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I-20 Document Application: (Certificate of Eligibility For International F-1 Student Status)

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I-20 Document Application

(Certificate of eligibility for International F-1 Student Status)

The information on the following pages carefully explains how to qualify for your Caldwell College I-20. Please read the instructions and answer all the questions. If your application is not complete, you will not be considered for a Caldwell College I-20. Please note that your I-20 document cannot be issued until you are accepted for admission. Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006 Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

IMPORTANT Pages 7 through 15 must be filled out completely and returned with Financial Documentation to be considered for a Form I-20.

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

NOW THAT YOU ARE PLANNING TO BE A STUDENT THERE ARE TWO THINGS YOU CANNOT DO!
1) DO NOT ENTER THE U.S. WITH A B-1, B-2, OR B-1/2 VISA UNLESS IT IS MARKED PROSPECTIVE STUDENT.
If you use a B visa to enter the U.S., you could be guilty of fraudulent entry and refused permission to stay longer than six months or to extend or change your status. Do not listen to people who say it is easy to enter the country as a visitor and change your status. It is not true! If you do not think there is enough time to obtain a Form I-20, in some countries you can ask the visa officer for a B-2 visa with the words Prospective student noted on it or have the words added to your B visa if you already have one. The officer will need to see that you are qualified for a Form I-20 but cannot get it in time. You will need to prepare evidence of your financial responsibility and ask us for a letter to take with you.
2) DO NOT ENTER THE U.S. WITHOUT A VISA (Unless you are Canadian)

If you are from a country from which you can enter the U.S. as a visitor by showing a round trip airline ticket, do not do this. If you enter without a visa, you will be permitted to stay for only 90 days. You will not be given more time or allowed to change to student status.

WHAT IS A FORM I-20? & WHY DO YOU NEED ONE?


* A Form I-20 is a government form on which Caldwell College certifies to the U.S. government that you are eligible for F-1 Student Status. It certifies that
you: 1- are or expect to be a bona fide student 2- meet our admissions requirements and received acceptance to Caldwell College 3- will pursue a full course of study towards a Bachelors or Masters degree 4- proved that you have enough money to study and live in the U.S. without working illegally or suffering from poverty

* You need a Form I-20 to obtain an F-1 student VISA and status, or to keep lawful F-1 status when transferring/changing schools within the U.S.
(Transfers-If you qualify, we will send you our I-20 before you travel, if you tell us that you are traveling outside the U.S. before classes begin.)
International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

DOES EVERYBODY NEED AN I-20?


No, some international students do not need an I-20. If you are maintaining another nonimmigrant status in the U.S., you do not need an I-20 and may attend school full or parttime. Dependent children in E, F, H, I, J, L, M, N, O, P, R or S status need to change their status after their 21st birthday or if they marry. If you have no legal status, you may attend school but you are not eligible to change status and do not need an I-20.

GETTING YOUR FORM I-20


The following information contains rules for issuance of your Form I-20 by Caldwell College. Read the following VERY carefully. You cannot complete this process without following them step-by-step. A Caldwell College Form I-20 ONLY will be issued to students with a COMPLETED I-20 Application Form and with ALL documents attached that are necessary. Sometimes, we may have to ask you to give us more evidence of your financial ability, perhaps more than once. The U.S. Government requires that we be absolutely sure, to the best of our ability, that you will have enough financial support to cover the full costs of your stay in the U.S. We insist that students and their families look closely at the costs of living and studying in the U.S. and make careful plans to be sure your needs will be met.

***RULES FOR GETTING AN I-20***


1) You must be a Bona Fide student intending to pursue a full course of study in the program to which you have been admitted. We recommend that you start preparing your financial documents as soon as possible. This process can take some time and Caldwell College cannot issue an I-20 to a student until a complete I-20 application is received and approved. 2) Carefully review Caldwell Colleges Estimated Annual Financial Requirements for International Students on page 7 and calculate your annual costs in the work box on page 8. These requirements represent a modest average budget, which does not include luxuries of any kind. We strongly recommend that you budget at least 10% more if possible. EXPECT ANNUAL INCREASES in tuition and living costs of about 7%. We advise you take this in consideration now, if not it may be possible that you will be required to reprove and reapply for a new I-20 during your studies.
International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

3) U.S. Law requires that you prove your ability to support your estimated annual cost for every year of your program of study. (Estimate 2 years for a Masters and 4 years for a Bachelors.) You must provide documents that will convince the U.S. Government that you have: CASH TO COVER YOUR FIRST YEAR IN THE U.S. SUFFICIENT AND DEPENDABLE FINANCIAL RESOURCES TO COVER EVERY ADDITIONAL YEAR YOUR FINANCIAL SUPPORT CAN COME FROM ANY COMBINATION OF SOURCES EXPLAINED IN NUMBERS SIX, SEVEN, AND EIGHT BELOW. 4) Do not expect that you will be able to work in the U.S. to help meet your annual costs! The Immigration Service strictly controls off-campus employment and opportunities on campus are very limited and competitive. In order to qualify for a Caldwell College I-20, you must be able to prove all your finances for studies prior to receiving approval for a Form I-20. 5) All documents you give us MUST be less than two months old and in English. (We cannot review documents that are not in English!) Send us photocopies or faxes, NOT originals. You will need the originals of all the documents you have sent us to give to the American Embassy when we send you your I-20. 6) You can support yourself with your own personal funds, which comes only from your own income or resources. Unless you presently have enough cash to support yourself for your entire program of study or can prove other sources of personal income, you will need a sponsor with an income sufficient to support you. Prove your personal funds with the following documents: Bank Statements in your name only, which state the date the account was opened, current balance in U.S. dollars, average deposits and average balances. We cannot accept statements that do not specify balances unless it is stated to be a minimum of six figures in U.S. dollars. If your statement shows that your funds are fixed, meaning that they do not produce substantial income, your balance will be divided by the number of years in your program of study to determine the amount you will have available to you for each year of study. Employment Letter certifying your salary -- if you will be paid by your home country employer while studying here in the U.S. Statement of Liquid Investments 7) You may support yourself with funds from this school such as an academic scholarship or an athletic scholarship. Caldwell College support does not cover all expenses, so you will need additional resources to meet your minimum annual costs.
International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

Provide us with a copy of your award letter or contract to prove that you will receive this form of support. 8) You may support yourself with funds from other SPONSORS such as parents, relatives, or organizations. You may have as many sponsors as you need. It is highly recommended that at least part of your financial support come from your home country for purposes of visa issuance. Sponsors may provide you with support in the form of cash and/or room and board. Free room and board is determined to be when you live with someone and do not have to pay for your room or food.

9) A SPONSOR should promise only as much money as he or she is able to give you
per year. Some sponsors believe that the more money they promise to give the easier it will be to get your I-20. THE MOST COMMON REASON FOR REJECTION OF FINANCIAL DOCUMENTS IS THAT WE DO NOT BELIEVE THE SPONSOR CAN AFFORD TO GIVE AS MUCH AS PROMISED. A sponsor should promise only what he or she intends to give and only as much as can be afforded.

10)

Each SPONSOR providing cash support must give us all the following documents to prove financial responsibility. If all these documents are not received, your SPONSORs support will NOT be considered. AFFIDAVIT OF ANNUAL FINANCIAL SUPPORT. This form may be photocopied for each sponsor in the presence of a notary public. The notary public will sign and affix the official seal on each affidavit. There are notary publics at all U.S. embassies and consulates. In the U.S., most neighborhood pharmacists, lawyers and accountants are notaries. There are notaries in all countries, though the names for them may be different. There are officials licensed by the national or regional government to take sworn statements for courts of law or to witness contracts and property deeds. If there is NO notary signature and seal, we will not take the support as being valid.

PROOF OF INCOME. (a) Individual Sponsor: this must be on the employers letterhead with a pay stub, on income tax returns or receipts, or estimated by a bank or private accountant when the sponsor is a self-employed businessperson or retired. The income of a company is not the income of the owner of the business and will not be accepted as proof of income. You must provide an official statement of the salary paid to the owner/sponsor. Income tax return receipts are preferred and normally ensure that more information will not be requested. (b) Company Sponsor: Submit the most recent Profit and Loss Statement for the company.

International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

BANK STATEMENT in the name of the sponsor only, that states the date the account was opened, the current balance in U.S. dollars, the average deposits and average balances and is signed by a bank official with title. We cannot accept statements that do not specify balances, unless it is stated to be a minimum of six figures in U.S. dollars. 11) A SPONSOR providing free room and board in the United States (free room and board is determined to be when you live with someone who gives you your room and food for no payment) A SPONSOR must provide all of the following evidence of financial ability: AFFIDAVIT OF FREE ROOM AND BOARD fully completed and signed in the presence of a notary public. PHOTOCOPY OF LEASE DEED, DEED, RENT RECEIPTS in sponsors name. PROOF OF INCOME. This must be on the employers letterhead with a pay stub, on income tax returns or receipts, or estimated by a bank or private accountant when the sponsor is a self-employed businessperson or retired. (Transfers- If you are presently in the U.S., you must be living with the sponsor at the time you file this application for this to be counted towards your means of support.)

International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

ANNUAL FINANCIAL REQUIREMENTS FOR INTERNATIONAL STUDENTS 2012-2013


This is a modest budget. It does not include such items as telephone calls, a wireless phone plan or any miscellaneous expenses. It is highly recommended that you budget more.

INSTRUCTIONS: CIRCLE ALL THAT APPLY & ADD ALL FOR TOTAL BOX ON PAGE 9

FALL & SPRING SEMESTER COMMUTER BUDGET


ITEMS TUITION (undergraduates under age 23) TUITION (undergraduates age 23 and over) TUITION (graduate students) COST per year _____ $26,990 (24-36 credits) $15,600 (24 credits) $14,940 (18 credits) $10,000 (estimate)* $1,500 (estimate) $1,800 (VARIES) $2,000 (VARIES) $42,290.00 $30,900.00 $30,240.00

LIVING COSTS (for students living off campus, not with a sponsor) BOOKS & SUPPLIES TRANSPORTATION PERSONAL TOTAL (undergraduates under age 23) TOTAL (undergraduates age 23 and over) TOTAL (graduate students)

*Please note that the living cost is based on monthly rent and basic utilities (heat and hot water) and a conservative food budget for someone sharing a house or apartment with four or five roommates. Please add to your budget between $100 to $150 per month for your share of your apartment or house electric bill. Typically, apartments or rental houses in the US are unfurnished, so commuters will want to budget extra for purchasing a bed and furniture. Also, please plan to add $100 to $200 additional per month to your living costs if you know you would like internet service and cable television in your room of your house or apartment.
Resident Student Budgets are continued on next page
International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

This is a modest budget. It does not include such items as telephone calls, a wireless phone plan or any miscellaneous expenses. It is highly recommended that you budget more.

INSTRUCTIONS: CIRCLE ALL THAT APPLY & ADD ALL FOR TOTAL BOX ON PAGE 9

FALL & SPRING SEMESTER RESIDENT BUDGET


ITEMS TUITION (undergraduates under age 23) TUITION (undergraduates age 23 and over) TUITION (graduate students) ROOM & MEAL PLAN (undergraduates under age 23) ROOM & MEAL PLAN (undergraduates over age 23) ROOM & MEAL PLAN (graduates students) BOOKS & SUPPLIES TRANSPORTATION PERSONAL TOTAL (undergraduates under age 23) TOTAL (undergraduates age 23 and over) TOTAL (graduate students) COST per year _____ $26,990 (24-36 credits) $15,600 (24 credits) $14,940 (18 credits) $ 9,911 (MJRH double)* $12,066 (DH double)* $12,066 (DH double)* $1,500 (estimate) $900 (VARIES) $1,000 (VARIES) $40,301.00 $31,066.00 $30,406.00

