MIDI Form
MIDI Form
Request for comparative evaluation of studies completed outside of Quebec October 2016
General information
TheComparative evaluation of studies conducted outside of Quebecis an expert opinion given for informational purposes that establishes a comparison
general comparison between two official educational systems. The comparative evaluation describes the school documents and indicates which school benchmarks
(or main diplomas) and to which fields of study in Quebec the studies completed outside of Quebec can be compared.
The Ministry examines the school documents submitted to it by applying rigorous standards and recognized analytical methods.
in comparative evaluation of diplomas.
TheComparative evaluation of studies conducted outside of Quebecshould only be used to support the understanding of your documents
school. It is neither a diploma nor a diploma equivalency. Since the comparative evaluation does not create any obligation towards a
employer, a professional order or any other regulatory body, you must check if it will be required from you before submitting
a request.
Your request for a comparative assessment must include the attached form correctly completed and bearing your original signature, ALL the
requested documents in the required format as well as the FULL payment of the fees. Otherwise, your application will be returned to you.
Your request must include a photocopy of one of the following identity documents:
the pages of your valid passport indicating your identity, the date of issuance and expiration as well as any modifications made
to this information;
a birth certificate or a birth act;
• a document issued by Immigration, Refugees and Citizenship Canada (Canadian citizenship certificate, permanent resident card,
permanent residence confirmation document or asylum seeker document.
Has your name changed? If the name on the school documents is not the same as the one on the ID, your
The request must also include a photocopy of an official document explaining the name difference. The only documents accepted for this purpose are:
a marriage certificate or act;
a certificate of change of name;
an act or a certificate or a divorce decree or a marriage annulment;
a death certificate of your spouse.
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Ministry of Immigration, Diversity, and Inclusion A-0361-FO (2016-10)
B. Diplomas and transcripts Required format: certified true copy
You must include in your application a certified true copy of all the school documents you wish to have evaluated.
If you provide photocopies (in color or not) of diplomas or transcripts, your application will be returned to you.
without having been treated.
Required documents:
For primary studies, you do not need to attach any documents to your application since the Ministry does not evaluate them.
For secondary or post-secondary studies completed in vocational or technical training, you must attach your diploma.
and the report cards from each year of study. For secondary studies completed in general education, you must
just attach your diploma.
For incomplete secondary studies, you must attach the transcripts of the last two years of completed studies. If the
Transcripts do not clearly indicate that you have completed your high school years, you must add a certificate.
official from the educational institution attended that confirms the portion of the program completed and passed.
The Ministry reserves the right not to evaluate all documents submitted to it concerning studies.
intermediaries or who do not correspond to a terminal cycle in Quebec.
You will find the list of recognized authorities for certifying compliant documents on the following page.
www.immigration-quebec.gouv.qc.ca/en/forms/form-title/list-authorities.html.
Unrecognized authorities
The following authorities are not recognized by our ministry to certify documents as compliant:
a commissioner for the oath
a notary from Quebec;
a lawyer from Quebec
a translator from Quebec.
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Ministry of Immigration, Diversity and Inclusion A-0361-FO (2016-10)
C. Document provided in another language Format required: original of the translation
whether French or English
If you submit a document or part of a document (including a seal or stamp) in a language other than French
or English, you must provide the following items:
the document in its original language while respecting the required format: for an identity card, you must provide a photocopy,
And for a diploma or transcript, you must provide a certified copy.
the original complete translation of the document (including seals and stamps) made by a recognized translator.
D. Fees to be paid
Your request must include full payment of the fees in Canadian currency. To find out the amount to pay, please visit our website.
Web auwww.immigration-quebec.gouv.qc.ca/comparative-evaluation-fees.
The only accepted payment methods are as follows:
Credit card;
Please attach the original credit card payment form available on our website to
www.immigration-quebec.gouv.qc.ca/en/forms/form-title/payment-card.html;
Please fill in all the fields of the form, especially:
the exact number and expiration date of the credit card,
the exact amount in Canadian currency,
° the name and original signature of the cardholder;
Your credit card must be valid;
Postal mandate from Canada Post;
• Bank draft or check made out to the Minister of Finance of Quebec. You must write your name on the back of the check.
in printed characters;
All bank drafts and checks must be valid, signed, and dated;
The only checks or bank drafts accepted are:
a certified or endorsed check drawn from a Canadian bank,
a check issued by a stockbroker,
a check from a Canadian company,
a bank draft drawn from a Canadian bank.
