{"id":1254,"date":"2022-07-14T23:53:51","date_gmt":"2022-07-15T03:53:51","guid":{"rendered":"https:\/\/forms.csi.ca\/?page_id=1254"},"modified":"2022-10-26T14:10:36","modified_gmt":"2022-10-26T18:10:36","slug":"license-application-fellow-of-csi-fcsi-fr","status":"publish","type":"page","link":"https:\/\/forms.csi.ca\/?page_id=1254","title":{"rendered":"Demande de licence de Fellow de CSI (FCSI<sup>MD<\/sup>)"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-block\" id=\"wpforms-1239\"><form id=\"wpforms-form-1239\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1239\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1254&#038;wpforms_form_id=1239\" data-token=\"cb2c3089978722989cb1edcdde932eff\" data-token-time=\"1776161807\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1239-field_41-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"41\"><h3 id=\"wpforms-1239-field_41\">RENSEIGNEMENTS G\u00c9N\u00c9RAUX<\/h3><\/div><div id=\"wpforms-1239-field_1-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_1\">Num\u00e9ro de dossier <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1239-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" step=\"any\" required><\/div><div id=\"wpforms-1239-field_32-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half\" data-field-id=\"32\"><label class=\"wpforms-field-label\">V\u00e9rification de l\u2019identit\u00e9  &#8211; Date de naissance <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-small\"><select name=\"wpforms[fields][32][date][d]\" id=\"wpforms-1239-field_32-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][32][date][m]\" id=\"wpforms-1239-field_32-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][32][date][y]\" id=\"wpforms-1239-field_32-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/div><div id=\"wpforms-1239-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_3\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-1239-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" placeholder=\"Pr\u00e9nom\" required><label for=\"wpforms-1239-field_3\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-1239-field_3-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][3][middle]\" placeholder=\"Initiale\" ><label for=\"wpforms-1239-field_3-middle\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-1239-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" placeholder=\"Nom\" required><label for=\"wpforms-1239-field_3-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_4-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Genre <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_4_1\" name=\"wpforms[fields][4]\" value=\"F\u00e9minin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_4_1\">F\u00e9minin<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_4_2\" name=\"wpforms[fields][4]\" value=\"Masculin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_4_2\">Masculin<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_4_3\" name=\"wpforms[fields][4]\" value=\"Non binaire\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_4_3\">Non binaire<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-inline\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Langue de correspondance <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_28_1\" name=\"wpforms[fields][28]\" value=\"Fran\u00e7ais\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_28_1\">Fran\u00e7ais<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_28_2\" name=\"wpforms[fields][28]\" value=\"Anglais\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_28_2\">Anglais<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_7-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_7\">Courriel principal <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1239-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1239-field_8-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_8\">Autre courriel<\/label><input type=\"email\" id=\"wpforms-1239-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-1239-field_121-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"121\"><label class=\"wpforms-field-label\">Num\u00e9ro de t\u00e9l\u00e9phone pour vous joindre <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_121\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_121_1\" name=\"wpforms[fields][121]\" value=\"Personnel\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_121_1\">Personnel<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_121_2\" name=\"wpforms[fields][121]\" value=\"Professionnel\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_121_2\">Professionnel<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_121_3\" name=\"wpforms[fields][121]\" value=\"Les deux\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_121_3\">Les deux<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_21-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_21\">T\u00e9l\u00e9phone au domicile <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1239-field_21\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][21]\" aria-label=\"T\u00e9l\u00e9phone au domicile\" required><\/div><div id=\"wpforms-1239-field_10-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_10\">T\u00e9l\u00e9phone au bureau <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1239-field_10\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][10]\" aria-label=\"T\u00e9l\u00e9phone au bureau\" required><\/div><div id=\"wpforms-1239-field_57-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"57\"><label class=\"wpforms-field-label\">Adresse <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_57\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_57_1\" name=\"wpforms[fields][57]\" value=\"Domicile\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_57_1\">Domicile<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_57_2\" name=\"wpforms[fields][57]\" value=\"Bureau\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_57_2\">Bureau<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_57_3\" name=\"wpforms[fields][57]\" value=\"Les deux\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_57_3\">Les deux<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_14-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"14\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_14\">Adresse au domicile <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1239-field_14\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][14][address1]\" placeholder=\"Adresse, bo\u00eete postale\" required><label for=\"wpforms-1239-field_14\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1239-field_14-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][14][address2]\" placeholder=\"No d&#039;appartement, de bureau ou d&#039;unit\u00e9, \u00e9tage, etc.\" ><label for=\"wpforms-1239-field_14-address2\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1239-field_14-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][14][city]\" placeholder=\"Ville\" required><label for=\"wpforms-1239-field_14-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_14-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][14][state]\" placeholder=\"Province\" required><label for=\"wpforms-1239-field_14-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1239-field_14-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][14][postal]\" placeholder=\"Code postal\" required><label for=\"wpforms-1239-field_14-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1239-field_14-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][14][country]\" required><option class=\"placeholder\" value=\"\" selected disabled>&#8212; Select country &#8212;<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-1239-field_14-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_43-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"43\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_43\">( S&#039;il y a lieu ) No de transit ou de succursale<\/label><input type=\"number\" id=\"wpforms-1239-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" step=\"any\" ><\/div><div id=\"wpforms-1239-field_44-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_44\">Num\u00e9ro d\u2019employ\u00e9<\/label><input type=\"number\" id=\"wpforms-1239-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\" step=\"any\" ><\/div><div id=\"wpforms-1239-field_56-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"56\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_56\">Employeur<\/label><input type=\"number\" id=\"wpforms-1239-field_56\" class=\"wpforms-field-medium\" name=\"wpforms[fields][56]\" step=\"any\" ><\/div><div id=\"wpforms-1239-field_55-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"55\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_55\">Titre du poste<\/label><input type=\"number\" id=\"wpforms-1239-field_55\" class=\"wpforms-field-medium\" name=\"wpforms[fields][55]\" step=\"any\" ><\/div><div id=\"wpforms-1239-field_11-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_11\">Adresse au bureau <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1239-field_11\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][11][address1]\" placeholder=\"Adresse, bo\u00eete postale\" required><label for=\"wpforms-1239-field_11\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1239-field_11-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][11][address2]\" placeholder=\"No d&#039;appartement, de bureau ou d&#039;unit\u00e9, \u00e9tage, etc.\" ><label for=\"wpforms-1239-field_11-address2\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1239-field_11-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][11][city]\" placeholder=\"Ville\" required><label for=\"wpforms-1239-field_11-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_11-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][11][state]\" placeholder=\"Province\" required><label for=\"wpforms-1239-field_11-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1239-field_11-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][11][postal]\" placeholder=\"Code postal\" required><label for=\"wpforms-1239-field_11-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1239-field_11-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][11][country]\" required><option class=\"placeholder\" value=\"\" selected disabled>&#8212; Select country &#8212;<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-1239-field_11-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_122-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"122\"><label class=\"wpforms-field-label\">\u00c0 quelle adresse d\u00e9sirez-vous que CSI vous fasse parvenir votre certificat mural :  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_122\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_122_1\" name=\"wpforms[fields][122]\" value=\"Bureau\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_122_1\">Bureau<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_122_2\" name=\"wpforms[fields][122]\" value=\"Domicile\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_122_2\">Domicile<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_58-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"58\"><label class=\"wpforms-field-label\">Quelle adresse voulez-vous faire inscrire dans notre r\u00e9pertoire FCSI? