Affidavit of Financial Support Form - California State University, Northridge

Revised7/30/2015 PLEASECOMPLETEBOTHPAGES
AdmissionsandRecords
InternationalAdmissions
AFFIDAVITOFFIN A NCIALSUPPOR T
AllF1studentsarerequiredtoprovidedocumentationoffinancialsupportbeforeanI20documentcanbeissued.
Ifthestudentwillusehis/herownpersonalfundsasthesourceoffinancialsupport,thestudentMUSTPROVIDEABANKSTATEMENTshowingthe
availabilityofatleast$35,000(undergraduates)or
$34,000(graduates)inliquidassets.Bankstatementsandfinancialaffidavitsshouldbedated
noearlierthanJUNE1
st
forSpringapplicationsorOCTOBER1
st
forFallapplications.
Ifthestudentwillbesupportedbyaprivatesponsor(familymember,friend,orprivateinstitution),thesponsormustsigntheStatementof
FinancialObligationbelow.Inaddition,sponsorsMUSTPROVIDEABANKSTATEMENTshowingtheavailabilityofatleast$35,000
(undergraduates)or$34,000(graduates)inliquid
assets.
Ifthestudentwillbesponsoredbyapublicagency(embassy,homegovernment,publicinstitution,religiousorganization,etc.),theagencymust
providewrittenverificationthatthecostswillbecovered.Sponsorshipstatementsshouldreflectthesemesterandyearoftheapplication.
EstimatedStudentExpensesForOneSchoolYear(2 semesters)
(Theseamountsareestimatesandaresubjecttochangewithoutnotice.Actualexpensesmayvary.)
Undergraduate Graduate
Expenses
24units/2semesters
18units/2semesters
Tuition‐‐at$372perunit$8928.00$6696.00
Fees 6564.00 7830.00
BooksandSupplies1826.00 1826.00
RoomandMeals 13050.00 13050.00
Insurance(12monthcove rage)1725.00 1725.00
Otherexpenses(includingtransportationandpersonalexpenses) 2907.00 2873.00
TOTAL
$35,000.00 $34,000.00


FamilyMembers.Studentswhowillbeaccompaniedbyaspouseand/orchildrenwillneedtosubmitadditional
documentationoffinancialsupport($5000forspouseand$3000foreachchild).
Note.MBAandMSAstudentspayanadditionalamountof$254.00perunit.
StatementofFinancialObligation
StudentsrequiringaformI20mustcompletethisStatementofFinancialObligationandsupplyallappropriatedocumentationoffinancialsupport.
Ifthestudentwillbesupportedbyfundsotherthanhis/herperso nalfunds,thesponsormustsignbelow.Ifmorethanonesponsorwillprovide
financialsupport,eachsponsormustsignourFinancialAffidavitform,andeachsponsormustprovideanofficialbankstatementshowingthe
availabilityofthenecessaryfunds(pleaseseeEstimatedStudentExpensesabove).

Sponsor’sname(Print)_____________________________________________________________Relationshiptostudent___________________
Sponsor’ssignature________________________________________________________________________Date_________________________
Student’sname(Print)_____________________________________________________________
Student’ssignature__________________________________________________________________________Date________________________

Bysigningabove,thestudentandsponsorcertifythatsufficientfinancialresourceswillbeavailabletocoverallexpensesforthedurationof
studiesatCSUNorthridge.Further,bysigningabove,thestudentagreestomaintainadequatehealthinsuranceforthedurationofstudies.
Ifaspouseand/orchildrenwillbeincludedontheI20,pleaseprovidethefollowinginformation(Ifnecessary,useanextrasheetofpaper).

SpouseDateofBirth___________________________________
(FamilyorSurname) (GivenName)
CountryofBirthCountryofCitizenship Gender:Female____Male______
ChildDateofBirth___________________________________
(FamilyorSurname)  (GivenName)
CountryofBirthCountryofCitizenship Gender:Female____Male______
Page 1/2
Free Download

Affidavit of Financial Support Form - California State University, Northridge PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
3 Page(s) | 1092 Views | 3 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1231 Views | 11 Downloads