Application – NORTANA

I am applying for... (select one or both)

Name

Address

Institutional Affiliation

Phone

Your Email

Birthdate and Personnummer (if applicable)

Are you a current member of NORTANA?

If yes, what is the approximate date of first membership?

Brief project description or purpose of stay, including institutional affiliation in Norway

Have you lived in the Bjørn Jensen Apartment before?

If yes, when?

Requested rental dates

Are these dates flexible?

If yes, what are alternate dates?

Would you be willing to share the apartment with another NORTANA member?

If so, under what circumstances?

Any other information that is relevant to your application (financial, etc.) Have you received any special grant support, such as Fulbright or ASF?