SPONSOR’S STATEMENT FORM

FOR INTERNATIONAL STUDENTS

1. Give your name as it appears (or will appear) on your passport. Your passport name and application I-20
must be the same.

Name: Last (Surname) ______________________________________ First ____________________________________

Date of Birth: _____/_____/_____

2. Sponsor’s statement: I certify that I am the sponsor of the applicant. I verify that I have liquid assets as indicated below to
meet the educational and living requirements of the applicant during the period of study at TCC. I understand that I must
have my bank complete the BANK AFFIDAVIT FORM or provide a letter from my bank verifying availability of funds.

3. Sponsor’s name (print): Last/Family ______________________________________ First: ________________________

Sponsor’s relationship to applicant: ____ Father _____Mother _____ Other (please specify)__________________

Sponsor’s signature: __________________________________________________________________________________

Amount of liquid assets available, in U.S. dollars (specify amount): ____________________________________________

Date form completed (mm/dd/yy): ___________/___________/___________

NOTICE TO STUDENT: If you have more than one sponsor, each sponsor must complete a Bank Affidavit
Form and a Sponsor’s Statement Form.

STATEMENT OF RESOURCES EVERYONE WILL BE REQUIRED TO COMPLETE A BANK AFFIDAVIT FORM

NOTE: ALL Bank statements must be original, in English, in U.S. dollars, and no older than 6 months.
Indicate below the source of your funds:

_____A. Student Funds Submit one or more of these documents to equal the required funds:
* Bank statement for checking, savings and/or other accessible bank account
* Certificates of deposit; mutual, stock or bond funds; and/or other accessible funds

_____B. Family or Friends A sponsor’s statement and bank documents are required of all sponsors. The sponsor statement
Should include the following:
* A statement that the sponsor will financially support the student
* Student’s name
* Sponsor’s name
* Sponsor’s signature and date
The sponsor must submit one or more of these documents to equal the required funds:
* Bank statement for checking, savings or other accessible account
* Certificates of deposit; mutual, stock or bond funds; and/or other accessible funds
* U.S. sponsor must complete Form I-134

_____C. Private Company The following items will be required:

* A statement on Company letterhead verifying that the business will financially support the student.
The statement should include the student’s name and the responsible official’s signature.
* A bank letter showing name of sponsor as an account holder for the business

Mail to: Tarrant County College

International Admissions
1500 Houston St.
Fort Worth, TX 76102-6599

Tarrant County College is an Equal Opportunity Institution that provides educational and employment opportunities on the basis of merit
and without discrimination because of race, color, religion, sex, age, national origin, veteran status or disability.