Application form - Selim Eskelinin säätiö

Applicant

Surname

First name

Address

Zip code

Town

Phone

E-mail

Date of birth

Status (single/married/cohabiting/divorced)

Spouse

No. of children

Employer

Studies at Sibelius Academy

Year in which studies began

Study programme

Teacher(s)

Degrees completed

Estimate date of graduation

Room/flat that I apply

Any free room

Applying for apartment/room at address

Lease commencing - terminating / Until further notice

I need accommodation because

I hereby give my approval for the Selim Eskelin foundation to file the application and the information therein and further save them according to the foundation’s privacy policy. The privacy policy of the Selim Eskelin foundation can be found (in Finnish and Swedish) on the foundation’s webpage www.selimeskelin.fi

I accept the conditions regarding the handling and saving of my personal information concerning this application

Yes

No

NB: Applicatios cannot be accepted without the acceptance of the terms of handling and filing the information in this application.

Confirmation

I hereby confirm that the information I have given in this application is true. I hereby authorize the foundation to inspect the information I have given in this application.