Program in Insurance medecine and medicolegal evaluation

Admission

Admission application for Graduate Studies

If you have any questions about this form you can reach Eva Medalsy, Eddy Martin, or Dr. François Sestier at the following e-mails:

  • Eva Medalsy: eva.medalsy@umontreal.ca

  • Eddy Martin: emartin@cmaisonneuve.qc.ca
  • Dr François Sestier: francois.sestier@umontreal.ca
  • IMPORTANT: U of M will only accept copies of certified official documents stamped by a “Commissioner of Oaths”:

  • a copy of your faculty marks or certified copy of your MD diploma or PhD/DSc diploma
  • a birth certificate and a Canadian Permanent Residency (PR) card (both sides) with IMM5292 or IMM1000 supporting document and a Canadian citizenship card (both sides)_Certified copies
  • a 21.40 $ Application fee, to be paid online on the "Université de Montréal" official application form, by Credit Card only, Visa or MasterCard, for the « Microprogram »
  • a 96.50 $ Application fee, to be paid online on the "Université de Montréal" official application form, by Credit Card only, Visa or MasterCard, for the « DESS »
  • a 21.40 $ Application fee, to be paid online on the "Université de Montréal" official application form, by Credit Card only, Visa or MasterCard, for the « Introduction to the Field of Medico-Legal Expertise »
  • Mandatory documents can be mailed at the following address:

  • University of Montreal/Faculty of Medicine, c/o Eva Medalsy, P.O. Box 6128, Downtown Station, Unit 7061 - Marguerite d'Youville Building, Montreal, Quebec H3C 3J7
  • Identification
    Gender
    Place of Birth
    Address
    Citizenship Status
    Citizenship Status
    Current Studies
    Previous Education
    Name Address of Educational InstitutionYear Attended (from ... to): MM/YYYY-MM/YYYY Degree ExpectedExpected Date of Graduation: DD/MM/YYYY
    Québec Code permanent
    Current Employment (candidate coming from the labour market)
    Entry in the record of the Registry of Civil Status
    Employment during your studies
    Scholarship application
    Language knowledge
    langue_explication
    I read I understand I write I speak
    LanguageEGPEGPEGPEGP
    French
    English
    References
    Reference 1
    Reference 2
    Reference 3
    Previous applications
    Program choice
    Term of Entry
    Status
    Authorization and declaration

    I authorize the Ministry of Education and the educational institutions where I have studied the disclosure of my academic achievements to the Université de Montréal. I understand that the Université de Montréal will provide the Ministry of Education the information needed to create or validate my Permanent Code. I authorize the Université de Montréal to transmit to the Conference of Rectors and Principals of Québec Universities (CREPUQ) information for the purpose of admissions operations and the production of statistics. I authorize the Université de Montréal to give information requested by summons on me. If applicable, I authorize the Ministère des Relations avec les citoyens et de l’immigration to transfer to the Université de Montréal, on my behalf, the confirmation of the deliverance of the Quebec certificate of acceptance. I certify that I have read the information provided with the application form and that all statements are correct and complete. I acknowledge that any false declaration or omission of giving relevant information in a document related to my admission or my registration may result in revoking my admission or registration to the University.

    T:Insurance medecine and medicolegal evaluation | A: Faculté de médecine C.P. 6128, succursale Centre-ville Montréal, Québec, Canada H3C-3J7 |