*Please note that all resident Adult Undergraduate students and resident Graduate students are housed in double rooms in apartment-style suites in Dominican Hall. All freshman and new Traditional Undergraduate resident students are housed in double rooms in Mother Joseph Residence Hall. All apartments and rooms on campus are furnished and the cost of cable television and wired/wireless internet service is included in the costs for housing. Use of washers and dryers in the residence halls is free for all resident students.
Continued on next page

International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

INSTRUCTIONS: ADD ANY OF THESE SPECIAL FEES WHICH APPLY


FRESHMAN ORIENTATION FEE (mandatory for all freshmen) INTERNATIONAL ORIENTATION FEE (mandatory for all new F-1 students) COMPREHENSIVE FEE (per year, mandatory for those under age 23) COMPREHENSIVE FEE (per year, mandatory for those over age 23) HEALTH INSURANCE (per year, all students automatically billed) TELECOMMUNICATIONS FEE (residents only) LAB SCIENCE (per course) ART STUDIO (per course) $200 $50 $900 $150 $450 $120 $45 $75

Summer school tuition and living costs are not included in resident or commuter budgets.

ENTER YOUR TOTAL ESTIMATED ANNUAL COSTS


(include tuition, fees, living expenses, books/supplies, etc.) *Enter an accurate # in this box or an I-20 will not be issued*

IMPORTANT-DEPENDENT COSTS!
If you are going to be accompanied by a spouse or child, you must show an additional amount: $10,000.00 annually for your spouse and $4,000 for each child. These costs do not include medical insurance, which is estimated at an additional $3,000 per year for your spouse and $1000 per year for each child. It is very important to list all dependents- if you do not, they will NOT be listed on your I-20! Please submit a photocopy of the passport information page for each dependent to be included on your I-20.

YOUR ESTIMATED ANNUAL COSTS with F-2 Dependents:


Expect Annual Increases of Approximately 5-7% in Expenses

Amount listed in box above: DEPENDENT COSTS: TOTAL:

$__________________ $__________________ $__________________

**Please fill in these blanks, or an I-20 will not be issued**


International Student I-20 Packet 12/13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

APPLICATION FOR AN I-20 DOCUMENT CERTIFICATE OF ELIGIBILITY FOR F-1 STUDENTS


PART I: PERSONAL INFORMATION

Name:_______________________________
Family (Surname)

_____________________
First (Given)

_____________________
Middle

Email Address: ________________________________________________________________________ Home phone number: ____________________________ Cell phone number: _____________________ Home Country Address:
N.B.: This must be your home address. It must be a street address. We cannot issue an I-20 with a PO Box , business or school address.

___________________________________________________________

__________________________________________________ __________________________________________________ __________________________________________________

Date of Birth:

Month______ Day________ Year_______

Male

Female

Country of Birth: ______________________

Country of Citizenship: __________________________

Please attach a photocopy of your passport information page(s) with your I-20 application.

PART II: ACADEMIC INFORMATION


I have been admitted for: Fall 20______ (year) or Spring 20______ (year)

Do you plan on living on campus?________________________________________ What is your intended major? (must pick one)______________________________________________________ Admitted as (check one): _____Undergraduate

_____Adult Undergraduate

_____Graduate Student

_____Transfer Student from____________________________________________________


(Name of College/University from which you are transferring)
International Student I-20 Packet 12/13 10

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

PART III: HOW DO YOU WANT TO GET YOUR I-20?


_____ MAIL Your Form I-20 will be sent standard airmail to the name and address you indicate in the address box. We are NOT responsible if your postal system loses your package! If you need express delivery service, you should request someone in the U.S. to pick it up and send it to you or provide us with your credit card information. PRINT YOUR NAME AND ADDRESS IN ENGLISH, EXACTLY AS IT SHOULD APPEAR ON THE ENVELOPE.
____________________________________________ Name _____________________________________________ _____________________________________________ ____________________________________________

OR
______ Fed

Ex

Your Form I-20 will be sent Fed Ex and charged to the following account: Credit card #:____________________________________Expiration Date______________ Name on credit card:________________________________________ PRINT YOUR NAME AND ADDRESS IN ENGLISH, EXACTLY AS IT SHOULD APPEAR ON THE FEDERAL EXPRESS AIRBILL.
_______________________________________________ Name _____________________________________________ _____________________________________________ ____________________________________________

