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Formulaires en ligne | UMoncton

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étoile sont obligatoires.</em></p></div><div class="overlay-body"><div id="contact-form-etudiant" class="contact-form top-form" data-module="contact"><div class="container-fluid no-padding"><div class="feed-back" style="display:none;"><p>Une erreur est survenu</p></div><form action="/" method="post" style="" id="contactFormID"><div class="group"><div class="field-wrapper"><label><span>*&nbsp;Prénom&nbsp;:</span><input type="text" id="InformationRequest_FirstName" name="InformationRequest.FirstName" value="" required pattern="^[a-zA-ZÀ-ÿ '-]+( [a-zA-ZÀ-ÿ]+)*$"></label></div><div class="field-wrapper"><label><span>*&nbsp;Nom de famille&nbsp;:</span><input type="text" id="InformationRequest_LastName" name="InformationRequest.LastName" value="" required pattern="^[a-zA-ZÀ-ÿ '-]+( [a-zA-ZÀ-ÿ]+)*$" ></label></div><div class="field-wrapper"><label><span>*&nbsp;Courriel&nbsp;:</span><input type="email" id="InformationRequest_Email" name="InformationRequest.Email" value="" required></label></div><div class="field-wrapper"><label><span>*&nbsp;Statut&nbsp;:</span><div class="select-wrapper"><div class="select-primary"><div class="select__menu is-black"><select id="InformationRequest_StatutId" name="InformationRequest.StatutId" required><option value="">Sélectionner</option><option value="1">Canadien</option><option value="2">Résident permanent</option><option value="3">International</option></select></div></div></div></label></div><div class="field-wrapper"><span class="group-label">*&nbsp;Je préfère qu'on m'adresse&nbsp;:</span><label class="radio-container radio-label"><span>au féminin</span><input type="radio" name="InformationRequest.Gender" value="Féminin" id="InformationRequest_Gender" required><span class="radio-checkmark"></span></label><label class="radio-container radio-label"><span>au masculin</span><input type="radio" name="InformationRequest.Gender" value="Masculin" id="InformationRequest_Gender"><span class="radio-checkmark"></span></label><label class="radio-container radio-label"><span>de façon neutre</span><input type="radio" name="InformationRequest.Gender" value="Neutre" id="InformationRequest_Gender"><span class="radio-checkmark"></span></label></div><div class="field-wrapper"><span class="group-label">Campus d’intérêt&nbsp;:</span><label class="checkbox-container checkbox-label"><input id="InformationRequest_IsEdmunstonChecked" name="InformationRequest.IsEdmunstonChecked" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Edmundston</span></label><label class="checkbox-container checkbox-label"><input id="InformationRequest_IsMonctonChecked" name="InformationRequest.IsMonctonChecked" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Moncton</span></label><label class="checkbox-container checkbox-label"><input id="InformationRequest_IsShippaganChecked" name="InformationRequest.IsShippaganChecked" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Shippagan</span></label></div></div><div class="group"><div class="field-wrapper multiple-field"><span class="group-label">Programme d’intérêt&nbsp;:</span><div class="select-primary mb-3"><div class="select__menu is-black"><select class="is-black" id="InformationRequest_ProgramId1" name="InformationRequest.ProgramId1"><option value="">Sélectionner</option><option value="1">Administration des affaires - Comptabilité</option><option value="2">Administration des affaires - Finance</option><option value="3">Administration des affaires - Général</option><option value="4">Administration des affaires - Gestion des opérations</option><option value="5">Administration des affaires - Gestion internationale</option><option value="6">Administration des affaires - Management</option><option value="7">Administration des affaires - Marketing</option><option value="8">Administration des affaires - Systèmes d’information organisationnels</option><option value="9">Aménagement des forêts</option><option value="10">Anglais</option><option value="11">Art dramatique</option><option value="12">Arts visuels</option><option value="13">Arts visuels - orientation enseignement</option><option value="14">Biochimie</option><option value="15">Biochimie et biologie moléculaire</option><option value="16">Biologie</option><option value="17">Chimie</option><option value="18">Criminologie</option><option value="19">D.S.S. - Diplôme préparatoire aux sciences de la santé</option><option value="20">Design d’intérieur</option><option value="21">Développement durable et zone côtière</option><option