International Applicant Financial Support Form (Required of international applicants only) Name If you plan to use your own funds to supplement your sponsor's support or if you are self-sponsored, the University requires you to attach a copy of your bank statement. The total for a single participant must equal or exceed $110,396. Tuition and Fees ($83,400) $ ($26,996) $ ($7,200 for spouse and/or $3,600 per child) TOTAL $ Living expenses Additional family expense $ SPONSORED APPLICANT CERTIFICATION Sponsor organization Address City, Province/State, Country, Postal Code Phone Fax Email Organization official's name Title/Division X Signature Date SELF-SPONSORED APPLICANT CERTIFICATION X Signature If sending separately, please return Financial Support Form to: Admissions Re: Financial Support Form IBEAR MBA Program Marshall School of Business University of Southern California Los Angeles, CA 90089-2631 U.S.A. Fax Email: (213) 740-7559 ibearmba@marshall.usc.edu Date Put official stamp or seal of sponsor organization here. (sponsored applicants only)