International Education
8700 NW River Park Drive, PMB 3
Parkville, Missouri
64152-3795
Tel. +1-816-584-6820
international@park.edu
AFFIDAVIT OF SUPPORT FORM
Affidavit of support for _________________________________________________________________________________
Full name of applicant
This document must contain all of the appropriate information requested and signatures
before a prospective student application is considered for admission to Park University.
Supporting bank statements and/or other financial documents must be submitted with this
document. The affidavit and supporting bank statements must be dated within 6 months of
submitting your application for admission.
Statement from Family or Sponsor
I, ___________________________________________, commit to providing financial support to the above named
individual for their duration of studies, whose relationship to me is _____________________________________
The exact nature and amount of my support is as follows:
Tuition: Yes No Room/Food: Yes No Books: Yes No
Heath Insurance: Yes No Personal Expenses: Yes No
Total Amount per 9-month Period: USD _____________________________
I understand that the University will not be able to assist the prospective student financially
(unless specified otherwise), and I, the undersigned understand that I am fully responsible
and accountable to the University, for maintaining the terms and statements of this form.
_____________________________________________ ________________ _______________________________________
Family Sponsor Signature Date Email address/telephone number
_________________________________________________________________________________________________________________
Family sponsor Address
Address
