International Student Services

International Student Services The New School 79 Fifth Avenue, Fifth Floor New York, NY 10003.3089 Private Sponsor's Affidavit of Financial Support 1. Please submit ONLY IF you have a sponsor providing financial support for your program of study. 2. This document MUST be accompanied by financial evidence IN THE NAME OF THE SPONSOR LISTED in part B. Supplied documents must be less than 4 months old. Without correct financial documentation this Affidavit is not complete. 3. This is a formal promise of financial help for an applicant's living and/or educational expenses in the USA. Please submit ONLY WHEN you have a sponsor. (Parents and relatives are also sponsors.) A. Student or Exchan e Visitor Legal Name of Student (or Exchange Visitor) from Passport Date of Birth (Month, Day, Year) Program/Degree Today's Date Semester of Admission Spring n Summer jn 201 2014 Fall 2014 Length of Program B. S onsor Name of Sponsor Financial Support Promised in US Dollars Year #1 US$ Relationship to Student/Exchange Visitor (e.g., Father) i Year #2 US $ Year #3 US $ 1. Insert amount of support for each year of program of study. If program of study is two years long, then put dollar amounts in first two lines only. Put "0.00" (zero) in remaining years. 2. Attach documents (required) to show ability—i.e., financial resources equal to or greater than Total Support Promised. Total Support Promised Year #4 US $ Year #5 US $ Year #6 US $ US $ Sponsor's Additional Dependents (check ONLY one box below) Incertify that in addition to the support described above. I I certify that I have no dependents or financial obligations other than to myself and the Student (or al o provide housing food, and/or financial support for myself, and for persons (e.g., spouse &/or children). Exchange Visitor) named above. C. Please Print I. hereby affirm or swear that the contents of the above statement are true and correct. Signature of sponsor Address of sponsor Telephone of sponsor Fax of sponsor Official Note 0 ional Sworn or affirmed and subscribed before me this day of Signature of Notary Public Seal of Notary Public: * Notary public—officials who take sworn statements & witness signatures. la NEW SCHOOL EFTA00601793