THIS FORM MUST BE USED FOR SUBMITTING AN APPLICATION

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1 THIS FORM MUST BE USED FOR SUBMITTING AN APPLICATION Only applications submitted in the prescribed format and accompanied by the required documents will be examined. Applications that do not meet the eligibility criteria of the (EGGF) Scholarship Program will be rejected automatically. All applications should be made in writing, signed and accompanied by all the required documents: A cover letter of no more than 2,500 words describing the applicant s personality, academic achievements, research projects, career objectives, leadership and innovative qualities, as well as the applicant s passion for his or her chosen field of study; Two letters of recommendation, completed and signed; A photocopy of a valid Québec health insurance card or any official document that provides proof of Québec residence status under the Health Insurance Act; For permanent residents, a copy of your Record of Landing or Confirmation of Permanent Residence (Form IMM 1000 or IMM 5292) certified as a true copy by a commissioner of oaths or any other authorized person; A copy of the grade transcripts for all university studies, whether completed or not (certificate, diploma, bachelor s degree, etc.), signed by an authorized person and bearing the seal (or stamp) of the university or department. Official transcripts are also accepted. Applications must be sent only by no later than April 15 and October 15 to the following address: Attention: Julie Lemieux: Each project must be sent in a single pdf file. The file must contain the following items in the following order: 1. A cover letter 2. Two letters of recommendation 3. Detailed CV 4. The appropriate form, completed and signed 5. Photocopy of health insurance card 6. Proof of permanent residency, if applicable 7. Grade transcripts 8. Any other attached item Only fully documented applications submitted in the prescribed format and duly completed will be considered. All applicants must undergo a security and criminal background check. For further information: Montréal: , ext Québec City: , ext Toll-free: , ext

2 IDENTIFICATION OF APPLICANT Full name: Date of birth: Citizenship: Permanent address: City: Province: Postal code: Teephone: Applicant s signature: Date: EDUCATION - Studies Completed Collegial studies: Diploma: Undergraduate studies Undergraduate studies 2

3 EDUCATION - Studies Completed Graduate studies Graduate studies STUDIES - In Progress 3

4 PROFESSIONAL ACTIVITIES EXTRA-CURRICULAR ACTIVITIES SOCIAL ENGAGEMENT OTHER SCHOLARSHIPS APPLIED FOR Organization Year Amount 4

5 RESEARCH PROJECT Research project title: Research project supervisor: Describe on one page the objectives, problems and methodology of your research project. Justify your choice of research project in relation to your past achievements and future goals. Demonstrate that the research project is in keeping with the AMF s mission. 5

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