This form must be completed & submitted to long with a copy of your passport and current financial documentation before your I-20 can be issued.

Estimated Costs at Fort Lewis College2016-17 Academic Year:

Tuition & Fees…………………….………………$17,856

Room & Board…………………………………….$11,094

Books/Supplies/Transportation/Misc. ……….…..$7,328

Total …………………………………………..…..$36,278

The Board of Trustees reserves the right to change tuition and fees at any time. All amounts above are estimates only and may vary according to your habits and resources. These estimates assume a modest standard of living.

Student’sName:

(Family/LastName)(First/GivenName)

Address in Home Country (must be a non-U.S.address):

(Street Address)





(City)(StateorProvince)(PostalCode)(Country)

EmailAddress:

Are you already in the United States? YesNoIf yes, what is your current immigrationstatus?

What is your countryofbirth?What is your country ofcitizenship?

What is your country of legalpermanentresidence?What is your date ofbirth?

Month/Day/Year

Are any dependents (spouse or children) accompanying you to the United States? Yes No


Sources and Amounts of Financial Support (indicate amount in U.S. dollars)

 From personalsavings……………………………………………………………………………………….$

Include a bank statement dated within the last 6 months

 From family orfriend………………………………………………………………………………………….$

Must complete the Affidavit of Support (page 2) and submit with a bank statement dated within the last 6 months

Fort Lewis College assistantship, scholarship, or other form offunding………………………….…….$

Include a copy of award letter

Financial aid from a government agency, private foundation, bank, orotherorganization…………..$ Include the original form or official copy of your award as evidence of financialsupport

Total Support for 1 Year’s Expenses atFLC………………………………………………...... $

By signing my name to this form, I certify that the information I have given is a correct statement of my arrangements for financing my studies at Fort Lewis College and that all information provided onthis form isaccurate.


Student’sSignatureMonth/Day/Year

Scott Miller, International Programs Office Fort Lewis College, 1000 Rim Drive,Jones Hall 106, Durango, CO 81301 USA

AFFIDAVIT OF SUPPORT

  • Each family member or other individual who will be sponsoring your studies must complete thispage.
  • The person who completes the affidavit of support must also attach a recent bank statement as proof offunding.
  • Theaffidavitofsupportis notneededifyoursponsorisagovernmentorganization,privatefoundation,bank,orother agency.

Scott Miller, International Programs Office Fort Lewis College, 1000 Rim Drive,Jones Hall 106, Durango, CO 81301 USA