NORWEGIAN PUBLISHING HOUSE A/S
APPLICATION FORM FOR CANVASSING
2014

PLEASE ATTACH
YOUR PHOTOGRAPH
IN THIS BOX

Please enclose the following documents:
 Recommendation letter from the University Colporteur Club, if the Colporteur Club exists.
 Two passport size photographs (not more than six months old)
 Passport photocopy all pages.
Recommendation letter from the pastor of your school
The credits from your school for 2010-2011
Photocopy of your birth certificate and if possible wish local division of an aboriginal people you come from.
 A confirmation letter from your school that you are a full time student, what you are studying and when you will graduate.
 Recommendation letter from one of the students in the program or member of the school board.
Health certificate not older than 6 months
Valid Driving Licence.
Marriage Cetificate (If you are married)
TEMPERAMENT TEST

NOTE! We need all of the documents listed and requirements above to submit your application for the selection process.
1a) Surname ................................................

1b) Given Names

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

2) Date of Birth

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

3) Place of birth: ..................................................................

4) Passport no:

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

5) Passport expires: ..............................................

6) Nationality: ...........................................
8) Permanent address in your country:
9) Present Address :
10) Telephone:

7) Age: ..............

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

Female

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

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

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

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

11) Fax: .................................

13) Father’s name: .......................................
15) Seventh-Day-Adventist:
16)Single:

Male

14) Mother’s name: .....................................................................

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

Married:

12) E-mail: ..........................................

Since when:

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

Where is your family: ............................................................

Children:

17) Education: ...........................................................................................................................................................
18) Transportation information: I have experience in the following , check all that apply:
Bicycle

Walking

Motorcycle

Moped

Car

19) How long have you been studying? ...................................................................................................................
20) How many years remain before you complete your studies?
21) What kind of education will you get?
22) How many schools have you planned to attend during your studies? (please write the names of the schools)?

23) When do you plan to finish your education?

canvasser@canvasser.org

24) Which school are you going to after canvassing?
25) When do you plan to come to Norway?
26) When do you have to go back to the school ?
27) Canvassing experiences, countries and how long?
28) Previous application for canvassing (year):
29) Country of destination after your stay in Norway :

Important notes:
To come to Norway, you have to buy your own ticket, we don’t buy tickets for anyone.
Nobody is guaranted to be invited again in the program after canvassing 2012.
If someone leaves before the expiring of his period (contract) he/she will not be re-accepted next year.
If you are going to another country where you need visa, you have to obtain visa to go there before you arrive
in Norway.
Make sure your passport is valid and in good condition before you come to Norway.

I agree to my personal data on this application form being communicated to the appropriate authorities of
the Schengen States if necessary for the issue of a visa.
I declare that to the best of my knowledge the above particulars are correct and complete. I am aware that
any false statements will lead to my application being rejected or to the annulment of a visa already granted
and the participation in the Student program at the Norwegian Publishing House.
I undertake to leave the territory of Norway upon the expiry of the visa, if granted.

Declaration

Signed

Date

I declare that the information given in this application is correct
to the best of my knowledge and belief.

The student above mentioned is a fulltime student at our University. Her/his studies has not yet
finished at our University or College and will continue studies in 2013/2014
The school vacation for the summer 2014 for this student will be from..........................
to (date)......................................
We hereby testify that the infromation given above is correct.(Please print name)

Signature (Director of the College or University
University or College stamp:
Date:
Please return this application to Carlos Tenold,Student Program Manager. Norsk Bokforlag A/S, Postboks 103
N-3529 Røyse, Norway. Telephone: +47- 32 16 15 62 , Fax: +47- 94 77 38 20 . Email: canvasser@canvasser.org

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