CONSULAT GÉNÉRAL DE FRANCE À QUÉBEC – Service de Coopération et d’Action Culturelle
Last name
First name
Date of birth
Nationality
Address
Telephone number
Email
Check the box that applies to your situation:
Your mobility
situation
Citizenship
INDIVIDUAL MOBILITY PROGRAM
STRUCTURED MOBILITY PROGRAM
(you have been admitted to a course of study at a
French institute of higher learning)
(You are leaving for one or two sessions within the structure of a mobility
program, inter-university agreement, double diploma program, or joint
thesis program)
You are a Canadian citizen

Sections of
A1: diploma + CV + letter
this form to
of admission
complete and
documents to
provide
You are not a Canadian
citizen

A2: diploma + CV + letter
of admission or joint PhD
agreement
You are a Canadian citizen
On a joint
PhD
program

B2: diploma
+ signed
joint PhD
agreement
On exchange

No SCAC
procedure:
send your
visa
application
directly to
the visa
service
On an
Erasmus+
mobility
program

B2: diploma +
CV + letter of
admission
and/or
contract
PART I: To be completed, regardless of your situation (A1/A2/B1/B2)
Please provide the name of the mobility program, if applicable (BCI, ISEP, Erasmus+, double degree
program)
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Please list your most recently-obtained diploma, including specialization, the year it was obtained,
and the institution from which it was obtained:
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What is your current level of study?
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At which institution or university are you currently enrolled (if applicable?)
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Which program would you like to pursue in France and at which institution (full name of the
institution and exact title of the course of study)?
Example: Licence 3 Administration économique et sociale, spécialité gestion des entreprises
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Are you currently receiving a scholarship or bursary? If you are, from which organization?
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PART II: To be completed if situation A1 or A2 applies (if you are a Canadian citizen taking part in an
individual mobility program or a non-Canadian citizen (if case B1 or B2 applies, continue directly to part
III of this form)
Why do you wish to study in France in the requested region and at the requested institution?
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What are your current academic and/or professional projects?
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PART III: To be completed, regardless of your situation (A1/A2/B1/B2)
Would you like to be kept up-to-date about CampusFrance activities and other news about French
universities?
 YES
 NO
This questionnaire is to be submitted by email, accompanied by the documents
applicable to your situation:
Your situation
A1
Documents to be provided
One copy of your most recent diploma (or your most recent grade report,
otherwise); a CV; a copy of the letter of admission from an institution in France
A2
A copy of your most recent diploma (or your most recent grade report, otherwise);
a CV; a copy of the letter of admission from an institution in France or a joint PhD
agreement
B1
A copy of your most recent diploma; your signed joint PhD agreement
B2
A copy of your most recent diploma; a letter of admission from an institution in
France or a signed Erasmus+ mobility contract
ANY ILLEGIBLE, UNOFFICIAL, UNSIGNED, OR INCOMPLETE DOCUMENTS WILL BE
REFUSED. PLEASE ONLY PROVIDE THE REQUIRED DOCUMENTS.
Students in Québec
Consulat de France à Québec - Bureau de
Montréal CampusFrance
1501 McGill College, 11th floor, suite 1130
MONTREAL, QC, H3A 3M8
Fax : 514 866 8133
[email protected]
Students in the Atlantic Provinces (New
Brunswick, Nova Scotia, Prince Edward Island)
and Newfoundland and Labrador
Ambassade de France au Canada – SCAC
Espace Campus France Ottawa
464, Wilbrod Street
OTTAWA, ON, K1N 6M8
[email protected]