Declaration Of Finances And International Student Application For Financial Aid Application Form (Sample)
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4Declaration of Finances
and International Student
Financial Aid Application
This form is to be used by applicants to Beloit College who are citizens of countries other than the U.S. All international applicants
must complete Section A. Students applying for financial aid must complete sections A and B of this form. Please list all amounts in
U.S. dollars.
U.S. citizens living abroad and permanent residents of the U.S. (green card holders) must instead file the Free Application for
Federal Student Aid (FAFSA).
STUDENT’S NAME
_______________________________________________________________________________________________
Family Name
First Name
Middle Name
Section A
DECLARATION OF FINANCES: Statement of Financial Responsibility
Please estimate the maximum financial support available for each of the student’s years of study.
Source of Funds available
Assured Support
Projected Support
for educational expenses
Transportation
First Year
Second Year
Third Year
Fourth Year
1.
$
$
$
$
$
2.
$
$
$
$
$
3.
$
$
$
$
$
4.
$
$
$
$
$
5.
$
$
$
$
$
Verification of Available Funds
A certification of personal (family) funds in the form of a letter from a bank is required. Attached
Yes
Will be sent separately.
If any of the above expenses are to be paid by an individual sponsor, an affidavit from the sponsor and a letter of financial support from his/her bank
is required. Attached
Yes
Will be sent separately.
List names and addresses of all sponsors, governmental agencies or organizations from which you will receive support.
(Use separate sheet if necessary.)
NOTE: Each bank statement must verify amounts and verify that those funds may be transferred to the United States for the purpose of education.
Do you plan to remain in the U.S. during the summer?
Yes
No
If yes, what are the sources and amounts available?
Source
Amount
I certify that the statements given by us on this form are complete and accurate.
________________________________________________________________________
Signature of applicant
________________________________________________________________________________________
Signature of sponsor or guarantor
________________________________________________________________
_____________________________________________________________________________
Print name
Print guarantor’s name
________________________________________________________________
_____________________________________________________________________________
Date
Address
________________________________________________________________
_____________________________________________________________________________
Date
2016
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