Montgomery College
International Student Office
AFFIDAVIT OF FINANCIAL SUPPORT Form
(For Use Only by Sponsors from OUTSIDE of the United States OR "Self -Sponsoring Students")*
____________________________________________________________________________________________________________, residing at
NAME OF SPONSOR
_________________________________________________________________________________________________________________ , agree
COMPLETE SPONSOR'S ADDRESS
to sponsor___________________________________________________________________________________________________________ .
NAME OF STUDENT AND/OR STUDENT’S DEPENDENT
SPONSOR’S RELATIONSHIP TO STUDENT:
____________________________________________________________________________ .
-
I/We certify that I/we am/are able to support the student named above for a total time of________years (to support as long
as needed enter “D/S”). I/we will provide: (Please check what you will support):
________ Living expenses (room, board, medical insurance, transportation, personal expenses, other).
________ School expenses (tuition, fees, books and supplies, other).
I/we understand that the estimated cost for ONE year of full time study at Montgomery College (all living and school
expenses) is $32,000 (USD) for the Current Academic Year and is subject to change.
In addition to the student named above, I/we also support:
A spouse who is________completely________partially dependent upon me for support.
-
Children________(total -
#) who are completely_______(#) -
or partially_______(#) dependent upon me for support.
I certify, under penalty of perjury, that I provided or authorized all of the information in my declaration, I understand all of
the information contained in, and submitted with, my declaration, and that all of this information is complete, true, and
correct AND this affidavit assures that the student named above will not become a public charge of the United States.
________________________________________________ (Signature MUST be notarized)
SIGNATURE OF SPONSOR
Date: Month____________________day____________________, Year 20______ NOTARY SEAL HERE
________________________________________________________________________________________________________________________
SIGNATURE AND SEAL OF AUTHORIZED NOTARY PUBLIC (official licensed by a government to verify the identity of the signer).
The following evidence of ability to provide financial support must be submitted with this completed affidavit:
1. Sponsor Obligations Document SIGNED BY THE SPONSOR.
AND
2. An original letter from the sponsor's bank (personal saving or checking accounts ONLY) that indicates the current
available balance in United States Dollars. MINIMUM $32,000 total.
AND
3. An original letter from sponsor's employer that verifies annual salary, or, if self-employed, the sponsor's most recent
income tax return or other proof of the income of the individual person signing this Affidavit.
NOTE: Additional documentation may be required as evidence of sponsor’ s ability to provide financial support.
For any dependent accompanying the student, please list the dependent full name, birth-date, country of birth, and
relationship to student on page #2 of this Affidavit of Financial Support Form. Please NOTE that for EACH dependent, the
SPONSOR MUST SHOW ADDITIONAL $8000 (USD) in the banking information.
* Sponsors who ARE US citizens, permanent residents OR with a valid non-immigrant visa MUST use the
USCIS form I-134 Affidavit of Financial Support, see International webpage for Instructions.
THIS FORM IS VALID FOR A VISA/STATUS APPLICATION FOR UP TO SIX MONTHS. 03/2024.
Page 1
