Scribd Logo
Upload

Welcome to Scribd!

  • 21 views

    2010 2011 FVF

    Uploaded by

    Jaimin K Patel
    This document is a graduate financial verification form for Stevens Institute of Technology. It provides estimated expenses for the 2010-2011 academic year of $36,000 which includes tuition and fees of $21,706, room and board of $12,259, books and supplies of $1,155, and health insurance of $880. The form requires the student to indicate the amount and source of financial support, and includes sections for the student and sponsor to complete and sign.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    2010 2011 FVF

    Uploaded by

    Jaimin K Patel
    21 views2 pages
    This document is a graduate financial verification form for Stevens Institute of Technology. It provides estimated expenses for the 2010-2011 academic year of $36,000 which includes tuition and fees of $21,706, room and board of $12,259, books and supplies of $1,155, and health insurance of $880. The form requires the student to indicate the amount and source of financial support, and includes sections for the student and sponsor to complete and sign.

    Original Title

    2010-2011-FVF

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a graduate financial verification form for Stevens Institute of Technology. It provides estimated expenses for the 2010-2011 academic year of $36,000 which includes tuition and fees of $21,706, room and board of $12,259, books and supplies of $1,155, and health insurance of $880. The form requires the student to indicate the amount and source of financial support, and includes sections for the student and sponsor to complete and sign.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views2 pages

    2010 2011 FVF

    Uploaded by

    Jaimin K Patel
    This document is a graduate financial verification form for Stevens Institute of Technology. It provides estimated expenses for the 2010-2011 academic year of $36,000 which includes tuition and fees of $21,706, room and board of $12,259, books and supplies of $1,155, and health insurance of $880. The form requires the student to indicate the amount and source of financial support, and includes sections for the student and sponsor to complete and sign.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    COMPLETE & RETURN ALL DOCUMENTS TO:

    OFFICE OF GRADUATE ADMISSIONS


    Stevens Institute of Technology
    Castle Point on Hudson
    Hoboken, NJ 07030
    Phone: 800.496.4935, FAX: 201.216.8044
    E-mail: [email protected]
    http://www.stevens.edu/gradadmissions

    2010-2011 Academic Year


    Graduate Financial Verification Form
    Student's Name
    Foreign Address
    City State ZIP Country
    Telephone FAX
    Expected Area of Study __________________________________________
    Major E-mail ___________________________
    U.S. Social Security Number or Stevens Student Identification Number (if available) ______-____-________
    Current Status Requested Status
    Have you attended any other U.S. Institution?
    Students who currently hold or expect to obtain a student visa (F-1), must provide proof of financial support in order for
    Stevens Institute of Technology to issue requested immigration documents.
    The amounts shown below are the approximate costs for one academic year (i.e., 2 semesters) and are subject to change
    without notice.
    Indicate below the amount (in U.S. dollars) and source of financial support for your study at Stevens:
    Estimated 2010-2011 Amount Available Source (Sponsor)
    Expenses

    Tuition & Fees * $21,706


    Room & Meal Plan ** $12,259
    Books & Supplies *** $1,155
    Health Insurance **** $880
    TOTAL $36,000
    * Tuition and fees are based on 18 credits at $1150 per credit. The above tuition and fees are subject to change.
    ** Based upon double occupancy and 15 meals per week dining plan for two semesters (9 months).
    This amount DOES NOT include the costs for the summer and winter break.
    *** Includes book, manuals and most computer account fees.
    **** There will be an additional cost to add dependents or for J-1 visa students and scholars. Health Insurance fees are subject to negotiations with the
    insurance provider.

    Additional Costs
     Summer session is 16 weeks. If you decide to take additional courses in the summer, it will cost you an estimated $1150 per
    credit and approximately $4,133 per session for double occupancy on campus. Meal plans during the summer are not available.

    Please check below the documents that are included with this form: (Must be an original notarized document; electronic version will not be accepted)
     Bank statement regarding student's funds (in U.S. dollars) and/or
     Documentation from sponsoring agency and/or
     Other documentation: (specify)
    (OVER)
    THIS PART SHOULD BE COMPLETED BY THE STUDENT
    Will you receive room and board from a relative of friend who is not your sponsor?  Yes or  No
    If Yes, please indicate the name, address and telephone number of that individual:
    February 11, 2010
    Relative’s/Friend's Name
    Street
    City State ZIP Country
    Telephone FAX

    In an emergency, whom should we contact in the United States?


    Contact's Name
    Street
    City State ZIP Country
    Telephone FAX

    If you are planning to come to the United States with dependents, please fill in the information below for each dependent:
    Name Relationship
    Date of Birth (mm/dd/yy) / / Country; Birth Citizenship _______________________
    Name Relationship
    Date of Birth (mm/dd/yy) / / Country; Birth ______ __ Citizenship ______________________
    Name Relationship
    Date of Birth (mm/dd/yy) / / Country; Birth Citizenship _______________________

    I understand that the entire tuition for each semester is due within 10 business days after the start of classes. I understand that financial
    aid is not available. I certify that the information contained herein is true to the best of my knowledge.
    Signature of Student Date

    THIS PART SHOULD BE COMPLETED BY THE SPONSOR


    Sponsor's Name
    Street
    City State ZIP Country
    Telephone FAX
    I hereby certify that the above information is accurate and I am willing and able to provide
    (Student's Name) with the minimum of US Dollars $ per year during
    the student's period of study at Stevens Institute of Technology. I have attached a certified statement from my bank and (where
    applicable) other certified evidence of my ability to sponsor the student.
    TO BE SIGNED BY THE SPONSOR IN THE PRESENCE OF A NOTARY PUBLIC, EQUIVALENT FOREIGN OFFICIAL OR A
    U.S. CONSULAR OFFICER.
    Subscribed and sworn to before me this day of 20 at

    SIGNATURE OF OFFICER SIGNATURE OF SPONSOR

    TITLE AND SEAL OF OFFICER

    February 11, 2010

    You might also like