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Application Form

In order to complete this application you will need to prepare a 250 word personal statement and also have a scanned or digital photograph of yourself sent to the following e-mail address scandinst@luther.edu  All applicants must have a functioning e-mail address.
Deadline dates are stipulated by American foundation offices in each country.  
Important Note:
Norwegian applicants must submit by February 12, 2010.
All other applicants must submit by March 1, 2010.

Please read through the entire form carefully before you begin to fill it out. 

First Name:
Last Name:
Email:
Mobile Phone Number:
Work Phone Number:
Home Phone Number:
Current Home Address:
City:
Country:
Postal Code:
Date of Birth:
Country of Birth:
Country of Citizenship:
Teaching Experience (most recent first)

Letters of Reference:

[Note: Two letters of reference are to be emailed OR faxed separately:
fax - 563.387.1088
email - scandinst@luther.edu]

Please list post-high school academic institutions attended, including any you may be attending at present.
Have you been to the U.S. before? Yes
No
If "Yes", where?
In what other foreign countries have you studied, traveled, worked or lived and for how long?
How did you learn of the Institute?
Name of Journal/Other sources:
We urge applicants to apply for scholarship-stipends by contacting the Scandinavian foundation office in their country. Stipends from Luther College are limited by the amount contributed from benefactors specifically for this course. They are only available for on-campus costs (not for travel costs), and will be awarded after applications are accepted.
Have you done so? Yes
No
Please type an essay in English of no more than 250 words in length:
(a) Explain why you wish to attend the Institute and how the experience might assist you in your teaching after you return to your homeland
(b) Mention your special interests, activities, and talents.
You can type this separately and copy and paste it into the space provided below .
Essay here:
List friends or relatives in the U.S.A:
List the name(s) of spouse or family members who will accompany you if you are selected to attend the Institute. Also provide age of any child attending. (Note: Children should be at least 12 years old.)
Date of Application:
Applicant's Initials:

Please e-mail your photograph to the following e-mail address rodolf.uw@luther.edu
Be sure to type "Thanks to Scandinavia" in the subject line. (The photograph should be in
a .JPG  format and should be no more than 500Kb.)
Please consult  your technical advisor if you have problems sending the picture.
Do not forget to mention your first and last names in the e-mail. 

This completed application and the photograph are being submitted electronically to the office of the Luther College Scandinavian Institute. If requested, they will be forwarded, together with your picture, to the appropriate Nordic foundation office.