Blue Ridge Community College 180 W. Campus Drive • Flat Rock, NC 28731 Affidavit of Financial Support for International Applicants (Please print legibly or use typewriter and please answer all items.) 1. Name of Sponsor: _______________________Address:____________________ (Street and number) _________________________________________________________________________________________________ (City) (State) (Zip Code if in U.S.) (Country) 2. This affidavit is executed in behalf of the following person: Name of Student:____________________________ Sex: Male Female Date of Birth:_____________________Citizen of (Country)_________________ Marital Status:___________________Relationship to Sponsor:_______________ Presently Resides At:________________________________________________ (Street and Number) (City) (State) (Country) Name of spouse and children accompanying or following to join student: Spouse Sex DOB Child Sex DOB Child Sex DOB Child Sex DOB Child Sex DOB Child Sex DOB 3. I make this affidavit for the purpose of assuring Blue Ridge Community College that the person(s) named in item 2 will not become a public charge in the United States. 4. I am willing and able to receive, maintain and support the person(s) named in item 2. I am ready and willing to deposit a bond, if necessary, to guarantee that such person(s) will not become a public charge during his or her stay in the United States. 5. I understand this affidavit will be binding upon me for the duration of study of the person(s) named in item 2. 6. I am employed as, or engaged in the business of __________with_____________ at________________________________________________________________ (Street and Number) (City) (State) I derive an annual income of I have on deposit in savings banks in the United States or ___________ (Country) (Zip Code) $___________ $ ___________ 7. The following other persons are dependent upon me for support: (Place an “X” in the appropriate column to indicate whether the person named is wholly or partially dependent upon you for support.) Name of Person Wholly Dependent Partially Dependent Age Relationship to Me 8. I have previously submitted affidavit(s) of support for the following person(s). If none, state “None”. Name Date Submitted __________________________________________________________________ __________________________________________________________________ 9. Please specifically describe what support you intend to provide for the student. (For example: If you live in the Hendersonville area and are providing room and board, please state this.) Give many details of the level of support you will be providing. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ OATH OR AFFIRMATION OF SPONSOR (Signature must be witnessed by Notary Public, Attorney, or other Official authorized to administer oaths.) I swear (affirm) that I know the contents of this affidavit signed by me and the statements are true and correct. Signature of Sponsor:______________________________________________________ Subscribed and sworn to (affirmed) before me this _______________day of __________ (year:)________________,at ________________________________________________ My commission expires on _________________________________________________ Signature of Officer Administering Oath:______________________________________ Title:___________________________________________________________________ To complete the financial documentation, this affidavit must be accompanied by an original bank letter (on bank letterhead stationery) confirming that the sponsor has the financial means to support the applicant. The bank letter must show at least one year of estimated annual expenses ($16,200-2 semester or $22,475-3 semester) on deposit in an account in the student’s name. It must include a current exchange rate if the account is not in U.S. dollars. It must be no more than 2 months old. Original copies of a recent account balance statement should be attached to verify the deposited funds. Photocopied or faxed documents will not be accepted.
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