Affidavit of Financial Support for Undergraduate Applicants - Kansas

AFFIDAVIT OF FINANCIAL SUPPORT FOR UNDERGRADUATE APPLICANTS
STUDENT INFORMATION
Name of Student________________________________________________________________________________
Family/Surname First/Given Middle
Date of Birth______________ Birthplace_________________________ Country of Citizenship_________________
Month/Day/Year City and Country
DEPENDENT INFORMATION
If dependents will accompany you to the United States on F-2 or J-2 visa(s), please complete this section.
SPONSOR INFORMATION Relationship to Student______________________________________
(Parent, Aunt, Uncle, Friend, Self, etc.)
Name of Sponsor________________________________________________________________________________
Family/Surname First/Given Middle
Address_______________________________________________________________________________________
Street Address City State/Province Postal Code Country
E-mail________________________________________________ Country of Citizenship______________________
CERTIFICATION AND AFFIRMATION
This affidavit is made by me for the purpose of assuring the United States government that the above-named student will not
become a public charge while in the United States. I understand that Kansas State University will not be able to financially assist
the student. I swear that I am willing and able to maintain and support the above-named student. I will make available to the
above-named student the necessary amount for one year of undergraduate study at Kansas State University. I have included
credible documentation that attests to my ability to provide these funds to the above-named student.
By signing, I acknowledge that I am aware of my responsibilities as the sponsor of the above-named student. I swear or
affirm that I know the contents of this affidavit signed by me and the statements are true and correct.
_________________________________________
Sponsor’s signature
_________________________________________
Date
Please return this document to the International Admissions & Recruiting. All affidavit and application materials will become the property of Kansas
State University and will not be returned.
Page 3/3, Updated 7/2015
Relationship to
Student
Gender
Name
Family/Given/Middle
Date of Birth
MM/DD/YYYY
Country of
Birth
Country of
Citizenship
Spouse
Child
Child
Child
Office of International Admissions 203A Fairchild Hall
Manhattan, KS 66506
Phone (785) 532-7277 Fax (785) 532-4311
Email intladmit@k-state.edu
Page 3/3
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