Cash payments, personal checks, and traveler's checks are not accepted.
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Ministry of Immigration, Diversity and Inclusion A-0361-FO (2016-10)
Memory aid
Your request for a comparative evaluation must include:
the form correctly completed, dated and bearing your original signature;
the photocopy of your identity document;
a photocopy of an official document explaining the difference in name, if applicable;
a certified true copy of the transcripts and diplomas required;
the original of the translation of documents or parts of documents (including seals and stamps) submitted in a language other than
French or English;
the FULL payment of the fees required in Canadian currency in a payment method accepted by the Ministry.
If you want another person to handle the follow-up of your file, you must attach the form to your request.Power of Attorney
Power of attorneythat you will find on the next page:URL cannot be translated..
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Ministry of Immigration, Diversity and Inclusion A-0361-FO (2016-10)
A-0361-FO
Request for comparative evaluation of studies completed outside of Quebec (2016-10)
Your comparative assessment request must include this form correctly filled out.
filled out and signed, ALL the requested documents in the required format as well as the payment
Complete the fees. Otherwise, your request will be returned to you.
Preliminary information
Have you alreadyHave you made a request for a comparative evaluation from the Ministry of Immigration, Diversity and Inclusion?
DO NOT USE THIS FORM if your application for comparative evaluation is under review or if you wish
send your comments or questions within six months following our response to your request.
2. Information about identity(attach a photocopy of an identity document. If your name has changed, you must also attach a photocopy of a
supporting document
Gender Feminine ✔
Masculine
First and last name (indicate your first and last name in capital letters as they appear on your identity document)
Joseph Calvens
Last name First name(s)
3. Home address
2109 Sauriol East
Number Street Apartment
(514)6521686 (514)8859869
Home phone Other phone
josephcalvens16@gmail.com
Email
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Ministry of Immigration, Diversity and Inclusion A-0361-FO (2016-10)
4. Information about the studies
Primary studies
Saint Joseph School (FIC)
Establishmentfrequented
Study period
Of 199210 à 199906 7
Year Month Year Month Number of years of study
Secondary studies: general, vocational, or technical(attach a certified copy of the required transcripts and diplomas)
College Our Lady of Perpetual Help
Establishmentfrequented
Cap-Haïtien Haiti
City Country or territory
DES
Degree obtained or last completed year of studies Domain deformation, if applicable
Period of studies
Establishmentcrowded
Title of the obtained diploma or last completed year of study Domain deformation, if applicable
Period of studies
Of à
Year Month Year Month Year of graduation
Establishmentfrequented
Study period
Of à
Year Month Year Month Year of graduation
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Post-secondary studies: technical, vocational, and university(attach a certified copy of the required transcripts and diplomas)
GOC University
Establishmentfrequented
Port-au-Prince Haiti
City Country or territory
Period of studies
Establishmentfrequented
Study period
From à
Year Month Year Month Year of graduation
Establishmentfrequented
Study period
Of à
Year Month Year Month Year of graduation
Establishmentfrequented
Study period
Of à
Year Month Year Month Year of graduation
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Ministry of Immigration, Diversity and Inclusion A-0361-FO (2016-10)
5. Protection of personal information
The personal information you provide in this form is necessary for processing your evaluation request.
comparative studies conducted outside Quebec. They can also be used by the minister responsible for the application of
the Law on the Ministry of Immigration and Cultural Communities for the purposes of study, statistics, program evaluation or for
you will communicate any information that may facilitate your establishment and integration into Quebec society.
Access to this information is reserved for authorized persons only under the provisions of the Access to Documents Act.
public organizations and on the protection of personal information (chapter A-2.1). You have the right to know the information
concerning you and, if applicable, to have any inaccurate information corrected by sending a written request to the responsible office of
processing your request.
The personal information in your file is confidential and cannot be disclosed without your consent.
However, the Ministry can do so without your consent:
to communicate personal information to any person or organization when that information is necessary for its application
of a law in Quebec;
to communicate personal information to Quebec public agencies if this information is necessary for the exercise of their duties
attributions or to the implementation of a program for which they have management.
6. Declaration
7. Signature
2019 09 04
Signature (year, month, day)
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Ministry of Immigration, Diversity and Inclusion A-0361-FO (2016-10)