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_58\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_58_1\" name=\"wpforms[fields][58]\" value=\"Bureau\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_58_1\">Bureau<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_58_2\" name=\"wpforms[fields][58]\" value=\"Domicile\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_58_2\">Domicile<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_58_4\" name=\"wpforms[fields][58]\" value=\"Je ne veux pas faire inscrire mon adresse\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_58_4\">Je ne veux pas faire inscrire mon adresse<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_15-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"15\"><h3 id=\"wpforms-1239-field_15\">EXIGENCES EN MATI\u00c8RE DE FORMATION DU FCSI<\/h3><\/div><div id=\"wpforms-1239-field_64-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"64\"><div id=\"wpforms-1239-field_64\"><p>a. Veuillez indiquer le titre professionnel en\r\nservices financiers que vous d\u00e9tenez d\u00e9j\u00e0.<\/p><\/div><\/div><div id=\"wpforms-1239-field_24-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_24\">Titre professionnel <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1239-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><div class=\"wpforms-field-description\">* NOTE : La reconnaissance de titres professionnels de l\u2019ext\u00e9rieur est assujettie \u00e0 la politique et aux frais de CSI en mati\u00e8re de reconnaissance des titres professionnels\r\nde l\u2019ext\u00e9rieur. D\u00e9tails au <a href=\"https:\/\/www.csi.ca\/fr\/credentials\/fcsi\/\" target=\"_blank\">www.fcsi.ca<\/a>.<\/div><\/div><div id=\"wpforms-1239-field_61-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_61\">Ann\u00e9e de r\u00e9ussite <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1239-field_61\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][61]\" step=\"any\" required><\/div><div id=\"wpforms-1239-field_65-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"65\"><div id=\"wpforms-1239-field_65\"><p>b. Deux (2) autres cours de CSI \u2013 Ces cours doivent \u00eatre diff\u00e9rents de ceux d\u00e9j\u00e0 utilis\u00e9s pour satisfaire aux exigences du titre mentionn\u00e9 \u00e0 la section a). Pour plus de d\u00e9tails,\r\nvoir la liste des cours accept\u00e9s \u00e0 la section Le parcours menant \u00e0 l\u2019obtention du titre de FCSI au <a href=\"https:\/\/www.csi.ca\/fr\/credentials\/fcsi\/\" target=\"_blank\">www.fcsi.ca<\/a>www.fcsi.ca.<\/p><\/div><\/div><div id=\"wpforms-1239-field_59-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_59\">Cours CSI (1) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1239-field_59\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][59]\" placeholder=\"Nom du cours CSI\" required><\/div><div id=\"wpforms-1239-field_66-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third wpforms-one-half\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_66\">Date de r\u00e9ussite <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1239-field_66\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][66]\" step=\"any\" required><\/div><div id=\"wpforms-1239-field_62-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_62\">Cours CSI (2) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1239-field_62\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][62]\" placeholder=\"Nom du cours CSI\" required><\/div><div id=\"wpforms-1239-field_67-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third wpforms-one-half\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_67\">Date de r\u00e9ussite <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1239-field_67\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][67]\" step=\"any\" required><\/div><div id=\"wpforms-1239-field_119-container\" class=\"wpforms-field wpforms-field-html wpforms-one-half wpforms-first\" data-field-id=\"119\"><div id=\"wpforms-1239-field_119\"><p>c. Cours Les enjeux du secteur des services financiers (ESSF)<\/p><\/div><\/div><div id=\"wpforms-1239-field_69-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third wpforms-one-half\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_69\">Date de r\u00e9ussite <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1239-field_69\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][69]\" step=\"any\" required><\/div><div id=\"wpforms-1239-field_19-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"19\"><h3 id=\"wpforms-1239-field_19\">D\u00c9CLARATION ET SIGNATURE DU CANDIDAT FCSI<\/h3><\/div><div id=\"wpforms-1239-field_70-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"70\"><label class=\"wpforms-field-label wpforms-label-hide\">Declare <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_70\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1239-field_70_1\" name=\"wpforms[fields][70][]\" value=\"Je d\u00e9clare avoir rempli cette demande aussi exactement que possible, et je fais, par la pr\u00e9sente, une demande de licence pour le Fellow de CSI (FCSI).\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_70_1\">Je d\u00e9clare avoir rempli cette demande aussi exactement que possible, et je fais, par la pr\u00e9sente, une demande de licence pour le Fellow de CSI (FCSI).