AFFIDAVIT OF SUPPORT FORM
for use by International Student applicants
INSTRUCTIONS: Please PRINT or TYPE. This form has 2 initial parts — 1 for privately supported students and 1 for agency supported
students. Privately supported students receive financial support from their own resources, their parents, or a relative/friend who will
provide financial resources. Agency supported students receive support from a government or other agency.
You need to complete only one of the first two parts (private or agency part), unless you will receive support from both of these sources.
All applicants, including those requesting financial assistance from Duquesne University, must complete part 3.
Attached evidence of available finances must be in the form of original notarized or certified official BANK STATEMENTS,
EMPLOYER’S GUARANTEE/STATEMENTS, or AGENCY FINANCIAL GUARANTEE. No uncertified photocopies can be accepted.
Be sure to sign this form after completing Part 1 or Part 2 and Part 3. No immigration documents can be issued until all financial resource
certifications have been received by Duquesne University.
Name of Applicant
Country of Citizenship
Date of Birth
PART 1 — PRIVATELY SUPPORTED STUDENTS
As the financial sponsor of the applicant whose name appears above, I attest to my ability to furnish full financial support for all expenses
of the above applicant’s study at Duquesne University and am providing evidence of available funds for the academic year specified for
the program indicated in this application.
Name of Sponsor
Relationship to Sponsored Student
Signature of Sponsor
Signature and Seal of Notary
PART 2 — AGENCY SUPPORTED STUDENTS
As the financial sponsor of the applicant whose name appears above, our organization will financially support the applicant’s study at
Duquesne University in the following program major
Name of Agency
Student’s Agency Identification Number (if known)
Name and Title of Agency Authorizing Official
PART 3 — FINANCIAL R