Declaration of Finances/ Affidavit of Financial Support International students must submit financial support documents prior to the issuance of Form I-20. Financial documents must total $24,117.00 for students at the associate degree level. Additional family members, such as a spouse and/or child, will require certification of additional funds in the amount of $4,500.00 per person. Indicate the source(s) of funds for the student’s educational expenses. If there are multiple sponsors, each sponsor must complete a separate Declaration of Finances/Affidavit of Financial Support form. Indicate amounts in U.S. dollars. SOURCE(S) Estimated annual expenses for an international student AMOUNT(S) Family/Sponsor$___________________ Government Sponsor_ $___________________ Personal Savings _$___________________ Personal Checking _ $___________________ Other:________________ $___________________ TOTAL:$___________________ (Cost at the associate degree level; amounts can vary from student to student.) Tuition and Fees (Two Terms) $9,005.00 Books and Supplies (Two Terms) $1,266.00 Mandatory Insurance $1,344.00 (12 month coverage, paid annually) Living Expenses* $12,502.00 TOTAL:$24,117.00 Acceptable documents include: • Personal funds – Recent bank letter or statement. • Family/sponsor funds – Recent bank letter or statement along with a notarized affidavit of financial support. You may use the bottom of this form for the affidavit. If you do not use this form for the affidavit, your affidavit must contain applicant’s name, sponsor’s name, relationship to applicant and amount of funds available for the purpose of the applicant’s studies. • Government/sponsoring agency – A signed copy of the scholarship or award letter stating the amount and duration of award. • Examples of unacceptable financial documents include: - Salary statement or pay stubs - Real estate - Credit cards/credit limits - Investments, stocks and accounts on which funds cannot be easily withdrawn - Business accounts *The estimated amount for tuition and fees is based on enrollment in 12 credit hours in the fall semester and 12 credit hours in the spring semester. Amounts are subject to change without notice. I, ______________________________________________ Name of student (Please print clearly) have read and understand the above and I do swear and affirm that the financial information provided is true and accurate. _____________________________________ Student Signature (Does not require notarization) AFFIDAVIT OF FINANCIAL SUPPORT The affidavit below must be completed by the family member or sponsor and must match the name of the account holder provided in the bank letter or statement. This affidavit must be signed in the presence of a notarizing official. Please indicate your relationship to the student: q Father q Mother q Brother q Sister q Other: ____________________________________ I hereby certify that I, ___________________________________________________________ , will be responsible for the educational and/or living Name of sponsor (Please print clearly) expenses of ________________________________________________________________ Name of student (Please print clearly) each year while he/she is attending Valencia College. I also certify that the total amount of money I have available for educational expenses at Valencia College is U.S. $__________________________________________ I authorize the release of my supporting financial documents to verify that the promised financial resources are immediately available to me and the student. I swear and affirm that I know and understand the contents of this affidavit, signed by me, and that the statements are true and correct. Seal of Notarizing Official Signature of Sponsor: __________________________________________________________ Signature of Notarizing Official: __________________________________________________ Date Signed and Notarized: _____________________________________________________ Notary: Sworn and subscribed before me this _____ day of_____ (month) in the year ________ © 2013 Valencia College | 13ISS006