<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_45-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"45\"><div id=\"wpforms-1239-field_45\"><p>Je confirme que :<\/p><\/div><\/div><div id=\"wpforms-1239-field_71-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"71\"><div id=\"wpforms-1239-field_71\"><b>EXIGENCES RELATIVES \u00c0 L\u2019EXP\u00c9RIENCE PROFESSIONNELLE\r\n<\/b><\/div><\/div><div id=\"wpforms-1239-field_46-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"46\"><label class=\"wpforms-field-label wpforms-label-hide\">Work experience declaration <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_46\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1239-field_46_3\" name=\"wpforms[fields][46][]\" value=\"Je d\u00e9clare avoir travaill\u00e9 dans le secteur des services financiers pour une p\u00e9riode de sept (7) ans durant les dix (10) derni\u00e8res ann\u00e9es. Je comprends que cette d\u00e9claration sera v\u00e9rifi\u00e9e par CSI et que CSI communiquera avec la personne que j\u2019ai d\u00e9sign\u00e9e (\u00e0 des fins de v\u00e9rification seulement). \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_46_3\">Je d\u00e9clare avoir travaill\u00e9 dans le secteur des services financiers pour une p\u00e9riode de sept (7) ans durant les dix (10) derni\u00e8res ann\u00e9es. Je comprends que cette d\u00e9claration sera v\u00e9rifi\u00e9e par CSI et que CSI communiquera avec la personne que j\u2019ai d\u00e9sign\u00e9e (\u00e0 des fins de v\u00e9rification seulement).<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_72-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"72\"><div id=\"wpforms-1239-field_72\"><p><b>OBLIGATOIRE \u2013 COORDONN\u00c9ES POUR LA CONFIRMATION DE L\u2019EXP\u00c9RIENCE PROFESSIONNELLE<\/b>\r\n<br \/><br \/>\r\nVeuillez indiquer les coordonn\u00e9es d\u2019une (ou des) personne(s) pouvant confirmer votre d\u00e9claration d\u2019exp\u00e9rience professionnelle. Dans la pr\u00e9sente demande, vous devez fournir\r\nles informations sur la dur\u00e9e de l\u2019emploi pour chacun des postes que vous avez occup\u00e9. Cette information permettra \u00e0 CSI de confirmer que les 7 ann\u00e9es des 10 derni\u00e8res\r\nann\u00e9es ont \u00e9t\u00e9 respect\u00e9es. Toutefois, nous vous donnons le choix de fournir une ou plusieurs personnes pouvant faire la v\u00e9rification de votre exp\u00e9rience. Par exemple, si votre\r\nsup\u00e9rieur actuel est en mesure de confirmer toute votre exp\u00e9rience professionnelle, alors vous pouvez indiquer qu\u2019une seule personne. Par contre, si votre sup\u00e9rieur actuel\r\nn\u2019est pas en mesure de confirmer toute votre exp\u00e9rience professionnelle, vous devrez indiquer votre sup\u00e9rieur actuel (pour le poste actuel) ainsi qu\u2019un ou plusieurs anciens\r\nsup\u00e9rieurs pouvant confirmer votre exp\u00e9rience pour chacun des autres postes que vous avez indiqu\u00e9.\r\n<br \/><br \/>\r\nEn fournissant ces coordonn\u00e9es, vous acceptez que CSI conserve cette information \u00e0 votre dossier et peut communiquer avec cette personne dans le seul but de v\u00e9rifier\r\nvotre d\u00e9claration.\r\n<\/p><\/div><\/div><div id=\"wpforms-1239-field_124-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"124\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_124\">De (Ann\u00e9e\/Mois)<\/label><input type=\"text\" id=\"wpforms-1239-field_124\" class=\"wpforms-field-medium\" name=\"wpforms[fields][124]\" placeholder=\"Ann\u00e9e\/Mois\" ><\/div><div id=\"wpforms-1239-field_125-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"125\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_125\">\u00c0 (Ann\u00e9e\/Mois)<\/label><input type=\"text\" id=\"wpforms-1239-field_125\" class=\"wpforms-field-medium\" name=\"wpforms[fields][125]\" placeholder=\"Ann\u00e9e\/Mois\" ><\/div><div id=\"wpforms-1239-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_75\">Organisme<\/label><input type=\"text\" id=\"wpforms-1239-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" ><\/div><div id=\"wpforms-1239-field_76-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_76\">Nom<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_76\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][76][first]\" placeholder=\"Pr\u00e9nom\" ><label for=\"wpforms-1239-field_76\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_76-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][76][last]\" placeholder=\"Nom\" ><label for=\"wpforms-1239-field_76-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_77-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first\" data-field-id=\"77\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_77\">Courriel<\/label><input type=\"email\" id=\"wpforms-1239-field_77\" class=\"wpforms-field-medium\" name=\"wpforms[fields][77]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-1239-field_78-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"78\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_78\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-1239-field_78\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][78]\" aria-label=\"T\u00e9l\u00e9phone\" ><\/div><div id=\"wpforms-1239-field_79-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"79\"><label class=\"wpforms-field-label\">Langue de correspondance<\/label><ul id=\"wpforms-1239-field_79\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_79_1\" name=\"wpforms[fields][79]\" value=\"Anglais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_79_1\">Anglais<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_79_2\" name=\"wpforms[fields][79]\" value=\"Fran\u00e7ais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_79_2\">Fran\u00e7ais<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_126-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"126\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_126\">De (Ann\u00e9e\/Mois)<\/label><input type=\"text\" id=\"wpforms-1239-field_126\" class=\"wpforms-field-medium\" name=\"wpforms[fields][126]\" placeholder=\"Ann\u00e9e\/Mois\" ><\/div><div id=\"wpforms-1239-field_127-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"127\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_127\">\u00c0 (Ann\u00e9e\/Mois)<\/label><input type=\"text\" id=\"wpforms-1239-field_127\" class=\"wpforms-field-medium\" name=\"wpforms[fields][127]\" placeholder=\"Ann\u00e9e\/Mois\" ><\/div><div id=\"wpforms-1239-field_84-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"84\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_84\">Organisme<\/label><input type=\"text\" id=\"wpforms-1239-field_84\" class=\"wpforms-field-medium\" name=\"wpforms[fields][84]\" ><\/div><div id=\"wpforms-1239-field_85-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_85\">Nom<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_85\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][85][first]\" placeholder=\"Pr\u00e9nom\" ><label for=\"wpforms-1239-field_85\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_85-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][85][last]\" placeholder=\"Nom\" ><label for=\"wpforms-1239-field_85-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_86-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first\" data-field-id=\"86\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_86\">Courriel<\/label><input type=\"email\" id=\"wpforms-1239-field_86\" class=\"wpforms-field-medium\" name=\"wpforms[fields][86]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-1239-field_87-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"87\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_87\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-1239-field_87\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][87]\" aria-label=\"T\u00e9l\u00e9phone\" ><\/div><div id=\"wpforms-1239-field_88-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"88\"><label class=\"wpforms-field-label\">Langue de correspondance<\/label><ul id=\"wpforms-1239-field_88\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_88_1\" name=\"wpforms[fields][88]\" value=\"Anglais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_88_1\">Anglais<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_88_2\" name=\"wpforms[fields][88]\" value=\"Fran\u00e7ais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_88_2\">Fran\u00e7ais<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_128-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"128\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_128\">De (Ann\u00e9e\/Mois)<\/label><input type=\"text\" id=\"wpforms-1239-field_128\" class=\"wpforms-field-medium\" name=\"wpforms[fields][128]\" placeholder=\"Ann\u00e9e\/Mois\" ><\/div><div id=\"wpforms-1239-field_129-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"129\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_129\">\u00c0 (Ann\u00e9e\/Mois)<\/label><input type=\"text\" id=\"wpforms-1239-field_129\" class=\"wpforms-field-medium\" name=\"wpforms[fields][129]\" placeholder=\"Ann\u00e9e\/Mois\" ><\/div><div id=\"wpforms-1239-field_93-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"93\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_93\">Organisme<\/label><input type=\"text\" id=\"wpforms-1239-field_93\" class=\"wpforms-field-medium\" name=\"wpforms[fields][93]\" ><\/div><div id=\"wpforms-1239-field_92-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"92\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_92\">Nom<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_92\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][92][first]\" placeholder=\"Pr\u00e9nom\" ><label for=\"wpforms-1239-field_92\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_92-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][92][last]\" placeholder=\"Nom\" ><label for=\"wpforms-1239-field_92-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_91-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first\" data-field-id=\"91\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_91\">Courriel<\/label><input type=\"email\" id=\"wpforms-1239-field_91\" class=\"wpforms-field-medium\" name=\"wpforms[fields][91]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-1239-field_90-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_90\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-1239-field_90\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][90]\" aria-label=\"T\u00e9l\u00e9phone\" ><\/div><div id=\"wpforms-1239-field_89-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"89\"><label class=\"wpforms-field-label\">Langue de correspondance<\/label><ul id=\"wpforms-1239-field_89\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_89_1\" name=\"wpforms[fields][89]\" value=\"Anglais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_89_1\">Anglais<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_89_2\" name=\"wpforms[fields][89]\" value=\"Fran\u00e7ais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_89_2\">Fran\u00e7ais<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_80-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"80\"><label class=\"wpforms-field-label\">EXIGENCES RELATIVES \u00c0 UNE RECOMMANDATION <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_80\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_80_1\" name=\"wpforms[fields][80]\" value=\" Je d\u00e9clare que mon sup\u00e9rieur me recommande pour le titre de FCSI. Je comprends que cette d\u00e9claration sera v\u00e9rifi\u00e9e par CSI et que CSI communiquera avec la personne que j\u2019ai d\u00e9sign\u00e9e (\u00e0 des fins de v\u00e9rification seulement).\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_80_1\">Je d\u00e9clare que mon sup\u00e9rieur me recommande pour le titre de FCSI. Je comprends que cette d\u00e9claration sera v\u00e9rifi\u00e9e par CSI et que CSI communiquera avec la personne que j\u2019ai d\u00e9sign\u00e9e (\u00e0 des fins de v\u00e9rification seulement).