UNIVERSITY OF SOUTH ALABAMA
Affidavit of Financial Support
This form must be submitted as part of the application.  Please print or type and fill out this document completely.  If more than one sponsor will support the student, a separate form should be completed by each.

TO BE COMPLETED BY STUDENT

Student Name: ______________________________________________________________________
(Last)                         (First)                                   (Middle/Maiden

Date of Birth: _______________________________
Month                Day              Year
Name of Sponsor _________________________________

Address of Sponsor __________________________________________________________________

TO BE COMPLETED BY SPONSOR

The University of South Alabama estimates the expenses to be not less than $15,525.00 U.S. per year (excluding travel) *This amount is subject to change.

Name of Sponsor ___________________________________________________________________

Relationship to student ______________________________________________________________

I am employed as _________________________  by ______________________________________

and earn an annual income of  $__________________ U.S. dollars (FINANCIAL ABILITY MUST BE VERIFIED BY A FINANCIAL INSTITUTION.)

This is to certify that I am willing and able to maintain and support the above named student during his/her stay at theUniversity of South Alabama for the amount of  $____________________ U.S. dollars per year.

Signature of Sponsor ________________________________________ 
Date ______________

EXECUTION OF AFFIDAVIT. The sponsor must sign the affidavit in his/her full, true, and correct name and affirm it or make it under oath.  The affidavit must be sworn to or affirmed before a notary public or other officer authorized to administer oaths for general purposes, in which case the official seal or certificate of authority to administer oaths must be affixed.
This document is sworn and signed in my presence.

Signature of Witnessing Official ________________________________________________________

Title _____________________________________________  Date ___________________________ 

Official Seal ________________________

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