value="22">Diplôme en administration des affaires </option><option value="23">Droit</option><option value="24">Économie</option><option value="26">Éducation physique</option><option value="25">Éducation primaire</option><option value="27">Éducation secondaire</option><option value="28">Éducation secondaire - Majeure en anglais</option><option value="29">Éducation secondaire - Majeure en biologie</option><option value="30">Éducation secondaire - Majeure en chimie</option><option value="31">Éducation secondaire - Majeure en éducation physique</option><option value="32">Éducation secondaire - Majeure en études familiales</option><option value="33">Éducation secondaire - Majeure en études françaises</option><option value="34">Éducation secondaire - Majeure en géographie</option><option value="35">Éducation secondaire - Majeure en histoire</option><option value="36">Éducation secondaire - Majeure en mathématiques</option><option value="37">Éducation secondaire - Majeure en musique</option><option value="38">Éducation secondaire - Majeure en physique</option><option value="39">Études françaises (linguistique, littérature ou mixte)</option><option value="40">Génie civil</option><option value="41">Génie électrique</option><option value="42">Génie mécanique</option><option value="43">Géographie</option><option value="44">Gestion de l’information</option><option value="45">Gestion du loisir, sport et tourisme</option><option value="46">Histoire</option><option value="47">Information-communication</option><option value="48">Informatique</option><option value="49">Kinésiologie</option><option value="50">Mathématiques</option><option value="51">Multidisciplinaire - Administration des affaires</option><option value="52">Multidisciplinaire - Arts et sciences sociales</option><option value="53">Multidisciplinaire - Sciences</option><option value="54">Musique</option><option value="55">Nutrition</option><option value="56">Philosophie</option><option value="57">Physique</option><option value="58">Psychologie</option><option value="59">Science infirmière</option><option value="60">Science politique</option><option value="61">Sociologie</option><option value="62">Traduction</option><option value="63">Travail social</option></select></div></div><div class="select-primary mb-3"><div class="select__menu is-black"><select class="is-black" id="InformationRequest_ProgramId2" name="InformationRequest.ProgramId2"><option value="">Sélectionner</option><option value="1">Administration des affaires - Comptabilité</option><option value="2">Administration des affaires - Finance</option><option value="3">Administration des affaires - Général</option><option value="4">Administration des affaires - Gestion des opérations</option><option value="5">Administration des affaires - Gestion internationale</option><option value="6">Administration des affaires - Management</option><option value="7">Administration des affaires - Marketing</option><option value="8">Administration des affaires - Systèmes d’information organisationnels</option><option value="9">Aménagement des forêts</option><option value="10">Anglais</option><option value="11">Art dramatique</option><option value="12">Arts visuels</option><option value="13">Arts visuels - orientation enseignement</option><option value="14">Biochimie</option><option value="15">Biochimie et biologie moléculaire</option><option value="16">Biologie</option><option value="17">Chimie</option><option value="18">Criminologie</option><option value="19">D.S.S. - Diplôme préparatoire aux sciences de la santé</option><option value="20">Design d’intérieur</option><option value="21">Développement durable et zone côtière</option><option value="22">Diplôme en administration des affaires </option><option value="23">Droit</option><option value="24">Économie</option><option value="26">Éducation physique</option><option value="25">Éducation primaire</option><option value="27">Éducation secondaire</option><option value="28">Éducation secondaire - Majeure en anglais</option><option value="29">Éducation secondaire - Majeure en biologie</option><option value="30">Éducation secondaire - Majeure en chimie</option><option value="31">Éducation secondaire - Majeure en éducation physique</option><option value="32">Éducation secondaire - Majeure en études familiales</option><option value="33">Éducation secondaire - Majeure en études françaises</option><option value="34">Éducation secondaire - Majeure en géographie</option><option value="35">Éducation secondaire - Majeure en histoire</option><option value="36">Éducation secondaire - Majeure en mathématiques</option><option