OR
_____ HELD FOR PICK-UP The International Student Office will hold your I-20 for pick-up by someone local: __________________________
Name

________________________
Phone Number
International Student I-20 Packet 12/13 11

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

PART IV: YOUR STATEMENT OF FINANCIAL SUPPORT Do not complete this part unless you have read the 10 rules for getting your Form I-20 (pages 3-6)
What are your estimated annual costs from the Workbox on page nine? Must Enter Total Estimated Annual Costs
How will you support yourself for every year of your program of study? Please check off your means of support below and indicate how much will be provided or available to you every year: Source of my support: Personal funds. The amount available to me from my own resources every year is (divide this amount by number of years in your program) Funds from Caldwell College that are renewable every year Type_____________________________________ Cash funds from a first sponsor to be given to me every year. Sponsors name_____________________________ Cash funds from a second sponsor to be given every year. Sponsors name_____________________________ __ Cash funds from a third sponsor to be given every year. Sponsors name______________________________ Free room and Board from a local sponsor in the U.S. with whom I will live. Sponsors name______________________________ Annual Amount

$________________

$________________

$_________________

$_________________

$_________________

$_________________

Total amount available to me every year of study.


This amount must be the same or more than your minimum annual costs.

The following documents are enclosed to prove my financial responsibility:

My personal documents: Bank statement Pr oof of income Cash Sponsors documents: I understand that All three types of documents MUST be attached. Affidavit of Suppor t (with Notary seal) Pr oof of Income Bank Statement

Funds from this School: Awar d letter Copy of contr act Free Room and Board Sponsors Documents. All three MUST be attached Affidavit of Suppor t (with Notary seal) Pr oof of Income Lease, deed, r ent r eceipts
International Student I-20 Packet 12/13 12

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

SPONSORS AFFIDAVIT OF ANNUAL CASH SUPPORT AND PROOF OF FINANCIAL CAPABILITY


WHAT DOES THIS AFFIDAVIT MEAN?
By completing this affidavit, you are swearing to the U.S. Government that you will provide this student with a specific amount of money from your own financial resources for every year he or she is going to study at Caldwell College and live in the U.S. You are also proving that you can afford the support you are promising with the documents you have attached. Before signing it, you must understand that you are making a financial commitment to the student that should not be broken. Sponsors who fail to provide the promised support force students to drop out of school and cause pain and suffering. Do not expect that the student will be able to help support the costs through employment. Employment is strictly controlled by the Immigration Service and very limited.

HOW TO COMPLETE THIS FORM:


Complete this form in English. Promise only the amount of money you are able to give. The most common reason we reject affidavits is that we do not believe a sponsor can afford to give as much as promised. Attach the documentary evidence of support explained below. Sign the affidavit in front of a notary public or the appropriate official in your country. PROVE THAT YOU ARE FINANCIALLY CAPABLE OF PROVIDING THIS CASH SUPPORT FOR EVERY YEAR OF THE STUDENTS PROGRAM BY ATTACHING ALL THE FOLLOWING DOCUMENTS (if all of these documents are not attached, your support will not be considered). Documents must be: Photocopies or faxes, Current (less than two months old), In English, In U. S. Currency, and Notarized
PROOF OF INCOME. This must be on your employers business stationery, on income tax returns or receipts, or estimated by a bank or private accountant if you are self-employed. The income of a company will not be accepted as proof of income. You must provide an official statement of the salary paid to you or it must appear on tax returns. BANK STATEMENT in your name, which states the date the account was opened, current balance in U. S. dollars, average deposits and average balances. We cannot accept statements that do not specify balances unless it is stated to be a minimum of six figures in U. S. dollars. If another persons name appears on your bank statement, that person must complete a separate affidavit or submit a notarized statement permitting those funds to be considered as financial support for the student.

