Office for Study Affairs
Hämeentie 135 C
00560 Helsinki, Finland
Phone: +358 9 7563 0508
Fax: +358 9 7563 0223
www: http://www.uiah.fi

Application for
NON-DEGREE STUDIES 2004-2005
and for other studies; supplementary studies

(Please, use block letters.)

I apply for the non-degree studies at the department of:

________________________________________________________________________

________________________________________________________________________
Autum 2004
Spring 2005

A     PERSONAL INFORMATION
family
name
first name middle name
corresponding address
city postal
code
country
your email address
contact telephone (include area
code)
date of birth (day month year) country of birth
nationality mother tongue sex         male     female

B     EDUCATIONAL BACKGROUND Art and Design Studies (See list of enclosures - e)
Please, list all universities, polytechnics and other institutions you have attended;
1) dates of attendance 2) your degree programme 3) your main subject 4) degree completed 5) date of graduation
 











C     KNOWLEDGE OF LANGUAGES
Language(s) of instruction in your university or college
education
Language(s) spoken fluently
Name of the English language
profiency test taken           TOEFL     ELTS     CPE     IELTS
test date score received
I have registered for the language test
which takes place on (date):
and the results will be sent to
UIAH by (date):

NOTICE THAT INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.