value="37">Éducation secondaire - Majeure en musique</option><option value="38">Éducation secondaire - Majeure en physique</option><option value="39">Études françaises (linguistique, littérature ou mixte)</option><option value="40">Génie civil</option><option value="41">Génie électrique</option><option value="42">Génie mécanique</option><option value="43">Géographie</option><option value="44">Gestion de l’information</option><option value="45">Gestion du loisir, sport et tourisme</option><option value="46">Histoire</option><option value="47">Information-communication</option><option value="48">Informatique</option><option value="49">Kinésiologie</option><option value="50">Mathématiques</option><option value="51">Multidisciplinaire - Administration des affaires</option><option value="52">Multidisciplinaire - Arts et sciences sociales</option><option value="53">Multidisciplinaire - Sciences</option><option value="54">Musique</option><option value="55">Nutrition</option><option value="56">Philosophie</option><option value="57">Physique</option><option value="58">Psychologie</option><option value="59">Science infirmière</option><option value="60">Science politique</option><option value="61">Sociologie</option><option value="62">Traduction</option><option value="63">Travail social</option></select></div></div><div class="select-primary"><div class="select__menu is-black"><select class="is-black" id="InformationRequest_ProgramId3" name="InformationRequest.ProgramId3"><option value="">Sélectionner</option><option value="1">Administration des affaires - Comptabilité</option><option value="2">Administration des affaires - Finance</option><option value="3">Administration des affaires - Général</option><option value="4">Administration des affaires - Gestion des opérations</option><option value="5">Administration des affaires - Gestion internationale</option><option value="6">Administration des affaires - Management</option><option value="7">Administration des affaires - Marketing</option><option value="8">Administration des affaires - Systèmes d’information organisationnels</option><option value="9">Aménagement des forêts</option><option value="10">Anglais</option><option value="11">Art dramatique</option><option value="12">Arts visuels</option><option value="13">Arts visuels - orientation enseignement</option><option value="14">Biochimie</option><option value="15">Biochimie et biologie moléculaire</option><option value="16">Biologie</option><option value="17">Chimie</option><option value="18">Criminologie</option><option value="19">D.S.S. - Diplôme préparatoire aux sciences de la santé</option><option value="20">Design d’intérieur</option><option value="21">Développement durable et zone côtière</option><option value="22">Diplôme en administration des affaires </option><option value="23">Droit</option><option value="24">Économie</option><option value="26">Éducation physique</option><option value="25">Éducation primaire</option><option value="27">Éducation secondaire</option><option value="28">Éducation secondaire - Majeure en anglais</option><option value="29">Éducation secondaire - Majeure en biologie</option><option value="30">Éducation secondaire - Majeure en chimie</option><option value="31">Éducation secondaire - Majeure en éducation physique</option><option value="32">Éducation secondaire - Majeure en études familiales</option><option value="33">Éducation secondaire - Majeure en études françaises</option><option value="34">Éducation secondaire - Majeure en géographie</option><option value="35">Éducation secondaire - Majeure en histoire</option><option value="36">Éducation secondaire - Majeure en mathématiques</option><option value="37">Éducation secondaire - Majeure en musique</option><option value="38">Éducation secondaire - Majeure en physique</option><option value="39">Études françaises (linguistique, littérature ou mixte)</option><option value="40">Génie civil</option><option value="41">Génie électrique</option><option value="42">Génie mécanique</option><option value="43">Géographie</option><option value="44">Gestion de l’information</option><option value="45">Gestion du loisir, sport et tourisme</option><option value="46">Histoire</option><option value="47">Information-communication</option><option value="48">Informatique</option><option value="49">Kinésiologie</option><option value="50">Mathématiques</option><option value="51">Multidisciplinaire - Administration des affaires</option><option value="52">Multidisciplinaire - Arts et sciences sociales</option><option value="53">Multidisciplinaire - Sciences</option><option value="54">Musique</option><option