SAINT XAVIER UNIVERSITY OFFICE OF ADMISSION For the Student: ACKNOWLEDGEMENT OF FINANCIAL OBLIGATION I understand that no financial aid is available from Saint Xavier University for international students. I have made the necessary arrangements to meet my expenses throughout my stay at Saint Xavier University. I hereby certify that the financial information provided is true and correct. I fully understand that the presentation of false information will make me subject to suspension from Saint Xavier University. Signature of Applicant Date For the Financial Sponsor: AFFIDAVIT OF SUPPORT To be completed by each person contributing to the applicant’s support. No I-20 form will be issued by Saint Xavier University without receipt of this form SIGNED AND SEALED BY A NOTARY PUBLIC. AN OFFICIAL BANK STATEMENT OR BANK LETTER MUST ACCOMPANY THIS FORM. SPONSOR: Name _______________________________________________________________ Address _________________________________________________________________________ Citizen of _______________________________ Country of birth __________________________ I do hereby swear and agree is (Applicant’s name) (Relationship to sponsor) · That during his/her stay in the United States as a student, I will provide any necessary financial support to cover expenses whether or not the expenses are related to his/her schooling. · That I will pay for his/her return transportation to his/her home country should this be necessary. · That my assets are: (All fields below must be completed.) (A) Annual income of $ (U.S.) Employer Address (B) Savings and securities held at _____________________________________________(bank) Address ______________________________________________________________ Current value of $ _______________________________________________________(U.S.) (C) Other Property ______________________________ valued at $ __________________(U.S.) · That there are no exchange restrictions to remit funds from (country) to the United States (applicable if Sponsor resides outside the U.S.). Note: Sponsor must reside in a country having no monetary restrictions with the United States. Signed Given under my hand and seal this ________________ day of _______________, 20 _______ Notary Please mail this form to: Saint Xavier University Office of Admission We cannot accept faxed signatures 3700 West 103rd Street Chicago, IL 60655 U.S.A. (773) 298-3050 FAX: (773) 298-3076 LB 04-01.