International House
2200 S. Josephine St. Denver, CO 80208
Phone: 303-871-4912 Email: isss@du.edu
FINANCIAL VERIFICATION FORM
DU ID: LAST (FAMILY) NAME: FIRST NAME:
Please verify that you understand and accept the following items by initialing each item.
____ I will only provide documentation of funding that I will actually have access to during my course of study.
STUDENT SIGNATURE: DATE:
SECTION C: Complete if you have PERSONAL FUNDS
Funds Available (USD): $
I certify the above named student will have access to the funding listed here during their first year at DU.
SPONSOR NAME:
SPONSOR EMAIL:
SPONSOR SIGNATURE: DATE:
____ If I choose to stay in the United States during summer quarter, I am responsible for cost of living, tuition, and
fees for that quarter. Those costs are not included in the Cost of Attendance for my program.
The Cost of Attendance for my program:
____ assumes a moderate budget and does not include moving costs such as travel or housing deposits
____ is not a tuition bill and all costs are subject to change
____ does not include additional costs for dependents
____ The University of Denver has limited on-campus employment options and can only guarantee the scholarships
and assistantships that have already been offered to me.
STUDENT SIGNATURE: DATE:
SECTION D: Complete if you have FAMILY or PRIVATE SPONSOR FUNDS
If you are submitting financial documents belonging to an individual other than yourself, that individual must complete
this section. Do not sign on behalf of your private sponsor. You may submit multiple different bank documents.
Funds Available (USD): $
DU ID: LAST (FAMILY) NAME: FIRST NAME:
If you are submitting your own bank documents, complete this section. You may submit multiple different bank documents.
SECTION B: Student Information and Attestation (REQUIRED)
The University of Denver is required by U.S. government regulations to verify that you have funding available to cover estimated
academic and living expenses for one academic year (3 quarters/2 semesters). To show that you have funding available:
You may submit any combination of the financial documents listed on this form.
You may submit multiple different bank documents.
Scholarships from DU count toward the required funding.
Letters must include a signature from an official at the issuing organization.
All documents must:
o be in English, or accompanied by a certified English translation
o be dated within the past 6 months
o Include the name, logo or seal, and address of the organization
Academic Cost:
SECTION A: Cost of Attendance Calculation (REQUIRED)
Cost of Living:
TOTAL:
$
$
Dependent Cost of Living:
$
$
For most graduate students, this cost is listed on Financial Aid's Cost of Attendance website:
https://www.du.edu/admission-aid/financial-aid-scholarships/graduate-cost-attendance
Select you college, the academic year you will begin your program, and your degree. Note that health
insurance is considered an academic cost. University College students can find their costs at
https://www.du.edu/isss/visa-immigration/ucol_coa
For most graduate students, this cost is under "Indirect Costs" on the Cost of Attendance web page
linked above. You do not need to include loan fee costs in the Cost of Living. University College
students can review the PDF linked above.
Only complete this section if you will be bringing a spouse or dependent children under 21. This cost
is $5,200 per year for a spouse and $3,960 per year for each child.
Add the previous three boxes together. This is the funding you must show to be issued an I-20 or
DS-2019.
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1) What is the current exchange rate of your country's currency to USD?
a) If yes, describe the restrictions.
2) Do you plan to use similar funding for each year of your program of study?
a) If yes, have you verified that any scholarships will be available every year?
b) If no, what will your alternate sources of funds be?
3) Will you have access to emergency funds while you are in the United States?
a) If yes, what is the source of funds?
4) Do you know how you will pay for travel to and from the United States?
a) If yes, how?
b) If no, what is your deadline for organizing travel funds?
=$1
2) Does your government currently impose restrictions on exchange and release of funds for study in the United
States?
This optional section is to help you plan and will not impact your eligibility for a Form I-20 or Form DS-2019.
OPTIONAL SECTION: FINANCIAL PLANNING
Yes No
You can find information on financial wellness and financial planning at https://www.du.edu/admission-aid/financial-aid-
scholarships/financial-wellness.
Yes No
Yes No
Yes No
SECTION F: Complete if you have a DU SCHOLARSHIP or ASSISTANTSHIP FUNDS
If you have been awarded a scholarship or assistantship by the University of Denver, complete this section. You only need
to provide documentation of your award if it is not on your admission letter.
Annual Scholarship/Assistantship Award (USD): $
What are the requirements for you to maintain your scholarship (GPA, course load, etc.)?
Yes No
If yes, how will it change?
Will your scholarship/assistantship funding change during your course of study?
SECTION G: HEALTH INSURANCE (REQUIRED)
All international students and their dependents are required to have health insurance for the duration of study. This cost is
included in your Cost of Attendance. DU's Health and Counseling Center offers a Student Health Insurance Plan (SHIP).
You can find more information about SHIP at https://www.du.edu/health-and-counseling-center/coveragecosts/ship.html.
If no, what organization will you get your health insurance from?
Note: You must be enrolled in classes before you can enroll in SHIP. Contact the Health & Counseling Center with questions.
Do you plan to enroll in SHIP?
Yes No
SPONSORING AGENCY:
ADVISOR/CONTACT EMAIL:
ADVISOR/CONTACT PHONE:
If you have a scholarship from an organization other than DU (such as your government or employer), complete this
section. You must submit a scholarship award letter or a financial guarantee from your sponsoring organization.
Annual Scholarship Award (USD): $
SECTION E: Complete if you have A NON-DU SCHOLARSHIP or SPONSORING AGENCY FUNDS
ADVISOR/CONTACT AT SPONSORING AGENCY:
What are the requirements for you to maintain your sponsorship (GPA, course load, etc.)?