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DIRECTION DES RELATIONS INTERNATIONALES
BILATERAL AGREEMENTS
UNIVERSITÉ DE MONTRÉAL CANDIDATES
BILATERAL STUDENT EXCHANGE PROGRAMS
APPLICATION FOR PARTICIPATION YEAR 2011-2012
OR 2012-2013
STUDENT ID
FAMILY NAME:
Jalé-Tranger
FIRST NAME:
DATE OF BIRTH:
1985/01/06
GENDER:
Voya
MALE
FEMALE
YEAR/ MONTH/ DAY
CITIZENSHIP:
Canadian
STUDENT NO:
JALV06018859
MAILING ADDRESS
QUEBEC RESIDENT:
NO
Indiquez la date
(VALID UNTIL June 30, 2011
ADDRESS:
456, boul. Withinreach, app.7
CITY:
Montréal
POSTAL CODE:
TELEPHONE:
524-555-9876
FAX:
E-MAIL:
[email protected]
PERMANENT ADDRESS
YES
)
A1B 2C3
L'une des deux adresses courriel
doit être celle de l'Université de
Montréal
(WHERE YOU CAN BE REACHED AT ALL TIMES)
ADDRESS:
40 075, rue du Tour du Monde
CITY:
Sainte-Anne-de-la-Pérade
POSTAL CODE:
TELEPHONE:
419-972-4040
FAX:
E-MAIL:
[email protected]
Z9Y 8X7
Si l'adresse permanente est la même que l'adresse de correspondance actuelle,
veuillez inscrire une seule adresse.
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STUDIES AT UNIVERSITÉ DE MONTRÉAL
PROGRAM:
Bachelor of philosophy
AT WHAT LEVEL ARE YOU STUDYING?
UNDERGRADUATE
MASTERS
DOCTORAL
OTHER, PLEASE SPECIFY:
STUDIES AT HOST INSTITUTION
INSTITUTION:
Universidad de Guadalajara
COUNTRY:
México
FIELD:
Filosofía
Crédits UdeM
SEMESTER (S)
FALL SEMESTER (SEPT. TO DEC.):
NUMBER OF UDEM CREDITS:
15
WINTER SEMESTER (JAN. TO MAY):
NUMBER OF UDEM CREDITS:
15
SUMMER:
NUMBER OF UDEM CREDITS:
PLEASE PROVIDE THE FOLLOWING INFORMATION OR DOCUMENTS WITH THE PRESENT FORM:
1.
WHEN REQUIRED, THE HOST INSTITUTION APPLICATION FORMS FOR EXCHANGE PROGRAMS. TO THIS
EFFECT, PLEASE VISIT THE HOST INSTITUTION WEB SITE OR CONTACT THE MAISON INTERNATIONALE;
2.
A COPY OF A VALID PASSPORT AS A MEANS OF IDENTIFICATION;
3.
OFFICIAL COPY OF UNIVERSITY RECORDS (OFFICIAL COPY OF TRANSCRIPT BEARING REGISTRAR’S SEAL); IN
CERTAIN CASES, YOU MAY BE REQUIRED TO PROVIDE AN OFFICIAL CEGEP TRANSCRIPT;
4.
A ONE-PAGE TEXT ADDRESSED TO THE HOST INSTITUTION, EXPLAINING YOUR REASONS FOR PARTICIPATING
IN THE EXCHANGE PROGRAM AND YOUR LEARNING OBJECTIVES. THE TEXT SHOULD BE WRITTEN IN THE
HOST INSTITUTION'S LANGUAGE (OR IN ENGLISH FOR PROGRAMS CONSIDERED INTERNATIONAL);
5.
