AFFIDAVIT OF SUPPORT

Directions: This form should be filled out by the person who will provide the applicant with
financial support while he/she is in the United States.

Sponsor’s Name: _________________________________________________________

Sponsor’s Address: ______________________________________________________

______________________________________________________
______________________________________________________
Country: ________________ Telephone Number: _____________________

Sponsor’s Relatonship to Student (parent/ friend of family/self/etc.):_______________________

I, _____________________________________ (sponsor’s name), am executing this affidavit on

behalf of the following international student applicant to Los Angeles Harbor College:

Name of Student: _____________________________________________

Address of Student: ____________________________________________
__________________________________________
I will provide financial support for this student while he/she is enrolled at Los Angeles Harbor
College and guarantee that such person will not become a public charge while in the United
States and will depart prior to expiration of authorized stay in the United States.

I understand that school and living expenses for a student for an academic year are approximately
$15,680, and that Los Angeles Harbor College does not offer medical services, financial aid or
scholarships, and that no housing is available through the college. I am attaching a statement
from a bank or other financial institution in which I have deposits.

_____________________________ __________________________
Signature Date

Residents of the United States (who must be citizens or permanent residents) may submit instead
of bank statement, a statement from employer on business stationery showing salary paid, nature
of employment and length of employment; if self-employed, a copy of last income tax return file
is required.