STANDARD FILTER CORPORATION SWEDISH EDUCATIONAL AND CULTURAL HONORARIUM

APPLICATION FORM

Name:.............................................................................................

Address:.........................................................................................

...........................................................................Zip........................

Telephone: (home)................................ (cell)................................

E-mail:.............................................................................................

Currently enrolled in......................................................................

(educational institution, city)

Major:...............................................Minor:....................................

Current GPA:..................................................................................

Name and location of school where applicant intends to study:..

.....................................................................................

Title of project or titles of courses to be taken:

Have you already been accepted at this institution? If so, attach copy of letter of acceptance to this application.

Attached to this application are (check list):

College/university transcript

Resumé/Curriculum Vitae

Description of intended use of honorarium (purpose of proposed travel, activities to be carried out, project to be undertaken, course(s) to be taken, expected outcome)

Two letters of recommendation