Centre interuniversitaire québécois de statistiques sociales (CIQSS)

CIQSS - QICSS

Quebec Inter-University Centre for Social Statistics

FRANÇAIS

Workshop Registration

Function:
Status:
Member university:
Please select a workshop from the following list
WORKSHOP PRICE:

REGISTRATION FORM QICSS USER

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
E-mail *
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
How did you hear about this workshop? *
Relevance of the training session for your studies*
(Important criteria for the selection of participants)

REGISTRATION FORM STUDENT / POSTDOCTORAL FELLOW MEMBER UNIVERSITY

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
E-mail *
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
Level of study *
Faculty *
Discipline *
Other

Director of studies

Name *
Email *
How did you hear about this workshop? *
Relevance of the training session for your studies*
(Important criteria for the selection of participants)

REGISTRATION FORM STUDENT / POSTDOCTORAL FELLOW NON-MEMBER UNIVERSITY

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
E-mail *
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
Level of study *
University *
Faculty *
Discipline *
Other

Director of studies

Name *
Email *
How did you hear about this workshop? *
Relevance of the training session for your studies*
(Important criteria for the selection of participants)

REGISTRATION FORM PROFESSOR / UNIVERSITY RESEARCH PROFESSIONAL QICSS USER

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
University email address* (ex.: name@umontreal.ca)
If you don't have a university email address,you must change your Function in the top of this form to Other,
reconfirm your Status and click Validate.
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
How did you hear about this workshop? *
Relevance of the training session for your studies*
(Important criteria for the selection of participants)

REGISTRATION FORM PROFESSOR / UNIVERSITY RESEARCH PROFESSIONAL MEMBER UNIVERSITY

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
University email address* (ex.: name@umontreal.ca)
If you don't have a university email address,you must change your Function in the top of this form to Other,
reconfirm your Status and click Validate.
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
Website
Faculty *
Discipline *
Other
How did you hear about this workshop? *
Relevance of the training session for your professional activities*
(Important criteria for the selection of participants)

REGISTRATION FORM PROFESSOR / UNIVERSITY RESEARCH PROFESSIONAL NON-MEMBER UNIVERSITY

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
University email address* (ex.: name@umontreal.ca)
If you don't have a university email address,you must change your Function in the top of this form to Other,
reconfirm your Status and click Validate.
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
Website
University *
Faculty *
Discipline *
Other
How did you hear about this workshop? *
Relevance of the training session for your professional activities*
(Important criteria for the selection of participants)

REGISTRATION FORM

Fields marked with an asterisk (*) are mandatory.
Title *
Last Name *
First Name *
E-mail *
Mailing Address *
            
Postal Code *
Phone Numbers

Office
Home
Cellphone
Fax
Website
Organization *
Function (specify)*
Discipline *
Other
How did you hear about this workshop? *
Relevance of the training session for your professional activities*
(Important criteria for the selection of participants)

 

 

 

 

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