<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_80_2\" name=\"wpforms[fields][80]\" value=\" Je d\u00e9clare qu\u2019un titulaire actuel du FCSI me recommande pour le titre de FCSI. Je comprends que cette d\u00e9claration sera v\u00e9rifi\u00e9e par CSI et que CSI communiquera avec la personne que j\u2019ai d\u00e9sign\u00e9e (\u00e0 des fins de v\u00e9rification seulement).\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_80_2\">Je d\u00e9clare qu\u2019un titulaire actuel du FCSI me recommande pour le titre de FCSI. Je comprends que cette d\u00e9claration sera v\u00e9rifi\u00e9e par CSI et que CSI communiquera avec la personne que j\u2019ai d\u00e9sign\u00e9e (\u00e0 des fins de v\u00e9rification seulement).<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_81-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"81\"><div id=\"wpforms-1239-field_81\"><p>OBLIGATOIRE \u2013 COORDONN\u00c9ES DE LA PERSONNE QUI ACCEPTE DE PARRAINER\r\n<br \/><br \/>\r\nVeuillez indiquer les coordonn\u00e9es de la personne qui confirmera votre d\u00e9claration de recommandation. En fournissant ces coordonn\u00e9es, vous acceptez que CSI conserve cette\r\ninformation \u00e0 votre dossier et peut communiquer avec cette personne dans le seul but de v\u00e9rifier votre d\u00e9claration.\r\n<\/p><\/div><\/div><div id=\"wpforms-1239-field_110-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"110\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_110\">Nom<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_110\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][110][first]\" placeholder=\"Pr\u00e9nom\" ><label for=\"wpforms-1239-field_110\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1239-field_110-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][110][last]\" placeholder=\"Nom\" ><label for=\"wpforms-1239-field_110-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1239-field_111-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"111\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_111\">Organisme<\/label><input type=\"text\" id=\"wpforms-1239-field_111\" class=\"wpforms-field-medium\" name=\"wpforms[fields][111]\" ><\/div><div id=\"wpforms-1239-field_112-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first\" data-field-id=\"112\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_112\">Courriel<\/label><input type=\"email\" id=\"wpforms-1239-field_112\" class=\"wpforms-field-medium\" name=\"wpforms[fields][112]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-1239-field_113-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"113\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_113\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-1239-field_113\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][113]\" aria-label=\"T\u00e9l\u00e9phone\" ><\/div><div id=\"wpforms-1239-field_117-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"117\"><label class=\"wpforms-field-label\">Langue de correspondance<\/label><ul id=\"wpforms-1239-field_117\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_117_1\" name=\"wpforms[fields][117]\" value=\"Anglais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_117_1\">Anglais<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_117_2\" name=\"wpforms[fields][117]\" value=\"Fran\u00e7ais\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_117_2\">Fran\u00e7ais<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_130-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"130\"><h3 id=\"wpforms-1239-field_130\">QUALIT\u00c9S REQUISES<\/h3><\/div><div id=\"wpforms-1239-field_134-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"134\"><div id=\"wpforms-1239-field_134\"><p>Tous les candidats sont tenus de d\u00e9clarer toute proc\u00e9dure judiciaire ou plainte avant de se voir attribuer un titre professionnel. De plus, les d\u00e9tenteurs de titres professionnels ou de distinctions doivent informer CSI de toute accusation au criminel, de toute poursuite et de toute plainte \u00e0 leur \u00e9gard dans les 30 jours civils suivant un tel \u00e9v\u00e9nement ou au moment du renouvellement du titre ou de la distinction, selon la premi\u00e8re \u00e9ventualit\u00e9. Les \u00ab qualit\u00e9s requises \u00bb font partie de cette d\u00e9claration et comprennent la divulgation volontaire des situations suivantes :<\/p><\/div><\/div><div id=\"wpforms-1239-field_52-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"52\"><div id=\"wpforms-1239-field_52\"><p>Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 accus\u00e9 de manquement professionnel, fait l\u2019objet de mesures disciplinaires ou de r\u00e9primandes ou vu votre permis d\u2019exercice\r\nsuspendu ou r\u00e9voqu\u00e9 par un employeur, une association professionnelle ou toute autorit\u00e9 administrative ou r\u00e9glementaire (c.-\u00e0.-d. une commission\r\ndes valeurs mobili\u00e8res, le Barreau, une association immobili\u00e8re, OCRI, Organisme de r\u00e9glementation en mati\u00e8re d\u2019assurance, la FINRA,\r\netc.)?<\/p><\/div><\/div><div id=\"wpforms-1239-field_96-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"96\"><label class=\"wpforms-field-label wpforms-label-hide\">Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 accus\u00e9 de manquement professionnel, fait l\u2019objet de mesures disciplinaires ou de r\u00e9primandes ou vu votre permis d\u2019exercice suspendu ou r\u00e9voqu\u00e9 par un employeur, une association professionnelle ou toute autorit\u00e9 administrative ou r\u00e9glementaire (c.-\u00e0.-d. une commission des valeurs mobili\u00e8res, le Barreau, une association immobili\u00e8re, OCRI, Organisme de r\u00e9glementation en mati\u00e8re d\u2019assurance, la FINRA, etc.)