International Student Financial Affidavit of Support - California State University

International Admissions
Phone: 657-278-8011
Website:
http://internationaladmissions.fullerton.edu
E-mail: applyinternational@fullerton.edu
International Student Financial Affidavit of Support
SECTION A: STUDENT INFORMATION
1. Term applying for:
(Please check only one box)
Spring Fall Year: _________
2. Full legal name as listed in your passport: *A copy of your passport is required together with this form*
(Last name / surname/ family name) (First and middle name)
3. CWID: _____________________ 4. Date of Birth: ______________ 5. Email address: _________________________________
month/day/year
6. Country of birth: __________________________________ 7. Country of citizenship: __________________________________
8. Foreign address (Required from all students)
9. U.S. address – No P.O. Box allowed (If applicable)
Do you want your I-20 mailed here? Yes No Do you want your I-20 mailed here? Yes No
Line 1 Line 1
Line 2 Line 2
City Postal code City State Zip code
Country Foreign phone number U.S. phone number (if applicable)
SECTION B: SPONSOR INFORMATION
____________________________________________________________ certify that I will assume full financial responsibility, including
Print name of sponsor
educational and living expenses for the above named student while he or she is enrolled at Cal State Fullerton.
Signature of sponsor Relationship of sponsor to student Date (month/day/year)
SECTION C: TRANSFER STUDENT ONLY (If applicable)
If you attended any school in the U.S., you must notify your current school of your admission to CSUF by presenting a copy of your
admission letter and requesting that your SEVIS record be released to California State University Fullerton (LOS214F00210000). Your
CSUF I-20 will be issued approximately one week AFTER your SEVIS release date.
1. SEVIS ID#: ______________________________ 2. Date of your last attendance at previous school: _____/_____/_____
month day year
3. I am currently on OPT. Please submit a copy of your EAD Card. Your OPT will end and be void as of the transfer release date.
SECTION D: DEPENDENT INFORMATION (If applicable):
I am married I have children
If your spouse or children will accompany you to the U.S., please provide financial verification of an additional $6,000 per dependent
and a copy of their passport and marriage certificate (for spouse) or birth certificate (for child). Attach separate sheets for each dependent.
1.
Last name, First name Relationship to student (husband, wife, son, daughter) Country of Birth Country of Citizenship Date of birth (month/day/year)
2.
Last name, First name Relationship to student (husband, wife, son, daughter) Country of Birth Country of Citizenship Date of birth (month/day/year)
SECTION E: PROOF OF FINANCIAL INFORMATION
Attach financial documents. A bank statement or letter must be dated within the last year, show at least the amount
below, and clearly show the name and address of the bank institution with the name of the account holder.
1
Selected Business Graduate includes: MBA, MS in Accountancy, Information Systems, and Taxation.
2
Full-time MBA is a 16-month accelerated degree program. All accelerated program costs are approximated for 12 months: 2 semesters and 1 summer.
3
All other Graduate Programs. *Based on 9 units NOTE: Fees are subject to change. Updated_Nov_2014
Your financial
documents must show
at least this amount
Undergraduate
based on 12 units
Selected Business
Graduate
1
Full-Time
MBA
2
Graduate
3
*
Credential
*
Doctorate*
Accelerated MS
in Software Eng*
Tuition and fees
(Two semesters)
$15,247 $18,853 $38,005 $14,281 $13,891 $17,917 $20,000
Living expenses
(Includes Med. Ins.)
$20,027 $20,027 $20,027 $20,027 $20,027 $20,027 $20,027
Total
$35,274 $38,880 $58,032 $34,308 $33,918 $37,944 $40,027
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