_________________________________________________________________
10. Person s d ep end ent upon sponsor for financial support (other than prospective student):
Name of Person Age Relationship
__________________ ________ _____________ ________
_______________ ___ ________ _____________________
__________________ ________ _____________ ________
11. Number of persons named above who are or w ill be studying in the United States: ________________
12. Does your government re quire you to obtain their permission in order to transfer funds to the U.S. to
financially support the prospective stud ent? YES ________________ NO ___ ___________________.
If “YES”, please list the documents you will need from Calhoun Community College to obtain the required
permission:_________________________________________________________________.
13. Calhoun Community College has a policy which prohibits students from registering for classes unless
the studen t p ays all tuitio n and fees at reg istratio n. Do you anticip ate an y diff iculty in assu ring th at th is pro spectiv e
student will have sufficient funds in his/her possession at each registration YES__________ NO __________.
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