1. NAME OF APPLICANT: ____________________ ______________________ ______________________________ First Name Middle Name Last Name
  2. Current Address: Phone:
  3. Permanent Address (if other than above): Phone:
  4. E-mail Address:
  5. Name of Institution for Study:
  6. Location of Institution:
  7. Proposed Field of Study/ Major:
  8. Dates of Study: Beginning (Month/Year) / , Ending /
  9. Description of Proposed Study/Research Program: (Use additional sheet, if necessary and include details on study plan, topic, major field, contacts established, etc.)
  10. Scholarship/Grant amount requested from Finlandia Foundation: $ (Please include a budget showing how you plan to finance your studies and itemize how you propose to use the scholarship money, - excluding transportation):
  11. If you are applying for funds from other sources, give amounts, sources and indicate funds already secured from other sources:
  12. Date of Birth: Citizen of: (If applicant is of Finnish ethnic background, give names of Finnish parents and/or grandparents, their places of birth, years of immigration and other available information:)
  13. Education: (Name and location of institutions, dates, degrees, majors. A transcript through the last completed term must also be received by the February 15 deadline)
  14. Language proficiency: (rate your knowledge as good, fair or poor) Languages: ---------- ------------ -------------- ------------ Reading: Writing: Speaking:
  15. Work Experience: (Employer, location, position, dates)
  16. Memberships: (Academic, professional, and social organizations)
  17. Fellowships and Scholarships held now or in the past: (List sponsor/source, place of study, amount, date)
  18. Awards, Publications, Exhibitions, Performances, etc.
  19. Future Goals and Ambitions:
  20. Two(2)letters of Recommendation (must be received by February 15)
    1. Name : Institution:
    2. Name : Institution:
  21. Finlandia Foundation Contacts, Chapter Activities Participation, if any:
I hereby certify that the information given in this application, and all its attachments, is truthful and accurate. I agree to submit a report to Finlandia Foundation within three months of the completion of my project. I also agree to use the funding for the purpose indicated in this application. (Transportation costs are not eligible). Should this not be feasible, I will promptly return the funds to Finlandia Foundation. Date: Signature:_____________________________ Completed application, transcripts, Letters of Recommendation and other information must be received by 2/15/09 at: FINLANDIA FOUNDATION, NY METROPOLITAN CHAPTER SCHOLARSHIPS P O BOX 165 BOWLING GREEN STATION NEW YORK, NY 10274-0165 You may contact Leena Toivonen with any questions regarding the scholarships at: E-MAIL: leenatoivonen@finlandiafoundationny.org