Name (First and Last Name):
Permanent mailing address:
Dates of stay in the residence (day/month/year to day/month/year)
How did you hear about the residence?
If you answered "other", please explain
University/polytechnic/school you plan on attending while living in the residence
Major/area of study:
Planned date of graduation:
Personal statement (please explain why you want to live at Silta-Klubi student residence in at least one paragraph)
Send me a copy of my responses.
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