AFFIDAVIT OF ANNUAL FINANCIAL SUPPORT

THIS IS MY SWORN PROMISE OF CASH SUPPORT

I,___________________________________ promise that I can and will give no less than My name (please print)

U.S.$ __________________ in cash FOR EVERY YEAR of study at Northern Seminary To _____________________________________________________________________ Full name of student (please print)

My relationship to this student is _____________________________________________ parent, spouse, friend (please print)

My address is ____________________________________________________________

________________________________________________________________________

Phone __________________________________ Fax ____________________________

E-mail __________________________________________________________________

The following persons are fully or partially dependent upon me for their support (Do not include the student named above).

____________________________________________________________________________________________________________ Name Relation to me Age

____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Name of my employer _____________________________________________________

Annual salary $___________________(USD) Other income $_______________(USD)

Proof of income must be attached.

I swear the information I have provided above is true and correct.

____________________________________________________

Signature of Sponsor

Sworn and subscribed before me this _______day _______year

____________________________________________________

Signature of Notary