Office of International Services International Student Supplement/Homewood Graduate Programs Please complete this fillable form, print, and save as a PDF file. It must be uploaded to your application as a single document with all attachments as specified. Family Name____________________________ First/Given Name______________________ Date of Birth_____________ Immigration/visa status you will be seeking:  F-1 student (primary visa status)  J-1 exchange visitor (normally for government sponsored students)  I will not need immigration documentation: please explain reason___________________ Are you currently in the US?  No  Yes If yes, what is your current immigration status  F-1  J-1  Other______ If F-1 or J-1, you must upload a copy of your most recent I-20 (pages 1 and 3) or DS-2019 with this form Please provide your current or most recent foreign (non-U.S.) address Line 1 ______________________________________ Line 2 ______________________________________ City ________________________________________ Province ____________________________________ Postal Code _________________________________ Country ____________________________________ Will you be accompanied by dependents in F-1 or J-2 status?  No  Yes If yes, provide the following for each dependent. (Note that only a legally married spouse and children under 21 can be documented as dependents.) Spouse Child #1 Child #2 Family Name First/Given Name Date of Birth (month/day/year) Gender Country of Birth Country of Citizenship If more dependents will accompany you, check here  and provide information for other dependents on a separate sheet of paper. Expenses: The 12 month cost estimates for students in Homewood graduate programs for 2014-2015 are: Tuition: $47,060 Other expenses: $23,845* TOTAL FOR 12 MONTHS: $70,905 *Living costs, books, health insurance, etc. New students also must pay a one-time matriculation fee of $500. Expenses for the 2015-2016 year will be available in early spring, 2015; students should expect the total to be approximately $73,000. If your JHU program offers you financial assistance, that information will be provided directly to the Office of International Services.  I have (amount) ________________ of non-JHU financial support to cover my costs of study. You must attach a PDF file that documents this support. If you are receiving funds from another organization or individual, including parents, you must include a statement from the organization or individual that affirms that support.  I do not have any non-JHU support for my study. The following attachments, as applicable, are needed:  A copy of the information page of your passport  Your most current I-20 or DS-2019 if you are in the U.S. in F-1 or J-1 status  A copy of the information pages of the passports of any accompanying dependents  Documentation of any non-JHU support you will use to cover the expenses of your study By signing below, I certify that the information provided above and in any attachments is accurate to the best of my knowledge. Student Signature___________________________________________ Date_______________________________ Revised: 12/2014