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STUDENTS NAME ______________________________________________________________________________________________

Please type or print clearly in ink.All international students who will require an F or J student visa must complete the statement below. The Universityrequires documentation certifying the validity of the financial resources listed on this sheet. In addition to this affidavit, students

must show proof of finances for the first year of intended study. This evidence should consist of:

1. An official bank statement on original letterhead stationery and dated within the last six months that proves sufficient

funds are available; or

2. A statement of support from a sponsor, along with evidence of the sponsors financial resources

in the form of an official bank statement; or

3. An official letter of award from your government or other sponsoring organization indicating the terms of the support.

PHOTOCOPIES, SCANNED DOCUMENTS AND FACSIMILES ARE NOT ACCEPTED. All documentation must be current andin U.S. dollar amounts. Solvency certificates, salary statements and chartered accountant statements are not accepted.

I. Estimated Cost Academic Year (August-May)

THE ESTIMATED ANNUAL COST FOR THE 2010-2011 ACADEMIC YEAR IS AS FOLLOWS:

The above example is for planning purposes only. Official bills for tuition and fees will be presented at registration. Some

courses require additional fees. The University reserves the right to change any of the above expenses without prior notification.

This estimate does not include personal expenses such as transportation, clothing, books, laundry and entertainment.

II. Estimated Cost Summer School (May-August)The estimated annual cost for the 2011 Summer School is as follows:

UNDERGRADUATE (Both Campuses) GRADUATE (Both Campuses)

Tuition (9 credits), Fees .................. $8,209 Tuition (9 credits), Fees .................. $10,045

Room, Board Expenses .................. 4,836 Room, Board Expenses .................. 4,836

TOTAL $13,045 TOTAL $14,881

If you attend summer school or have your dependents join you, sufficient financial support must be demonstrated through

your financial documents. Add an additional $1,500 for off-campus housing.

Important Note: The expenses listed in Section I and II above reflect current average cost of living allowances for this metropolitan area. Expenses may vary according to each

student. This presentation is only an approximation.

III. Dependent Cost (Wife or husband and children)The cost for a dependent is calculated for a twelve (12) month year. The amount of money below indicates the amount

necessary to support a dependent:

Each adult dependent ................... $7,500 Each child dependent .................... $4,000

I intend to have _________ (number) of dependents accompany me to the U.S. (This information is required on the I-20 Form.)

Dependents Name (LAST, FIRST) Date of Birth (MO/DAY/YR) Country of Birth Relationship

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

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Affidavit of Financial Support forInternational Students

UNDERGRADUATE....... METROPOLITAN COLLEGE AT.................................................. CAMPUS FLORHAM

Tuition & Fees . ............... $32,715 $35,065

Room, Board Expenses... 11,870 11,870TOTAL $44,585 $46,935

GRADUATE(Both Campuses)

Tuition (18 credits) & Fees ........... $21,282

Room, Board Expenses .............. 11,870TOTAL $33,152

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IV. Specific Sources and Amounts of Support

Please list below the specific sources and amounts of support (attaching the previously requested supporting documentation). The

amounts must reflect funding for the entire period of study. Please attach detailed information.

SOURCE AMOUNT

Personal Savings ____________________________________ _______________________________

Family ____________________________________ _______________________________

Government Grant or Stipend ____________________________________ _______________________________

Scholarships (Source and Duration) ____________________________________ _______________________________

Loans (Source) ____________________________________ _______________________________

Other Means (Describe Fully) ____________________________________ _______________________________

TOTAL $ _________________________________

In signing my name to this affidavit, I swear that the information provided is an accurate statement of my plansto finance my studies.

Students Name (PLEASE PRINT) ___________________________________________________________________________________________

Signature _______________________________________________________________________________ Date ____________________

Signature of Notary Public or Public Authority ________________________________________________ Date ____________________

Affix Official Seal or Notary Stamp Here

V. Sponsor Certification

This is to certify that I, ___________________________________________________________________________________________________ ,

will sponsor the above-named student for the period of___________ to ___________ while he/she is enrolled, in the relationship of

(relative, friend, etc.) ______________________________________________________________________ . This sponsorship relieves the

officials of Fairleigh Dickinson University of any and all responsibilities for the financial well-being of the student.

Sponsors Name (PLEASE PRINT) __________________________________________________________________________________________

Signature _________________________________________________________________________________ Date ____________________

Address ___________________________________________________________________________________________________________

City/State __________________________________________________________________________________________________________

Country ________________________________________________ Zip/Postal Code ____________________________________________

All documents and forms should be sent to:

Office of International Admissions, Fairleigh Dickinson University, 1000 River Road, T-KB1-01, Teaneck, NJ 07666 U.S.A.

Please attach an original official bank statement

dated within the last six (6) monthsor a letter of sponsorship to this form.