Certification of Finances

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Certification of Finances 
Instructions: 
All applicants that are not eligible for federal student aid (non-US citizens or permanent residents) are required to submit this form 
with their application for admission. 
Please carefully review and complete the application below. We do not require any bank attestation or documentation with this form, 
although we may request such documentation on a case-by-case basis. This form can be completed electronically, but it must be 
reviewed and hand-signed by both the student and a parent or guardian. If a question is not applicable, please leave it blank. Report 
all currency in U.S. dollars (USD). 
Contact the Office of Admission at 
[e-mail] 
if you have any questions or need to make any changes after you submit 
this form. 
STUDENT INFORMATION 
Student’s First Name 
Date of Birth (MM/DD/YYYY) 
Student’s Middle Name 
Country of Birth 
Student’s Last Name 
Country of Citizenship 
Permanent Address (Street, City, Country) 
Mailing Address (Street, City, Country) — if different from permanent address 
Size of Household (total family members, including you) 
PARENT/GUARDIAN 1 INFORMATION 
Parent/Guardian’s First Name 
Date of Birth (MM/DD/YYYY) 
Occupation 
Parent/Guardian’s Middle Name 
Country of Birth 
Job Title 
Parent/Guardian’s Last Name 
Country of Citizenship 
Annual Salary 
Permanent Address (Street, City, Country) 
Mailing Address (Street, City, Town/City, Country) — if different from permanent address 
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OFFICE OF ADMISSION | DENISON UNIVERSITY | 740-587-6276

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PARENT/GUARDIAN 2 INFORMATION 
Parent/Guardian’s First Name 
Date of Birth (MM/DD/YYYY) 
Occupation 
Parent/Guardian’s Middle Name 
Country of Birth 
Job Title 
Parent/Guardian’s Last Name 
Country of Citizenship 
Annual Salary 
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Permanent Address (Street, City, Country) 
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Mailing Address (Street, City, Town/City, Country) — if different from permanent address 
EXPECTED FINANCIAL SUPPORT 
In this table, please report what you are able to contribute each year toward the standard direct costs at Denison. Standard direct costs 
are considered tuition, multiple occupancy housing, and “The Hill” meal plan on an annual basis. If you choose a housing or meal plan 
that exceeds the cost of the standard option, you are responsible for the difference in costs. In addition, the standard direct costs do not 
include other expenses, like books, transportation, health insurance, incidental expenses, or any other charges that you could accrue 
throughout your program, depending on what optional offerings you choose to pursue. Report all currency in U.S. dollars (USD).
First Year 
Second Year 
Third Year 
Fourth Year 
Student’s Sources 
of Funds (Personal 
and Parental) 
Sponsor Funds* 
Total 
*If you are receiving funds from a sponsor, please explain below:
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OFFICE OF ADMISSION | DENISON UNIVERSITY | 740-587-6276

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ADDITIONAL INFORMATION 
If you would like to share any additional information, please do so below: 
I certify that the information provided on this form and all supporting documentation is true to the best of my knowledge. I understand 
that additional documentation may be required to verify any information provided. 
Student Signature 
Date 
Parent/Guardian Signature 
Date 
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OFFICE OF ADMISSION | DENISON UNIVERSITY | 740-587-6276