Bulletin de présentation

Bulletin de présentation pour délégué(e)s régionaux

Nom
Prénom Nom
No. d'étudiant NIP (facultatif)
Adresse
Adresse postale Adresse ligne 2 Ville Province Code postal
Adresse courriel*
Compagnie*
Notes biographiques (900 caractères maximum)
Raisons motivant votre candidature (450 caractères maximum)
Phone
Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.

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