value="55">Nutrition</option><option value="56">Philosophie</option><option value="57">Physique</option><option value="58">Psychologie</option><option value="59">Science infirmière</option><option value="60">Science politique</option><option value="61">Sociologie</option><option value="62">Traduction</option><option value="63">Travail social</option></select></div></div></div><div class="field-wrapper"><label><span>Commentaires&nbsp;:</span><textarea cols="20" id="InformationRequest_Comments" name="InformationRequest.Comments" rows="2"></textarea></label></div></div><div class="group submit"><input type="submit" class="button button-small button-blue button-200" value="Soumettre ma demande" id="submitContactForm" style="visibility:hidden"><input id="validateContact" type="submit" class="button button-small button-blue button-200 openCaptchaForm" value="Suivant"></div></form><a href="#" class="btn-burger close"><span></span></a></div></div></div></div></div><div id="visiteForm" class="overlay"><div class="overlay-content"><div class="overlay-header"><span class="icon icon--close-black float-right" id="closeVisiteForm"></span><h2>Demande étudiant d’un jour</h2><p><em>* Les champs marqués d'une étoile sont obligatoires.</em></p></div><div class="overlay-body"><div id="visite-form-etudiant" class="visite-form top-form" data-module="visite" ><div class="container-fluid no-padding"><div class="feed-back" style="display:none;"><p>Une erreur est survenu</p></div><form action="/" method="post" style="" id="visiteFormID" ><div class="group"><div class="field-wrapper"><label><span>*&nbsp;Prénom&nbsp;: </span><input type="text" id="VisitRequest_FirstName" name="VisitRequest.FirstName" value="" required pattern="^[a-zA-ZÀ-ÿ '-]+( [a-zA-ZÀ-ÿ]+)*$"></label></div><div class="field-wrapper"><label><span>*&nbsp;Nom de famille&nbsp;:</span><input type="text" id="VisitRequest_LastName" name="VisitRequest.LastName" value="" required pattern="^[a-zA-ZÀ-ÿ '-]+( [a-zA-ZÀ-ÿ]+)*$"></label></div><div class="field-wrapper"><label><span>*&nbsp;Courriel&nbsp;:</span><input type="email" id="VisitRequest_Email" name="VisitRequest.Email" value="" required></label></div><div class="field-wrapper"><label><span>*&nbsp;Ville&nbsp;:</span><input type="text" id="VisitRequest_City" name="VisitRequest.City" value="" required pattern="^[a-zA-ZÀ-ÿ '-]+( [a-zA-ZÀ-ÿ]+)*$"></label></div><div class="field-wrapper"><label><span>*&nbsp;Province&nbsp;:</span><div class="select-primary"><div class="select__menu is-black"><select class="is-black" id="VisitRequest_ProvinceId" name="VisitRequest.ProvinceId" required ><option value="">Sélectionner</option><option value="3" >Alberta</option><option value="4" >Colombie-Britannique</option><option value="5" >Île-du-Prince-Édouard</option><option value="6" >Manitoba</option><option value="7" selected >Nouveau-Brunswick</option><option value="8" >Nouvelle-Écosse</option><option value="9" >Nunavut</option><option value="2" >Ontario</option><option value="1" >Québec</option><option value="10" >Saskatchewan</option><option value="11" >Terre-Neuve-et-Labrador</option><option value="12" >Territoires du Nord-Ouest</option><option value="13" >Yukon</option><option value="17" >Extérieur du Canada</option></select></div></div></label></div><div class="field-wrapper"><label><span>*&nbsp;Téléphone&nbsp;:</span><input type="tel" id="VisitRequest_Phone" name="VisitRequest.Phone" value="" required pattern="([0-9]*([-]?))+"></label></div><div class="field-wrapper"><label><span>Téléphone secondaire&nbsp;:</span><input type="tel" id="VisitRequest_Cell" name="VisitRequest.Cell" value="" pattern="([0-9]*([-]?))+"></label></div><div class="field-wrapper"><span class="group-label">*&nbsp;Je préfère qu'on m'adresse&nbsp;:</span><label class="radio-container radio-label"><span>au féminin</span><input type="radio" name="VisitRequest.Gender" value="Féminin" id="VisitRequest_Gender1" required><span class="radio-checkmark"></span></label><label class="radio-container radio-label"><span>au masculin</span><input type="radio" name="VisitRequest.Gender" value="Masculin" id="VisitRequest_Gender2"><span class="radio-checkmark"></span></label><label class="radio-container radio-label"><span>de façon neutre</span><input type="radio" name="VisitRequest.Gender" value="Neutre" id="VisitRequest_Gender3"><span class="radio-checkmark"></span></label></div><div class="field-wrapper"><label><span>Nom de ton école&nbsp;:</span><input type="text" id="VisitRequest_SchoolName" name="VisitRequest.SchoolName" value=""></label></div><div class="field-wrapper"><label><span>Niveau de