FINANCIAL SUPPORT STATEMENT

SLIPPERY ROCK UNIVERSITY OF PENNSYLVANIA
UNDERGRADUATE FINANCIAL SUPPORT STATEMENT

Prior to issuing an I-20 or DS-2019, Slippery Rock University must have a financial statement on file. This information is to be provided by the person or agency who has agreed to provide financial support for a non-immigrant student at Slippery Rock. This information is a required part of the admissions process.

Sponsor's Name: ___________________________________

Sponsor's Occupation: ___________________________________

Sponsor's Address: ___________________________________

___________________________________

_____________________________

Sponsor's Annual Salary US$: ___________________________________

Sponsor's Saving Account US$: ___________________________________

Estimated cost of attending SRU for one (1) academic year,

(Does not include costs for summer) US$ 27,422.00

Approximate tuition waiver (scholarship) US$ -5,627.00

Estimated cost to student US$ 21,795.00

I do intend to make contributions of approximately $21,795.00 per year in support of _________________________ who has applied for admission to Slippery Rock University. The student intends to study_______________________, which is expected to take ___________ years. My relation to the student is ________________________________.

OATH OR AFFIRMATION OF SPONSOR

I swear (affirm) that the information supplied on this Financial Support Statement is true and correct.

Signature of Sponsor: ___________________________                                 Date: ____________________

Return this form and the original bank statement indicating that the above stated funds are available to:

International Admissions
International Services Office
114 Carruth Rizza Hall
Slippery Rock University of Pennsylvania
Slippery Rock, PA 16057
USA