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(BW Version) Grad - Financial - Verification - Form 2021-2022
(BW Version) Grad - Financial - Verification - Form 2021-2022
Please provide All requested information/signatures. Incomplete FVF form will delay the issuance of your I-20 Form.
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):
Part II: Estimated Expenses for 2021-2022 Academic Year (9 months / 2 semesters) *
*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
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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:
__________________ __________________ __________________ __________________ __________________
Family Name Given Name Date of Birth Country of Birth Relationship to Student
DEPENDENT- 2:
__________________ __________________ __________________ __________________ ___________________
Family Name Given Name Date of Birth Country of Birth Relationship to Student
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 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.
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.
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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ISSS[1-10-20]W Form Validation: Fall 2021 and Spring 2022 Admits ONLY