Indiquez l`année d`échange qui vous correspond. L`une des deux
Transcription
Indiquez l`année d`échange qui vous correspond. L`une des deux
PRINT Please fill out the form on line and print Les formulaires remplis à la main ne seront pas acceptés. DIRECTION DES RELATIONS INTERNATIONALES BILATERAL AGREEMENTS UNIVERSITÉ DE MONTRÉAL CANDIDATES Indiquez l'année d'échange qui vous correspond. BILATERAL STUDENT EXCHANGE PROGRAMS APPLICATION FOR PARTICIPATION YEAR 2009-2010 OR 2010-2011 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: JALV06018559 QUEBEC RESIDENT: NO Indiquez la date. (VALID UNTIL 30 juin 2010 MAILING ADDRESS ADDRESS: 456, boul. Withinreach, app.7 CITY: Montréal POSTAL CODE: TELEPHONE: 524 555-9876 FAX: E-MAIL: [email protected] ) A1B 2C3 L'une des deux adresses courriel doit être celle de l'Université de Montréal. dfdf PERMANENT ADDRESS YES (WHERE YOU CAN BE REACHED AT ALL TIMES) ADDRESS: 40 075, rue 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. Page | 1 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. Page | 2 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: _______________________________________ N'oubliez pas d'inscrire la date du jour. 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/ Page | 3