International Student Financial Affidavit
U.S. citizens, permanent residents, and international applicants with a valid employment authorization are exempt. Form I-20 will be issued as soon as we are notified of academic admission and an approved financial affidavit is on file with the Office of International Student Services. Incomplete forms will not be approved. The sponsorship information given below will be stated on Form I-20. We also reserve the right to submit a photocopy of the financial and supporting documents to the visa issuing post.
1. Name of applicant (family, first, middle):
2. Address:
3. Do you intend to bring any family members with you? NoYes
If yes: Spouse Child(ren) Names: Birth Date Names: Birth Date Names: Birth Date
If yes: Spouse Child(ren)
Names: Birth Date Names: Birth Date Names: Birth Date
4. Please provide the following information about the person responsible for your educational expenses and advance payment (if necessary).
Name (family, first, middle): Relationship to applicant: Address:
A. Employment of the person named above: Employer's name: Position: Business name and address: Years of employment: Net salary in U.S. dollars $ This section to be completed by employer: I certify that the information provided above is true and correct. Employer's signature: ________________________________________________ Name of Employer (print): ____________________________________________ Employer's position: _________________________________________________ Date: ___________________________ Spouse's income: Years of employment: Number of children receiving support: Other dependents: B. Bank Account(s): Account holder: Type of account: Account number: Date opened: Deposits for the past year (U.S. $): Current balance (U.S. $) This section to be completed by bank official: I certify that the information provided above is true and correct. Bank official's signature: _____________________________________________ Name of bank official (print): _________________________________________ Date: ________________________ Bank official's position: _______________________________________________ Bank's address: ____________________________________________________ Stamp/seal:_________________________________________________________ A separate bank statement may be submitted. However, it must provide all of the information above. If you have more than one account, please provide the information required above for each account, if necessary on a separate piece of paper. C. Sponsorship: This section to be completed by person listed in 4A if other than yourself). If bank accounts are held jointly, both signatures will be required in this section. I will provide (applicant's name) _____________________________with U.S. $ __________ yearly beginning ______________ until _________________. I certify that the information provided above is true and correct. Name (print): _________________________________________ Signature: _____________________________________ Date:____________________ Name (print): _________________________________________ Signature: _____________________________________ Date:____________________ If you receive funds from several sponsors, please provide information required for each sponsor. Please indicate whether you will or will not seek financial assistance from Eastern Illinois University. Will you receive any other type of scholarship? Yes No If yes, please specify type and amount:
A. Employment of the person named above:
Employer's name: Position: Business name and address: Years of employment: Net salary in U.S. dollars $
This section to be completed by employer:
I certify that the information provided above is true and correct.
Employer's signature: ________________________________________________
Name of Employer (print): ____________________________________________
Employer's position: _________________________________________________
Date: ___________________________
Spouse's income: Years of employment:
Number of children receiving support: Other dependents:
B. Bank Account(s):
Account holder:
Type of account: Account number:
Date opened:
Deposits for the past year (U.S. $): Current balance (U.S. $)
This section to be completed by bank official:
Bank official's signature: _____________________________________________
Name of bank official (print): _________________________________________
Date: ________________________
Bank official's position: _______________________________________________
Bank's address: ____________________________________________________
Stamp/seal:_________________________________________________________
A separate bank statement may be submitted. However, it must provide all of the information above. If you have more than one account, please provide the information required above for each account, if necessary on a separate piece of paper.
C. Sponsorship:
This section to be completed by person listed in 4A if other than yourself). If bank accounts are held jointly, both signatures will be required in this section.
I will provide (applicant's name) _____________________________with
U.S. $ __________ yearly beginning ______________ until _________________.
Name (print): _________________________________________
Signature: _____________________________________ Date:____________________
If you receive funds from several sponsors, please provide information required for each sponsor.
Please indicate whether you will or will not seek financial assistance from Eastern Illinois University.
Will you receive any other type of scholarship? Yes No
If yes, please specify type and amount:
PLEASE READ AND SIGN THIS STATEMENT:
While at Eastern Illinois university, I will be responsible for meeting educational expenses, for knowing my government's regulations on foreign exchange (if any), and for requesting, completing, and submitting appropriate documents which are needed to enable transfer of funds from my country to the United States. If annual or quarterly certifications of enrollment and expenses are required for the granting of foreign exchange permission from my government, I am responsible for requesting such certification from the Office of International Student Services well in advance of the date when finances will be needed.
I also understand that payment of tuition and fees is due upon enrollment. I have read this statement of responsibilities and I agree to do what is required.
Applicant's name (print): _________________________________________
Signature: ____________________________________________________
Date: ____________________
IMPORTANT FINANCIAL AFFIDAVIT INFORMATION
We encourage you and your financial guarantor to contact the Office of International Students and Scholars if you have questions about the affidavit or supporting documentation. students applying for a U.S. visa to submit evidence to the consulate and the university that funding will be available for the entire duration of the academic program. Expenses for the first year must be readily available. Bank accounts with a substantial deposit will be required. visa officers in some countries may ask to see savings sufficient to cover all of the first year's expenses. If you receive a scholarship or other type of financial assistance, we will deduct that amount from the total expenses needed. Eastern Illinois University can not promise aid beyond May or August of any year.
Applicants with an income or savings of their own may execute the affidavit themselves. You may also xerox the form and submit statements from several sponsors. Parents, the spouse, brothers or sisters will be acceptable sources of funding. Students supported by persons other than those listed above, need to obtain a statement from the sponsor explaining why he/she will pay full or partial educational expenses. Self-employed individuals must submit evidence of annual income. Normally, a xerox of the latest tax return will provide this information.
We have been advised about restrictions on foreign exchange for applicants for Nigeria and Guyana. While we will not currently charge a deposit, we willcarefuly monitor the financial situation of students from these countries. If educational expenses will be met from sources inside the country, it is up the applicant to document that money can and will be transferred to the United States. Funding from outside the country will facilitate approval of the financial affidavit.
It has been our experience that U.S visa officers tend to reject applicants supported by distant relatives and friends. An advance payment may help although it does not guarantee a visa. It is fully refundable to the remitter in the event of a visa denial. However, no interest will be earned on the funds. Please request our policy for transmitting funds.
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