EFTA00601793.pdf

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 Spring 201 n Semester of Admission Summer jn 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 $ 1. Insert amount of support for each year of program of study. If Year #3 US $ program of study is two years long, then put dollar amounts in Year #4 US $ first two lines only. Put "0.00" (zero) in remaining years. Year #5 US $ 2. Attach documents (required) to show ability—i.e., financial resources equal to or greater than Total Support Promised. Year #6 US $ Total Support Promised 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 al o provide housing food, and/or financial support for myself, obligations other than to myself and the Student (or Exchange Visitor) named above. and for persons (e.g., spouse &/or children). C. Please Print Official Note 0 ional I. hereby affirm or swear that Sworn or affirmed and subscribed before me this the contents of the above statement are true and correct. day of Signature of Notary Public Signature of sponsor Address of sponsor Telephone of sponsor Seal of Notary Public: Fax of sponsor * Notary public—officials who take sworn statements & witness signatures. la NEW SCHOOL EFTA00601793