IN CASE THE INSTITUTION IS NOT A FRENCH SPEAKING INSTITUTION: A LETTER FROM A PROFESSOR
TESTIFYING TO YOUR CAPACITY TO FOLLOW A COURSE IN THE LANGUAGE OF THE HOST UNIVERSITY. SOME
ENGLISH-LANGUAGE UNIVERSITIES MAY REQUIRE ENGLISH-LANGUAGE TESTING (TOEFL). SOME SOUTH-AMERICAN
UNIVERSITIES MAY REQUIRE FURTHER EVALUATION THAT STUDENTS FOLLOW A SPANISH LANGUAGE COURSE
AT THEIR OWN EXPENSE;
6.
A LETTER OF RECOMMENDATION FROM A PROFESSOR OR YOUR RESEARCH PROJECT DIRECTOR;
7.
A LETTER OF APPROVAL OF YOUR COURSE SELECTION SIGNED BY YOUR ACADEMIC SUPERVISOR INDICATING
THE CORRESPONDING EQUIVALENCES (COURSE NUMBER AND NUMBER OF CREDITS) TO THE COURSES
FOLLOWED AND SUCCESSFULLY COMPLETED AT THE HOST UNIVERSITY. SHOULD THERE BE NO CREDITS
AWARDED, THE APPLICATION WILL BE REJECTED;
8.
THE COURSE DESCRIPTION OF ALL COURSES FOLLOWED IN YOUR PROGRAM, AT THE TIME OF DEPARTURE FOR
THE EXCHANGE, TAKEN FROM THE UNIVERSITÉ DE MONTRÉAL WEBSITE AND THAT ARE PART OF YOUR
PRESENT STUDY PROGRAM.
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NOTES:
IT IS STRONGLY RECOMMENDED TO SUBMIT ALL TEXTS IN THE HOST INSTITUTION'S LANGUAGE (ENGLISH FOR
“INTERNATIONAL” PROGRAMS) IN ORDER THAT THE STAFF WHO WILL BE EVALUATING YOUR FILE CAN
UNDERSTAND YOUR ACADEMIC DEVELOPMENT.
TUITION FEES ARE PAID TO THE HOME INSTITUTION. THE HOST INSTITUTION MAY ALSO REQUIRE OTHER FEES
(ADMINISTRATIVE AND HEALTH INSURANCE). YOU ARE RESPONSIBLE FOR THE PAYMENT OF THESE FEES.
I AUTHORIZE MY HOME INSTITUTION TO TRANSMIT THE PRESENT APPLICATION AND ENCLOSURES TO THE
HOST INSTITUTION THAT WILL EXAMINE MY REQUEST.
I AUTHORIZE THE UNIVERSITIES TO PROVIDE THE RELEVANT AUTHORITIES WITH ANY INFORMATION THAT
CAN FACILITATE THE OBTAINING OF THE REQUIRED AUTHORIZATIONS FOR MY ENTRY AND RESIDENCE IN
THE HOST COUNTRY ACCORDING TO UNIVERSITY REGULATIONS.
I WILL FOLLOW ALL UNIVERSITY REGULATION AND ABIDE BY THEIR DECISIONS.
I DECLARE THAT THE INFORMATION PROVIDED IS COMPLETE AND EXACT.
SIGNATURE:
_______________________________________
DATE:
INSTRUCTIONS TO CANDIDATES:
TO OBTAIN A STUDENT VISA, THE CANDIDATE MUST SUBMIT TO THE CONSULATE OR THE EMBASSY OF THE HOST
COUNTRY:
x
x
x
x
A PROOF OF FINANCIAL RESOURCES;
THE ORIGINAL OF THE LETTER OF ADMISSION FROM THE HOST INSTITUTION;
PHOTOS (TO BE VERIFIED WITH CONSULATE);
OTHER DOCUMENTS AS REQUIRED.
THE COMPLETE CANDIDATE FILE (THE ORIGINAL AND 2 COPIES) MUST BE HANDED IN AT:
LA MAISON INTERNATIONALE
PAVILLON J.A.-DESÈVE, LOCAL
2332,
C-351
BOULEVARD ÉDOUARD-MONTPETIT
(514) 343-6935
www.bei.umontreal.ca/maisoninternationale/
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