2021-2022 International Student Financial Support Form

Amount from individual sponsor:

Name and relationship of individual sponsor:

Do you have another individual also sponsoring you?

Amount from sponsor number 2:

Name and relationship of individual sponsor number 2

Do you have another individual also sponsoring you?

Amount from sponsor number 3:

Name and relationship of individual sponsor number 3

Please have the sponsor above read and sign the section below before submitting.

Statement of Understanding (sponsor must read CAREFULLY):

I will be responsible for aiding the student through financial difficulty or unforeseen hardship while at Miami University. I understand that should the student appeal to the university, the appeal will be referred to me for assistance.
I have made contingency plans such that the unexpected financial difficulties created by unfavorable exchange rates, increases in educational costs, or other business or economic conditions will not reduce or stop the flow of monies to the student.
I understand that the student will have adequate medical insurance against accident or illness, emergency medical, and repatriation expenses (return of student to home country) while in the United States.

Sponsor Affidavit of Support

I have read and understood items 1-3 of the Affidavit of Support statements. I certify that the total amount available for the first year is below, and that an amount not less than this will be available for each subsequent year to the applicant:

Sponsor Electronic Signature

Sponsor #2 Electronic Signature

Sponsor #3 Electronic Signature

Electronic Signature Applicant

Please upload a photocopy or digital scanned copy of a bank statement.

Estimated costs of attendance for fall and spring semesters 2021-2022:

Tuition and fees:	$17,676
Living Expenses:	$15,640
Health insurance and other expenses (estimated):	$1,636

Total:	$34,912

Note: These are current estimates for two semesters and are subject to change. These figures are for degree-seeking students and do not include international airfare, travel expenses within the U.S., course fees, or the cost of Winter Term or Summer Term tuition and/or living expenses. Visit the One Stop website for up-to-date information on tuition, fees, and scholarships.

By my signature, I attest that all information provided on this form is complete and accurate and that I am ultimately responsible for all anticipated expenses for the length of my stay in the U.S. Any omission or falsification may result in my being denied registration or in action leading to dismissal from Miami University.

Electronic Signature of Applicant:

Date: