04--bourse-d-etudes-de--2e-cycle-ou-3e-sans-these-form 3

7 pages

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04--bourse-d-etudes-de--2e-cycle-ou-3e-sans-these-form 3

Ardoo

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7 pages

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Bourse d'études de deuxième cycle ( ou de troisième cycle sans thèse) en déficience intellectuelle ou en troubles envahissants du développement Formulaire de demande 2008-2009IDENTIFICATION DE LA CANDIDATE OU DU CANDIDATNom PrénomDate de naissance Sexe Mme M.année / mois / jourCOORDONNÉESAdresse de correspondance Adresse permanenteNuméro Numéro civique, rue civique, rueVille VilleProvince ProvinceCode postal Code postalTéléphone TéléphoneBureau PosteCourrielNom de la candidate ou du candidatDOSSIER UNIVERSITAIREÉtudes universitaires Inscrire toutes les études universitaires, terminées ou non, et celles en cours.Date prévue ou Date d'inscription Titre du réelle d'obtention Moyenne Discipline au programme Établissementdiplôme du diplôme cumulative(année / mois) (année / mois)Bourses et prix obtenus Inscrire les bourses et prix obtenusBourse ou prix Début de la obtenu(e) par voie bourse ou date Fin de la bourse Organisme subventionnaire Montant obtenude concours d'obtention (année / mois)(oui / non) (année / mois)_______________________________________________________________________________________________________ 2Bourse de deuxième cycle "milieu universitaire"Nom de la candidate ou du candidatBRÈVE DESCRIPTION DU PROJET DE RECHERCHE ET DÉMONSTRATION DE LA PRISE EN COMPTE DES BESOINS SPÉCIFIQUES DES PERSONNES BÉNÉFICIANT DES SERVICES DES CRDITED, DE LEUR FAMILLE OU DE LA COMMUNAUTÉAUCUNE ANNEXE N'EST ...

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Publié par	Ardoo
Nombre de lectures	32
Langue	Français

Extrait

Bourse d'études de deuxième cycle ( ou de troisième cycle sans

thèse) en déficience intellectuelle ou en troubles envahissants du

développement

Formulaire de demande

2008-2009

IDENTIFICATION DE LA CANDIDATE OU DU CANDIDAT

COORDONNÉES

Nom

Prénom

Date de naissance

Sexe

Mme

année / mois / jour

Adresse de correspondance

Numéro

civique, rue

Ville

Province

Code postal

Téléphone

Bureau

Poste

Courriel

Adresse permanente

Numéro

civique, rue

Ville

Province

Code postal

Téléphone

_______________________________________________________________________________________________________

Bourse de deuxième cycle "milieu universitaire"

Bourses et prix obtenus

Inscrire les bourses et prix obtenus

Organisme subventionnaire

Montant obtenu

Début de la

bourse ou date

d'obtention

(année / mois)

Bourse ou prix

obtenu(e) par voie

de concours

(oui / non)

Fin de la bourse

(année / mois)

Études universitaires

Inscrire toutes les études universitaires, terminées ou non, et celles en cours.

DOSSIER UNIVERSITAIRE

Date prévue ou

réelle d'obtention

du diplôme

(année / mois)

Titre du

diplôme

Discipline

Établissement

Date d'inscription

au programme

(année / mois)

Moyenne

cumulative

Nom de la candidate ou du candidat

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<div id="t1_3">3</div>
<div id="t2_3">_______________________________________________________________________________________________________</div>
<div id="t3_3">Bourse d'études de deuxième cycle ( ou de troisième cycle  sans thèse) en déficience intellectuelle ou en troubles envahissants du</div>
<div id="t4_3">développement</div>
<div id="t5_3">BRÈVE  DESCRIPTION  DU  PROJET  DE  RECHERCHE  ET  DÉMONSTRATION  DE  LA  PRISE  EN  COMPTE  DES</div>
<div id="t6_3">BESOINS SPÉCIFIQUES DES PERSONNES BÉNÉFICIANT DES SERVICES DES CRDITED, DE LEUR FAMILLE OU</div>
<div id="t7_3">DE LA COMMUNAUTÉ</div>
<div id="t8_3">AUCUNE ANNEXE N'EST ACCEPTÉE</div>
<div id="t9_3">Nom de la candidate ou du candidat</div>

<form>
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<div id="t1_4">4</div>
<div id="t2_4">_______________________________________________________________________________________________________</div>
<div id="t3_4">Bourse d'études de deuxième cycle ( ou de troisième cycle  sans thèse) en déficience intellectuelle ou en troubles envahissants du</div>
<div id="t4_4">développement</div>
<div id="t5_4">PERTINENCE  DU  PROJET  EN  REGARD  DES  ORIENTATIONS  TOUCHANT  LE  DOMAINE  DE  LA  DÉFICIENCE</div>
<div id="t6_4">INTELLECTUELLE  OU  CELUI  DES  TROUBLES  ENVAHISSANTS  DU  DÉVELOPPEMENT  ET  DES  POLITIQUES</div>
<div id="t7_4">GOUVERNEMENTALES AFFÉRENTES</div>
<div id="t8_4">AUCUNE ANNEXE N'EST ACCEPTÉE</div>
<div id="t9_4">Nom de la candidate ou du candidat</div>

<form>
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<abbr title="Zone_de_texte1"><input type="text" tabindex="1" id="F0-P70-Zone_de_texte10" value="" name="F[0].P7[0].Zone_de_texte1[0]" pdffieldname="F[0].P7[0].Zone_de_texte1[0]" />
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</form>
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<div id="t1_5">5</div>
<div id="t2_5">_______________________________________________________________________________________________________</div>
<div id="t3_5">Bourse d'études de deuxième cycle ( ou de troisième cycle  sans thèse) en déficience intellectuelle ou en troubles envahissants du</div>
<div id="t4_5">développement</div>
<div id="t5_5">DESCRIPTION  DES  MOYENS  PRÉVUS  POUR  DIFFUSER  LES  RÉSULTATS  DE  LA  RECHERCHE  ET  POUR</div>
<div id="t6_5">CONTRIBUER AU TRANSFERT DES CONNAISSANCES</div>
<div id="t7_5">Nom de la candidate ou du candidat</div>
<div id="t8_5">AUCUNE ANNEXE N'EST ACCEPTÉE</div>

<form>
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<abbr title="Zone_de_texte1"><input type="button" tabindex="2" id="a03" name="03" pdffieldname="03" />
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<abbr title="Zone_de_texte1"><input type="text" tabindex="1" id="form_5_F0-sub4-Zone_de_texte10" value="" name="F[0].#subform[4].Zone_de_texte1[0]" pdffieldname="F[0].#subform[4].Zone_de_texte1[0]" />
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</form>
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<div id="t1_6">6</div>
<div id="t2_6">_______________________________________________________________________________________________________</div>
<div id="t3_6">Bourse d'études de deuxième cycle ( ou de troisième cycle  sans thèse) en déficience intellectuelle ou en troubles envahissants du</div>
<div id="t4_6">développement</div>
<div id="t5_6">ENGAGEMENT DE LA CANDIDATE OU DU CANDIDAT ENVERS LE CNRIS</div>
<div id="t6_6">La candidate ou le candidat, soussigné(e), a pris connaissance de l'ensemble des critères d'admissibilité et des modes de présentation</div>
<div id="t7_6">d'une candidature relatifs au programme de bourse de de deuxième cycle "milieu universitaire" et s'engage à en respecter l'esprit et la</div>
<div id="t8_6">lettre.</div>
<div id="t9_6">Signature et date</div>
<div id="t10_6">Nom et prénom</div>
<div id="t11_6">Nom de la candidate ou du candidat</div>

<form>
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<div id="t1_7">TRANSMISSION DE LA DEMANDE</div>
<div id="t2_7">Pour que votre dossier soit admissible, veuillez vous assurer que toutes les pièces de la liste ci-dessous sont présentes en cochant</div>
<div id="t3_7">chaque item.  Veuillez transmettre cette liste avec tous les documents requis.</div>
<div id="t4_7">Faire parvenir la demande et les pièces requises à l'adresse suivante:</div>
<div id="t5_7">CNRIS</div>
<div id="t6_7">Bourse de deuxième cycle "milieu universitaire"</div>
<div id="t7_7">3255, rue Foucher</div>
<div id="t8_7">Trois-Rivières (Québec)  G8Z 1M6</div>
<div id="t9_7">Dépôt des pièces requises</div>
<div id="t10_7">Lettres de recommandation</div>
<div id="t11_7">Vous devez faire parvenir votre dossier complet directement au CNRIS au plus tard le</div>
<div id="t12_7">15 octobre 2008</div>
<div id="t13_7">. Le dossier doit être</div>
<div id="t14_7">sous enveloppe portant le sceau postal du</div>
<div id="t15_7">15 octobre 2008</div>
<div id="t16_7">ou celui d'une date antérieure.</div>
<div id="t17_7">Vous changez d'adresse? Veuillez faire une mise à jour de votre dossier en écrivant par courriel au CNRIS à l'adresse suivante:</div>
<div id="t18_7">cnris@ssss.gouv.qc.ca</div>
<div id="t19_7">Le curriculum vitae de la candidate ou du candidat.</div>
<div id="t20_7">Liste des pièces requises</div>
<div id="t21_7">Une lettre de recommandation de la direction du CRDITED concerné.</div>
<div id="t22_7">Une lettre de recommandation de la directrice ou du directeur de mémoire.</div>
<div id="t23_7">7</div>
<div id="t24_7">Nom de la candidate ou du candidat</div>
<div id="t25_7">Une preuve de citoyenneté canadienne ou de résidence permanente.</div>
<div id="t26_7">Les relevés de notes cumulatifs du baccalauréat et de la maîtrise de la candidate ou du candidat.</div>
<div id="t27_7">_______________________________________________________________________________________________________</div>
<div id="t28_7">Bourse d'études de deuxième cycle ( ou de troisième cycle  sans thèse) en déficience intellectuelle ou en troubles envahissants du</div>
<div id="t29_7">développement</div>
<div id="t30_7">Nom</div>
<div id="t31_7">Téléphone</div>
<div id="t32_7">Téléphone</div>
<div id="t33_7">Prénom</div>
<div id="t34_7">Nom</div>
<div id="t35_7">Prénom</div>

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</abbr><abbr title="Zone_de_texte1"><input type="text" tabindex="8" id="form_7_F0-sub6-Zone_de_texte15" value="" name="F[0].#subform[6].Zone_de_texte1[5]" pdffieldname="F[0].#subform[6].Zone_de_texte1[5]" />
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</abbr><abbr title="Zone_de_texte1"><input type="text" tabindex="11" id="form_7_F0-sub6-Zone_de_texte18" value="" name="F[0].#subform[6].Zone_de_texte1[8]" pdffieldname="F[0].#subform[6].Zone_de_texte1[8]" />
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