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FINANCIAL SUPPORT STATEMENT - DOC - DOC

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					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 nonimmigrant 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) Approximate tuition waiver (scholarship) Estimated cost to student

US$ 27,422.00 US$ -5,627.00 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