FINANCIAL SUPPORT STATEMENT 2022- 2023 ACADEMIC YEAR

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 non-immigrant 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 USD$: _____________________________________

Sponsor's Saving Account USD$: _____________________________________

Estimated cost of attending SRU for one (1) academic year: USD $ 26,536.00

I do intend to make contributions of approximately $26,536.00 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
Office for Global Engagement
110 Central Loop
Slippery Rock University of Pennsylvania
Slippery Rock, PA 16057 USA
International.admissions@sru.edu

**Sponsor’s name listed on the Financial Support Statement must match exactly with the
account holder name listed on the bank statements provided as proof of finances**