International Student Information Form Page 2

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Section B ‐ Educational Background 
1. Schools & Universities you have attended.  List secondary (high school) and post‐secondary (college) institutions
you have attended.  Attach a separate sheet if necessary.
__________________________________________________________________________________________
Institution
City, Country   
Degree Earned  
Date of Completion 
__________________________________________________________________________________________
Institution
City, Country   
Degree Earned  
Date of Completion 
__________________________________________________________________________________________
Institution
City, Country   
Degree Earned  
Date of Completion 
2. Have you previously applied for admission to Tufts University?
Yes 
No 
3. What is your current TOEFL score?
Paper     Online      Computer 
   ____________________   
You must provide Tufts with an official TOEFL score.
(This section for college students only; not for pre-college student.  This is not a registration form) 
Section C ‐ Intended Tufts Registration 
Session  
Course #1 
 
                  Course #2 
 
    
        
(Tuition Charge)
(Tuition Charge)
  First  
__________________   ________________        ____________________   ______________ 
  Second 
__________________   ________________        ____________________   ______________ 
  12‐Week 
__________________   ________________        ____________________   ______________ 
  Total Anticipated Tuition Charge 
______________________
Section D ‐ Visa Information 
1. Are you currently in the United States?
Yes 
No (If no, go to question #3) 
2. If yes, what is your current visa status?
___________________________________ 
3. If, at any time, you attended a school in the United States, you must send a copy of the front and back of your
current I‐94 card, your previous school’s Form I‐20, or Form DS‐2019, and the International Student Transfer
Form.  Provide the following information:
Name & Address of school: ____________________________________________________________________
___________________________________________________________________________________________
Dates attended:  From __________________ Until __________________ Degree sought __________________
Section E ‐ Financial Information  
Financial documentation (described below) must be submitted in order to receive your Visa document (Form I‐20 or Form DS 2019).  You must document your ability 
to pay for tuition and living expenses while attending Tufts University.  Any funds that are not personal must be accompanied by a sponsor letter.  All sources of 
support that you submit must be in U.S. dollars (current – not more than four months old), written in English or accompanied by a certified English translation, and 
addressed solely to Tufts University.   
______________________________ 
_____________________________________________       $_____________ 
Personal Funds (in your name)   
 
Name of Bank (attach statement from bank certifying availability of funds) 
     
Amount 
______________________________ 
_____________________________________________       $_____________ 
Private Sponsor (family or company funds)   
Name of Bank (attach statement from bank certifying availability of funds &  
Amount 
  letter of sponsorship)
______________________________ 
_____________________________________________       $_____________ 
Government funds or Sponsoring Agency 
 
Name of Agency (attach award letter certifying availability of funds) 
     
Amount 
______________________________ 
_____________________________________________       $_____________ 
Tufts University Funds   
 
 
Type of Award (attach award letter certifying availability of funds)    
   
Amount 
______________________________ 
_____________________________________________       $_____________ 
Other  
 
 
 
 
Source (attach statement from source certifying availability of funds) 
Amount 
Total Funds 
$_____________ 
2

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