International Student I-20 Packet 12/13 13

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

AFFIDAVIT OF ANNUAL CASH SUPPORT FORM


THIS IS MY SWORN PROMISE OF CASH SUPPORT I, ___________________________________, promise that I can and will give no less than
Your full legal name

U. S. $______________________ in cash FOR EVERY YEAR of the students program of study at Caldwell College to : __________________________________.
Full name of student

My relationship to the student is _________________________________________


i.e.: mother, father, spouse, brother/sister, friend

My address is ________________________________________________________

Phone_______________________

Fax____________________________

E-mail__________________________________________________________________ The following persons are fully or partially dependent upon me for their support.
(do not include the student named above).

_______________________________
Name _____________________________________ _____________________________________ _____________________________________

________________
Relationship to me ___________________ ___________________ ___________________

_______________
Age __________________ __________________ __________________

Name of my employer_________________________________________________________ Annual salary_______________________(U.S. $) Other Income_______________(U.S. $)

My proof of income and bank statements MUST be attached. (If these forms are missing your support will not be counted!)

I swear that the information I have provided above is true and correct. _______________________ Signature of Sponsor Sworn and subscribed before me this day: __________________________ Date ___________________________________ Signature of Notary
International Student I-20 Packet 12/13 14

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

SPONSORS AFFIDAVIT OF FREE ROOM AND BOARD AND PROOF OF FINANCIAL CAPABILITY
WHAT DOES THIS AFFIDAVIT MEAN?
By completing this affidavit, you are swearing to the U. S. Government that this student will live with you free of any charge for room and food for every year he or she is studying at Caldwell College and living in the U. S. (The student cannot be required to provide you with any services such as, babysitting, cleaning, etc. in exchange for the room and board, as that in employment.) You are also proving that you are the person who owns or rents the property and can afford the support you are promising with the documents you have attached. Before signing it, you must understand that you are making a financial commitment to the student that should not be broken. Sponsors who fail to provide the promised support force students to drop out of school and cause pain and suffering. Do not expect that the student will be able to help support the costs through employment. Employment is strictly controlled by the Immigration Service and very limited.

HOW TO COMPLETE THIS FORM:


Complete this form in English. Attach the documentary evidence of support as explained below. Sign the affidavit in front of a notary public or other licensed official in your country.

PROVE THAT YOU ARE CAPABLE OF PROVIDING THIS SUPPORT FOR EVERY YEAR OF THE STUDENTS PROGRAM BY ATTACHING: Documents must
be: 1) Photocopies or faxes, 2) Current (less than two months old) PROOF OF INCOME. This must be on your employers business stationery, on income tax returns or receipts, or estimated by a bank or private accountant if you are self-employed. The income of a company will not be accepted as proof of income. You must provide an official statement of the salary paid to you or it must appear on tax returns. PHOTOCOPY OF YOUR DEED, LEASE OR RENT RECEIPTS to prove that you are the person who owns or rents the property.
See Form on following of page

International Student I-20 Packet 12/13 15

Caldwell College Office of International Student Services 120 Bloomfield Avenue Caldwell, NJ 07006

Phone: 973-618-3248 Fax: 973-618-3444 international@caldwell.edu

AFFIDAVIT OF FREE ROOM AND BOARD SUPPORT


THIS IS MY SWORN PROMISE OF PROVIDING FREE ROOM & BOARD I, _________________________________ promise that for each year of his or her
Your full legal name

program of study, ____________________________________________________


full name of student

will live free of any charge/service with me in my home at: Street Address________________________________________________________ _______________________________________
City, State, Zip Code

____________________
Phone Number

/ this property. own rent

If presently in the U. S., does this student currently live with you? _______________ I will not require any type of service to be provided in exchange for this benefit. My relationship to the student is _________________________________________________.
i.e.: mother, father, spouse, brother/sister, friend

Name of my employer_________________________________________________________ Annual salary_______________________(U.S. $) Other Income_______________(U.S. $)

My proof of income and bank statements MUST be attached. (If these forms are missing your support will not be counted!) I swear that the information I have provided above is true and correct.

_______________________________________ Signature of Sponsor Sworn and subscribed before me this day: ______________________________________ Date _________________________________________ Signature of Notary

International Student I-20 Packet 12/13 16

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