INTERNATIONAL STUDENT

FINANCIAL AFFIDAVIT OF SUPPORT

READ CAREFULLY: You are required to submit financial certification indicating you have
documented support for the estimate of annual expenses. Costs of higher education increase each year.
Please review the Estimated Expenses for a Single International Student.

PART A: Source(s) of Funds: Complete all that apply. Enter amount of assured support for the first year
in U.S. Dollars, and provide official financial documents/letters. Such documents MUST be within (6) six
months from the date of issuance to the date when we create your I-20. The name on the statement must
the name of sponsor or student. These funds are expected to be available for each year of study in the U.S.
by the student and/or sponsor.
Statements accepted:
 Certificates of Deposit, Fixed Deposit, Time Deposit & Term Deposit
 Checking & Savings Accounts; Scholarship Award Letters & Education Loan;
 Provident Funds (exact amount available for withdrawal must be clearly stated in the
letter/statement)
 Bonds (maturity date must be clearly stated and must be before the semester start date)
Statements not accepted:
 Business Accounts & Chartered Account,
 Retirement & Mortgage Accounts,
 Insurance Policies, Solvency Certificates & Stock Market Funds

Source of Funds Amount (USD) Supporting Evidence

Student’s Personal Savings $ Bank statement/letter on official bank

letterhead dated within last 6 months
Family/Sponsor: Name: $ Bank statement/letter on official bank
letterhead dated within last 6 months
Government/Private Foundation/Business $ Official Letter/bank statements (see
above)
Scholarships from WVSU $ Official Award Letter

Loan from $ Official Approval Letter

Part C if any $ Bank statement/letter on official bank

letterhead dated within last 6 months
Total Amount (See the Expense Sheet) $
PART B: Original signatures are required to certify that the information provided on this form is
complete and accurate to the best of your knowledge. By signing this form, you are acknowledging that
any false or misleading statements will result in an automatic denial of admission, or cancellation of
registration following enrollment.

Student’s Name: ______________________________________________________________________

(Please legibly print student’s full name)

Signature: _________________________________ Date: ________________________

Sponsor’s Name: _____________________________________________________________________

(Please legibly print sponsor’s full name)

Signature: _________________________________ Date: ________________________

Sponsor’s Relationship to Student: _______________________________________________________

PART C: Dependent (student’s spouse and/or child/children) Information only if you plan to bring
them at the same time with you to the U.S.

$5,000 USD financial certification is required for the first dependent, and $3,000 USD for each dependent
thereafter. Please provide the following information for each dependent along with a clear copy of passport
ID page.

Name Gender Relationship Country of Birth

Dependent 1: ________________________________________________________________________

Dependent 2: ________________________________________________________________________

Funding guaranteed for dependent(s) in USD (if applicable) Part C Total $ _______________________

Remember: You must complete all application procedures, provide banks statements or scholarship
award letters to document the amount listed, and be accepted by WVSU before the I-20 Form will be
issued to you.
All application materials, including financial supporting documents become the property of
WVSU and will not be returned.