/DeclarationofFinancesForm

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DECLARATION OF FINANCES/ AFFIDAVIT OF FINANCIAL SUPPORT International students are required to have available the sum of $33,873.00 for each year of study at Valencia College, excluding travel expenses. Additional family members, such as a spouse and/or child, will require certification of additional funds in the amount of $4,500.00 per person. Indicate the source(s) of funds for the student’s educational expenses (if there are multiple sponsors, each sponsor must complete a separate Declaration of Finances/Affidavit of Financial Support document). Use exact amounts in U.S. dollars.

SOURCE(S)

AMOUNT(S)

Average expenses for a full-time Valencia Student for 12 months

Family/Sponsor $___________________ Government Sponsor_ $___________________ Personal Savings

_ $___________________

Personal Checking

_ $___________________

Other:________________ $___________________ TOTAL: $___________________ NOTE: Sponsor must ATTACH an ORIGINAL of the most recent BANK LETTER in ENGLISH on BANK LETTERHEAD verifying financial sources in U.S. DOLLARS. BANK STATEMENTS ARE NOT ACCEPTABLE. The Bank Letter must specify that the financial sources are immediately accessible to the student (i.e. checking or savings account, certificate of deposit, etc.)

Tuition and Fees (Two Terms)

$ 11,051.00

Books and Supplies (Two Terms) and Mandatory Insurance (12 month coverage, paid annually)

$ 2,335.00

Living Expenses*

$ 20,487.00

TOTAL:

$ 33,873.00

*The actual amount of support required varies from student to student. The college does not offer student housing so living expenses will be determined by whether you rent a single room, apartment, or house, and whether you live by yourself or with other students. We have estimated $20,487.00 in living expenses (rent, utilities, food, transportation, etc.) for one year.

I, ______________________________________________ have read and understand the above and I do swear and affirm that the NAME OF STUDENT (Please print clearly)

financial information provided is true and accurate.

___________________________________________________________________________________ STUDENT SIGNATURE (Does not require notarization)

AFFIDAVIT OF FINANCIAL SUPPORT

The affidavit below must be completed by the Sponsor and must match the name of the account holder provided in the Bank Letter. This affidavit must be signed in the presence of a notarizing official. Documents can be notarized at most U.S. Consulates and Embassies.

Please indicate your relationship to the student:

q Father q Mother q Brother q Sister q Other: ____________________________________

I hereby certify that I, ___________________________________________________________ , will be responsible for the educational and/or living NAME OF SPONSOR (Please print clearly)

expenses of

________________________________________________________________ NAME OF STUDENT (Please print clearly)

each year while he/she is attending Valencia College.

I also certify that the total amount of money I have available for educational expenses at Valencia College is U.S. $_________________ I authorize the release of my supporting financial documents to verify that the promised financial resources are immediately available to me and the student. I swear and affirm that I know and understand the contents of this affidavit, signed by me, and that the statements are true and correct. Signature of Sponsor: __________________________________________________________

SEAL OF NOTARIZING OFFICIAL

Signature of Notarizing Official: __________________________________________________ Date Signed and Notarized: _____________________________________________________ Notary: Sworn and subscribed before me this _____ day of_____ (month) in the year ________

Š 2011 Valencia College/ADM072011-03


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