ACCESS APPLICATION TO BE COMPLETED BY THE FSD Number of the access application ___________________________ Arrival date Person in charge ___________________________ __________________________________________________ TO BE COMPLETED BY THE APPLICANT Contact information for the applicant Full name University, research inst. Faculty, department ___________________________ __________________________ ______________________ Postal address _______________________________________________________________________________ Telephone E-mail ___________________________ __________________________________________________ Contact information for other persons using the data and related material. Use an appendix if necessary. All users of the data must send a signed Agreement on Material Use Conditions to the FSD. 1) Full name University, research inst. Faculty, department ___________________________ __________________________ ______________________ Postal address _______________________________________________________________________________ Telephone E-mail ___________________________ __________________________________________________ Datasets to which access is requested Archival number of the Title of the dataset dataset ___________________________ __________________________________________________ ___________________________ __________________________________________________ ___________________________ __________________________________________________ ___________________________ __________________________________________________ ___________________________ __________________________________________________ ___________________________ __________________________________________________ 1) If the dataset is used in teaching, please provide contact details for the person teaching the course Purpose of data use [ ] Research [ ] MA thesis [ ] Doctoral thesis [ ] BA thesis [ ] Licentiate thesis [ ] Studies (other than a thesis) [ ] Teaching -> Number of participants: ____________ [ ] Other purpose, please specify: ____________________________________________ Name and short description of the project _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ If the research project is funded by the Academy of Finland, state the project number: _______________ Data format and delivery form Data format preferred [ ] SPSS portable [ ] Other, please specify: __________________________ More information on data formats and ordering: http://www.fsd.uta.fi/english/data/ordering/index.html Delivery form preferred [ ] E-mail attachment [ ] CD-ROM Date Signature of the applicant and name in block capitals ________________________ _____________________________________________________ Date Signature of the supervisor (if the applicant is an undergraduate) and name in block capitals ________________________ _____________________________________________________ REMEMBER to send a signed Agreement on Material Use Conditions to the FSD, in addition to this form! Contact information of the applicant will be entered in the FSD client database. The depositors may be informed of persons ordering the data. UNIVERSITY OF TAMPERE Finnish Social Science Data Archive Åkerlundinkatu 5 B, FI-33014 University of Tampere, FINLAND Tel. +358 40 190 1432, fax +358 3 343 9088 Internet: http://www.fsd.uta.fi E-mail: fsd@uta.fi