Form – ReSMiQ scholarship supplement for undergraduate students

* Name

* First name

* Civic number

* Street

Apartment no.

* City

* Postal code

* Phone

* Email

* Start date of current program

* Cumulative average (from the most recent report card)

* University attended

* Registration number

Have you received financial assistance from ReSMiQ in the past?

Yes No

If you answered yes:

Amount

Date of obtaining

Title

Director

Tomorrow's Letter

Resume

Transcript

Declaration of the candidate and supervisor

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