2015-16 Scholar Application U.S.-Norway Fulbright Foundation Application Deadline: October 1st, 2014

COVER SHEET

Arctic Chair 2018-19

Application deadline (no later than): October 1st, 2017

1)  General Info

Name / First: / Middle: / Last:
Permanent address
Telephone / Mobile: / Work: / Home:
E-mail / Date of Birth (mm/dd/yyyy):
Civil status and dependents / Single Married Co-habitant / Number of dependents:
Preferred interview city / Oslo Bergen Trondheim Tromsø
Field of Research / Number of months to be spent in the U.S. (3-4 months):
3 letters of recommendation from the following people (submitted on-line) / 1. / 2. / 3.
Have you applied or will you apply for funding through other sources? / The Research Council of Norway The Norway-America Association Other grants/scholarships
How you learned about Fulbright

2)  Estimated budget (amounts are NOT binding)

Name of preferred host institution
ESTIMATED EXPENSES / ESTIMATED INCOME
Living costs / NOK / Salary during your stay in the U.S. / NOK
Extra costs for family / NOK / Other (please specify): / NOK
Insurance costs / NOK / Other (please specify): / NOK
Travel / NOK / Other (please specify): / NOK
Other (please specify): / NOK / Other (please specify): / NOK
Other (please specify): / NOK / Other (please specify): / NOK
Other (please specify): / NOK / Other (please specify): / NOK
Expenses, total / NOK / Income, total / NOK

3)  J-1 Visa - Foreign Residency Requirement

The "J" visa is for educational and cultural exchange programs designated by the U.S. Department of State. The "J" exchange visitor program is designed to promote the interchange of persons, knowledge, and skills in the fields of education, arts, and sciences. All "J" exchange visitors who participate in programs that are financed in whole or in part, directly or indirectly, by an agency of the U.S. Government or by the exchange visitor's government, are subject to the Foreign Residency Requirement (two year home residency requirement). All Fulbright grantees are expected to return to their home countries for at least two years at the conclusion of their grant, in compliance with J-visa requirements.

By my signature below, I certify that to the best of my knowledge, the information provided in all parts of my application is accurate and complete. I understand that final approval of my application is dependent upon my eligibility for a visa to the United States. I certify that I have read and understood the Foreign Residency Requirement. I understand that all information submitted as part of this application will be reviewed by the U.S.-Norway Fulbright Foundation for Educational Exchange and its Board of Directors as part of the selection process; and that the information will be forwarded to the Institute of International Exchange (IIE)/ Council for International Exchange of Scholars (CIES), The Fulbright Scholarship Board, and the U.S. Department of State for final approval.

SIGNATURE______DATE______

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2015-16 Scholar Application U.S.-Norway Fulbright Foundation