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ISSS[1-10-20]W Form Validation: Fall 2021 and Spring 2022 Admits ONLY

Stevens Institute of Technology | International Student and Scholar Services Financial Verification Form (FVF) / Graduate Studies

Academic Year 2021-2022 All international students are REQUIRED to submit the Financial Verification Form (FVF)

Complete the FVF Parts I, III and IV in its entirety if: • A portion of your financial support comes from a sponsor (parents, relatives, friends, etc.) • A financial document submitted as proof of funds, is in the name of more than one person (joint account).

Complete the FVF Parts I and IV in its entirety if: • Your education and living expenses will be covered by personal funds, an education loan, or by a scholarship,

assistantship from either Stevens or your Home Government, please complete only Part I and Part IV of the FVF. To submit the FVF: • UPLOAD the FVF form(s) along with proof of funds to your online Application Status Page.

Financial Documentation Requirements may be found on the ISSS website .

Please provide All requested information/signatures. Incomplete FVF form will delay the issuance of your I-20 Form.

THE ISSUANCE OF FORM I-20 REQUIRES PROOF OF SUFFICIENT FUNDS TO MEET THE “TOTAL EXPENSES” FOR THE FIRST ACADEMIC YEAR OF STUDY

Part II: Estimated Expenses for 2021-2022 Academic Year (9 months / 2 semesters) *

Graduate Degree Programs Master’s Degree and PhD Programs Graduate Certificates

Coordinated Programs

MS/MBA

Tuition and Fees: $39,460 $22,020 $26,984

Estimated Living Expenses: $17,480 $17,480 $17,480

Health Insurance, Books, & Supplies: $3,200 $3,200 $3,200

Total Expenses (student): $60,140 $42,700 $47,664

Dependents (add to Total Expenses if accompanied by dependents): Spouse $4,500; Child $3,600 (per child)

*Estimated expenses for 2021-2022 Academic Year are subject to change at any time by Stevens Institute of Technology.

A detailed breakdown of graduate tuition and fees can be found here: website

Part I: Personal Information (Completed by Student)

Surname/Family Name:

Given Name:

Date of Birth (MM/DD/YYYY): Country of Birth:

City of Birth: Country of Citizenship:

E-mail Address: Phone (with country code):

Permanent address in Home Country (include street name and number, city, province, postal code, and country):

Immigration Status if currently residing in the U.S. (F-1, F-2, H-1B, H-4, etc.):

Local Residential Address if currently residing in the U.S. (include street name and number, city, state, and postal code):

Page 2 of 2 ISSS[1-10-20]W Form Validation: Fall 2021 and Spring 2022 Admits ONLY

DEPENDENTS: To request Certificate of Eligibility / I-20Form (F-2 visa) for dependents (spouse and/or children under the age of 21) accompanying you, please fill in the information below and upload the listed below documents to your Admission Status Page, otherwise request could not be processed. All documents must be in English or accompanied by a certified English translation. • Copy of each dependent’s passport Identification page• Marriage Certificate• Copy of Birth Certificate (minor children)• Evidence of additional funds (refer to Part II) to cover dependents’ living expenses.

DEPENDENT- 1:

DEPENDENT- 2:

If more space is required, provide the information on a separate sheet, and include your full name.

Please provide All requested information/signatures. Incomplete Part III /Part IV will delay the issuance of your I-20 Form

Part III: Sponsor Information and Certification of pledged funds (Completed by Sponsor)

A separate FVF /page # 2 must be submitted for each sponsor or an account holder whose name appears on any financial document confirming availability of funds (bank statement/letter, etc.). Name on Bank document(s) must be an exact match to the name of your sponsor(s) listed on the FVF. Submit financial document(s) with this form.

Sponsor’s Full Name:

Relationship to Student (Parent, Spouse, Sibling, Friend, etc.):

Complete Residential Address (include street name and number, city, province, postal code, country) required:

Phone Number (include country code first):

Financial Support in U.S. dollars pledged by Sponsor (required): $_______________________

Sponsor’s Statement of Guaranteed Funding: I certify that funding in the amount indicated here will be available to support the student during his/her academic program at Stevens Institute of Technology.

Signature of sponsor (required)_________________________________________ *Date (mm/dd/yyyy) _________________

Part IV: Student Certification

I, _______________________________, attest that I have read and understood the information contained in the Financial Verification Form, that the information provided therein by me (the student) and by my sponsor is accurate and true, and that the funds are available without restrictions, and transferable to the U.S. to meet my financial obligations to Stevens. Furthermore, I affirm that I am personally responsible for all costs associated with my education/ living expenses.

Student’s Signature (required): ______________________________________ Date: (mm/dd/yyyy) ________________

Contact information : Submit questions related to issuance of Form I-20 to ISSS at newintlstudent@stevens.edu

Submit all other questions/inquiries to the Office of Graduate Admission at graduate@stevens.edu or by phone at (201) 216-5319.

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Family Name Given Name Date of Birth Country of Birth Relationship to Student

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Family Name Given Name Date of Birth Country of Birth Relationship to Student