?<\/label><ul id=\"wpforms-1239-field_96\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_96_1\" name=\"wpforms[fields][96]\" value=\" Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_96_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_96_2\" name=\"wpforms[fields][96]\" value=\"Non\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_96_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_97-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"97\"><div id=\"wpforms-1239-field_97\"><p>\u00cates-vous actuellement en faillite ou avez-vous \u00e9t\u00e9 d\u00e9clar\u00e9 en faillite \u00e0 tout moment au cours des 5 derni\u00e8res ann\u00e9es? <\/p><\/div><\/div><div id=\"wpforms-1239-field_98-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"98\"><label class=\"wpforms-field-label wpforms-label-hide\">\u00cates-vous actuellement en faillite ou avez-vous \u00e9t\u00e9 d\u00e9clar\u00e9 en faillite \u00e0 tout moment au cours des 5 derni\u00e8res ann\u00e9es? <\/label><ul id=\"wpforms-1239-field_98\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_98_1\" name=\"wpforms[fields][98]\" value=\" Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_98_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_98_2\" name=\"wpforms[fields][98]\" value=\"Non\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_98_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_99-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"99\"><div id=\"wpforms-1239-field_99\"><p>Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 reconnu coupable d\u2019une infraction criminelle* par quelque juridiction que ce soit et pour laquelle une suspension du casier ou un\r\npardon n\u2019a pas \u00e9t\u00e9 accord\u00e9?<\/p><\/div><\/div><div id=\"wpforms-1239-field_101-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"101\"><label class=\"wpforms-field-label wpforms-label-hide\">Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 reconnu coupable d\u2019une infraction criminelle* par quelque juridiction que ce soit et pour laquelle une suspension du casier ou un pardon n\u2019a pas \u00e9t\u00e9 accord\u00e9?<\/label><ul id=\"wpforms-1239-field_101\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_101_1\" name=\"wpforms[fields][101]\" value=\" Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_101_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_101_2\" name=\"wpforms[fields][101]\" value=\"Non\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_101_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_100-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"100\"><div id=\"wpforms-1239-field_100\"><p>Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 reconnu coupable d\u2019une infraction \u00e0 la r\u00e9glementation sur les services financiers ou aux lois relatives \u00e0 la protection des\r\nconsommateurs sous toute juridiction (c.-\u00e0.-d. les lois sur les valeurs mobili\u00e8res, les assurances, l\u2019immobilier, les hypoth\u00e8ques, etc.)?<\/p><\/div><\/div><div id=\"wpforms-1239-field_102-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"102\"><label class=\"wpforms-field-label wpforms-label-hide\">Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 reconnu coupable d\u2019une infraction \u00e0 la r\u00e9glementation sur les services financiers ou aux lois relatives \u00e0 la protection des consommateurs sous toute juridiction (c.-\u00e0.-d. les lois sur les valeurs mobili\u00e8res, les assurances, l\u2019immobilier, les hypoth\u00e8ques, etc.)?<\/label><ul id=\"wpforms-1239-field_102\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_102_1\" name=\"wpforms[fields][102]\" value=\" Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_102_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1239-field_102_2\" name=\"wpforms[fields][102]\" value=\"Non\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_102_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_106-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"106\"><div id=\"wpforms-1239-field_106\"><p>Si vous avez r\u00e9pondu \u00ab Oui \u00bb \u00e0 l\u2019une des questions pr\u00e9c\u00e9dentes, veuillez joindre \u00e0 ce formulaire tout document pertinent, incluant les d\u00e9tails des\r\nsanctions ou actions disciplinaires. Toute l\u2019information que vous fournirez sera collig\u00e9e, entrepos\u00e9e et utilis\u00e9e conform\u00e9ment aux lois applicables et \u00e0\r\nnotre politique de confidentialit\u00e9 et sera envoy\u00e9e au Comit\u00e9 de d\u00e9ontologie des titres professionnels afin d\u2019\u00e9valuer votre aptitude pour le titre.\r\n<br \/><br \/>\r\nLe terme \u00ab infraction criminelle \u00bb exclut les infractions (i) en vertu d\u2019une l\u00e9gislation provinciale, par exemple au Code de la route, \u00e0 moins que\r\nla loi provinciale en question ne soit explicitement mentionn\u00e9e ci-dessus et \u00e0 condition que la condamnation provinciale ne concerne pas une\r\ninfraction li\u00e9e \u00e0 la malhonn\u00eatet\u00e9 ou au vol comme le parjure ou la subordination des t\u00e9moins, la fausse d\u00e9claration, la fraude, le d\u00e9tournement ou\r\nl\u2019escroquerie ou toute autre infraction qui implique un \u00e9l\u00e9ment de tromperie ou de malhonn\u00eatet\u00e9 et (ii) les infractions punissables par d\u00e9claration\r\nsommaire de culpabilit\u00e9, \u00e0 condition que la malhonn\u00eatet\u00e9 ou le vol ne soit pas en cause.