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