NEW JERSEY INSTITUTE OF TECHNOLOGY
Instructions to Complete the International Student Financial Statement Form
All international students are required by law to document that they have financial resources adequate to meet the
educational and living expenses required for the duration of study at New Jersey Institute of Technology. This
information must be submitted before a Certificate of Visa Eligibility (Form I-20 or DS-2019) can be issued by the
university.
Please read the following instructions carefully before completing and submitting the NJIT International Student Financial
Statement Form.
Part I
Please answer questions 1 - 5 completely.
Dependent Support (Graduate Students Only):
Financial support documentation must be submitted for any family members who will accompany a student to the United
States.
Spouse:
Each child:
$5,000
$3,750
Part II
Please indicate the sources of funding and the amounts available. Sponsors must verify support by signing the form. If
necessary, supplementary documentation may be submitted.
Each applicant must document financial support equal to or greater than the following amounts:
2016 - 2017 ESTIMATED ANNUAL COSTS FOR NEW INTERNATIONAL STUDENTS
GRADUATE
UNDERGRADUATE
$29,992
$30,326
Tuition and Fees*
$17,600
$18,700
Living Expenses*
Total (per year of study)*
$47,592
$49,026
*Figures are subject to change without notice.
Sources of Funds
Personal Savings
Family/Relative/Personal Sponsor(s)
Scholarship
Loan
Government/Employer/Other
•
•
•
Required Documentation
Bank statement
Bank statement from sponsor(s). Sponsor(s) must sign Verification A on the
form and state relationship to the applicant.
Award letter from the institution awarding the scholarship. The award letter
must contain the name of the applicant, the amount of money available for each
year of study, the duration of the award, and the name of New Jersey Institute of
Technology as the institution to which the award is applicable.
Letter from a lending institution indicating approval of the loan and the amount
approved.
Letter indicating amount of support and containing the same information as for
‘Scholarship’ described above.
All documentation must be dated within six months of the date of enrollment at New Jersey Institute of Technology.
Funds should be liquid assets, such as:
o Cash in a savings/checking/money market account
o Stocks or bonds
o Short-term annuities or certificates of deposit
New Jersey Institute of Technology reserves the right to require additional documentation.
NEW JERSEY INSTITUTE OF TECHNOLOGY
International Student Financial Statement Form
Please type or print clearly.
Part I
1. Name of Applicant
as seen on Passport
Family/Last Name
First/Given Name
Middle
2a. NJIT Student ID ______________________
2. Date of Birth
Month
Day
Year
3. Country of Birth
4. Country of Citizenship
5. Do you plan to come with dependents (spouse/children)?
Yes
No
If yes, please list them below and submit a
photocopy of the dependents passport:
Name of Dependent
Date of Birth
Country of Birth
Country of Citizenship
Relationship to Applicant
Please note that $4,500 in financial support is required for the first dependent and $2,500 for each additional dependent.
Part II
Source of Funds*
Assured Support
First Year
Projected Support
Second Year
$________________
$________________
Personal Savings:
Please submit a bank statement verifying amount that is available.
Family/Relative/Personal Sponsor(s):
Please submit a bank statement from sponsor(s) verifying the amount that is
available.
Name
Relationship
Name
Relationship
Scholarship/Loan
Please submit award letter/loan approval letter.
Awarded by
Government/Employer/Other
Please submit letter indicating amount for tuition, fees, living expenses, and
length of time covered by award.
Name
TOTALS:
* Funds may be assured by several sources if necessary. Each source of funding must provide the appropriate financial documents.
Verification:
A. This is to certify that I (we) the undersigned have agreed to provide the funds indicated above to the applicant for the purpose of
study at New Jersey Institute of Technology and that I (we) are submitting bank statements indicating the availability of these
funds.
_
Sponsor’s Signature
Relationship to Applicant
Sponsor’s Signature
Relationship to Applicant
Date
_
Date
B. I certify that the information given by me on this form is complete and accurate and I understand that misrepresentation on this
form may be cause for rescinding admission.
Applicant’s Signature
Date