\r\n<\/p><p><\/p><\/div><\/div><div id=\"wpforms-1239-field_107-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"107\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_107\">Veuillez joindre les documents pertinents\u00a0 (Cliquez ou faites glisser les fichiers vers cette zone pour les t\u00e9l\u00e9verser. Vous pouvez t\u00e9l\u00e9verser jusqu\u2019\u00e0 20\u00a0fichiers.) <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"107\"\n\t\tdata-form-id=\"1239\"\n\t\tdata-input-name=\"wpforms_1239_107\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"52428800\"\n\t\tdata-max-file-number=\"20\"\n\t\tdata-post-max-size=\"52428800\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 20 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1239-field_107\"\n\t\tname=\"wpforms_1239_107\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-1239-field_131-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"131\"><h3 id=\"wpforms-1239-field_131\">Code de d\u00e9ontologie<\/h3><\/div><div id=\"wpforms-1239-field_133-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"133\"><label class=\"wpforms-field-label wpforms-label-hide\">Code of Ethics<\/label><ul id=\"wpforms-1239-field_133\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1239-field_133_1\" name=\"wpforms[fields][133][]\" value=\"En tant que titulaire de titre professionnel, je m\u2019engage \u00e0 me conformer au code de d\u00e9ontologie et au processus en cas de faute d\u00e9ontologique, et ce, pendant toute la dur\u00e9e de validit\u00e9 de mon titre (un\u00a0an).\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_133_1\">En tant que titulaire de titre professionnel, je m\u2019engage \u00e0 me conformer au code de d\u00e9ontologie et au processus en cas de faute d\u00e9ontologique, et ce, pendant toute la dur\u00e9e de validit\u00e9 de mon titre (un\u00a0an).<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_108-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"108\"><label class=\"wpforms-field-label\">EXIGENCES EN MATI\u00c8RE D\u2019APPORT AU SECTEUR <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_108\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1239-field_108_1\" name=\"wpforms[fields][108][]\" value=\"Je conviens de me conformer aux exigences des FCSI en mati\u00e8re d\u2019apport au secteur, soit d\u2019accumuler au moins 12 heures par ann\u00e9e civile de contribution au secteur, \u00e0 l\u2019ext\u00e9rieur de mes fonctions principales. \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_108_1\">Je conviens de me conformer aux exigences des FCSI en mati\u00e8re d\u2019apport au secteur, soit d\u2019accumuler au moins 12 heures par ann\u00e9e civile de contribution au secteur, \u00e0 l\u2019ext\u00e9rieur de mes fonctions principales.<\/label><\/li><\/ul><div class=\"wpforms-field-description\"><p>Vous n\u2019\u00eates pas tenu de fournir votre documentation \u00e0 chaque ann\u00e9e, toutefois, vous serez sujet a une v\u00e9rification<\/p><\/div><\/div><div id=\"wpforms-1239-field_53-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"53\"><label class=\"wpforms-field-label\">CONTRAT DE LICENCE D\u2019UTILISATION DE LA MARQUE <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1239-field_53\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1239-field_53_1\" name=\"wpforms[fields][53][]\" value=\"Je comprends que CSI m\u2019accorde une licence pour utiliser la marque d\u00e9pos\u00e9e FCSI pour une p\u00e9riode d\u2019un an et que si je ne renouvelle pas mon titre FCSI, CSI mettra fin \u00e0 ma licence d\u2019utilisation de la marque d\u00e9pos\u00e9e FCSI. Je conviens aussi d\u2019aviser CSI sans d\u00e9lai de toute circonstance qui pourrait avoir un effet sur ma capacit\u00e9 de continuer \u00e0 satisfaire aux exigences de la certification. \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1239-field_53_1\">Je comprends que CSI m\u2019accorde une licence pour utiliser la marque d\u00e9pos\u00e9e FCSI pour une p\u00e9riode d\u2019un an et que si je ne renouvelle pas mon titre FCSI, CSI mettra fin \u00e0 ma licence d\u2019utilisation de la marque d\u00e9pos\u00e9e FCSI. Je conviens aussi d\u2019aviser CSI sans d\u00e9lai de toute circonstance qui pourrait avoir un effet sur ma capacit\u00e9 de continuer \u00e0 satisfaire aux exigences de la certification.<\/label><\/li><\/ul><\/div><div id=\"wpforms-1239-field_115-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"115\"><input type=\"hidden\" id=\"wpforms-1239-field_115\" name=\"wpforms[fields][115]\" value=\"1018030\"><\/div><div id=\"wpforms-1239-field_116-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"116\"><input type=\"hidden\" id=\"wpforms-1239-field_116\" name=\"wpforms[fields][116]\" value=\"DEMANDE DE LICENCE DE FELLOW DE CSI (FCSI)\"><\/div><div id=\"wpforms-1239-field_123-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"123\"><label class=\"wpforms-field-label\" for=\"wpforms-1239-field_123\">Single Line Text<\/label><input type=\"text\" id=\"wpforms-1239-field_123\" class=\"wpforms-field-medium\" name=\"wpforms[fields][123]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1239\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages\/1254\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1239\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Suivant\" aria-live=\"assertive\" value=\"wpforms-submit\">Suivant<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/forms.csi.ca\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-1254","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages\/1254","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/forms.csi.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1254"}],"version-history":[{"count":0,"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages\/1254\/revisions"}],"wp:attachment":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1254"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}