Office of International Affairs

414 N. Meridian Street

Newberg, Oregon 97132
aai@georgefox.edu
503.554.2335

INTERNATIONAL STUDENT DECLARATION OF FINANCES

International students studying on an F-1 visa must submit this declaration of finance form and a
supporting bank statement document before an I-20 will be issued by the University.

Bank Statement Documents

• Bank document must represent a checking, savings or time deposit account. Brokerage, stock or equity finds, real
estate, and/or any non-liquid assets are not accepted.
• Account balance for sponsor must be shown in an amount equal or greater than the cost of one year of attendance:
$50,000.
• The funds represented on your bank statement are the cost of school expenses minus all scholarship awards.

Student Information

Student’s Name (on passport): Date of Birth:

Home Country Address:

City: State/Province:

Zip/Postal Code: Country:

If you are bringing a spouse or a dependent with you please attach a passport copy and explain their
relationship to you.

Funding

Estimated Costs for Undergraduate Students* Estimated Costs for Graduate Students*

Tuition and Fees $ 38,520 Tuition and Fees $30,000*

Room and Board $ 12,700 Living Expenses (12 mo) $ 12,700
Books and Supplies $ 530 Medical insurance $ 3,971
Medical insurance $ 3,011 Books and Supplies $ 625
Total $ 54,761 Total $47,296
- Minimum IS Scholarship Award ($ 7,000)
Total Estimated cost $ 47,761 *Graduate programs tuition and fees vary.

Please check ALL source(s) of funding you will use for your educational program costs.

Student’s Personal Funds Government/Agency Funds

Family or Sponsor Funds Scholarships from George Fox University
Other:

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 Office of International Affairs
414 N. Meridian Street
Newberg, Oregon 97132
aai@georgefox.edu
503.554.2335

INTERNATIONAL STUDENT AFFADAVIT OF SUPPORT

To be completed by the parent, family member, or sponsor of the applicant. If the applicant is his/her
own sponsor, the applicant must complete this section and sign below.

Sponsor’s Name:
Last (Family) First (Given)

Mailing Address:

City: State/Province: Zip/Postal Code: Country:

Phone: Email: Relationship to Applicant:

I certify that I am willing and able to provide the amount of $ (US dollars) per year

for the education-related expenses of (student’s name) while during the

course of his/her attendance at George Fox University.

Signature of Sponsor: ____________________________________ Date:_________________________

I certify that all statements on this form are true and accurate and that the stated funds are available for
my educational expenses at George Fox University. I will notify George Fox University of any changes in
my financial situation.

Signature of Student: _____________________________________ Date: ________________________

Please complete and submit this document as well as a copy of an official bank statement from your
sponsor by email to admissions@georgefox.edu.