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Financial Affidavit of Support for F-1 Students (v5/5/23)

Student Name: Date of Birth:

Email Address: Student ID#:

Section 1: Reason for Submitting the Financial Affidavit

Request Initial I-20: Update Current I-20:
☐ To enter the US: ☐ Self ☐ With Dependents ☐ Add/Update Dependent Information
☐ Transfer into UMFK from another U.S. institution ☐ Update Financial Information on I-20
☐ To apply for a Change of Status to F-1 Status ☐ Change of Level Request
☐ To apply for Reinstatement ☐ Program Extension Request
☐ Other: ☐ Other:

Section 2: Sources of Financial Support

Source of Financial Support Guaranteed Support (in USD)

☐ Self. Submit financial documents which list your name as the account holder. You (the student) $
are required to complete section 3.

☐ Sponsors. Please submit an original bank statement from each sponsor verifying the readily Provide these totals in section 3
available amount. Sponsors are required to complete section 3.

☐ UMFK Scholarship(s). Submit a copy of your award letter(s). $

☐ Outside Scholarship/Loan/Employer/Other Organization. Please submit an official award $

letter/loan approval letter on letterhead.

Section 3: Sponsor Financial Certification

ALL named account holders must sign and certify this form. If you have more sponsors than the space below, please include another page of
the financial affidavit with the additional sponsors. The total guaranteed financials listed below must equal or exceed the minimum estimated
expenses. Estimates are subject to change without prior notice; the exact cost of attendance will vary by student and will be determined at the
point of course registration. For dependents: You must demonstrate an additional $4,800.00 per dependent per year. I certify that I am willing
and able to financially support the student named on this form for the amount indicated in the certification section on this form, or
the attached bank statement or letter, for every year of their study at UMFK.

Sponsor Name Sponsor Signature Date (mm/dd/yyyy) Guaranteed Support (in USD)

Section 4: Student Financial Certification (handwritten signature required)

I certify that the total funds indicated in the bank certification section on this form, or any submitted financial statements or letters, are available
for my academic study at The University of Maine at Fort Kent. Additionally, I have sufficient funding to support each year of my education at
UMFK, including funds for my spouse and children, if applicable. I understand the misrepresentation on this form may be cause for rescinding
admission. For students under 18, your parent must also certify the above statement.

Student’s Signature Date (mm/dd/yyyy)

Parent’s Signature Date (mm/dd/yyyy)

Form and supporting documents can be faxed to (207) 834-7609 or emailed to umfk.iss@maine.edu.

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