scolarité&nbsp;:</span><div class="select-primary"><div class="select__menu is-black"><select class="is-black" id="VisitRequest_EducationLevel" name="VisitRequest.EducationLevel"><option value="">Sélectionner</option><option value="9e">9e</option><option value="10e">10e</option><option value="11e">11e</option><option value="12e">12e</option><option value="College/cegep">Collège/cégep</option><option value="4eSecondaire">4e Secondaire</option><option value="5eSecondaire">5e Secondaire</option><option value="Universite">Université</option></select></div></div></label></div></div><div class="group"><div class="field-wrapper"><span class="group-label">*&nbsp;Campus que j’aimerais visiter&nbsp;:</span><label class="radio-container radio-label"><input id="VisitRequest_CampusId" name="VisitRequest.CampusId" type="radio" value="1" style="position: absolute; opacity: 0;" required><span class="radio-checkmark"></span><span>Edmundston</span></label><label class="radio-container radio-label"><input id="VisitRequest_CampusId" name="VisitRequest.CampusId" type="radio" value="2" style="position: absolute; opacity: 0;"><span class="radio-checkmark"></span><span>Moncton</span></label><label class="radio-container radio-label"><input id="VisitRequest_CampusId" name="VisitRequest.CampusId" type="radio" value="3" style="position: absolute; opacity: 0;"><span class="radio-checkmark"></span><span>Shippagan</span></label></div><div class="field-wrapper multiple-field"><span class="group-label">*&nbsp;Programme qui m’intéresse&nbsp;:</span><div class="select-primary mb-3"><div class="select__menu is-black"><select class="multiple is-black" id="VisitRequest_ProgramId1" name="VisitRequest.ProgramId1" required><option value="">Sélectionner</option><option value="1">Administration des affaires - Comptabilité</option><option value="2">Administration des affaires - Finance</option><option value="3">Administration des affaires - Général</option><option value="4">Administration des affaires - Gestion des opérations</option><option value="5">Administration des affaires - Gestion internationale</option><option value="6">Administration des affaires - Management</option><option value="7">Administration des affaires - Marketing</option><option value="8">Administration des affaires - Systèmes d’information organisationnels</option><option value="9">Aménagement des forêts</option><option value="10">Anglais</option><option value="11">Art dramatique</option><option value="12">Arts visuels</option><option value="13">Arts visuels - orientation enseignement</option><option value="14">Biochimie</option><option value="15">Biochimie et biologie moléculaire</option><option value="16">Biologie</option><option value="17">Chimie</option><option value="18">Criminologie</option><option value="19">D.S.S. - Diplôme préparatoire aux sciences de la santé</option><option value="20">Design d’intérieur</option><option value="21">Développement durable et zone côtière</option><option value="22">Diplôme en administration des affaires </option><option value="23">Droit</option><option value="24">Économie</option><option value="26">Éducation physique</option><option value="25">Éducation primaire</option><option value="27">Éducation secondaire</option><option value="28">Éducation secondaire - Majeure en anglais</option><option value="29">Éducation secondaire - Majeure en biologie</option><option value="30">Éducation secondaire - Majeure en chimie</option><option value="31">Éducation secondaire - Majeure en éducation physique</option><option value="32">Éducation secondaire - Majeure en études familiales</option><option value="33">Éducation secondaire - Majeure en études françaises</option><option value="34">Éducation secondaire - Majeure en géographie</option><option value="35">Éducation secondaire - Majeure en histoire</option><option value="36">Éducation secondaire - Majeure en mathématiques</option><option value="37">Éducation secondaire - Majeure en musique</option><option value="38">Éducation secondaire - Majeure en physique</option><option value="39">Études françaises (linguistique, littérature ou mixte)</option><option value="40">Génie civil</option><option value="41">Génie électrique</option><option value="42">Génie mécanique</option><option value="43">Géographie</option><option value="44">Gestion de l’information</option><option value="45">Gestion du loisir, sport et tourisme</option><option value="46">Histoire</option><option value="47">Information-communication</option><option value="48">Informatique</option><option value="49">Kinésiologie</option><option value="50">Mathématiques</option><option value="51">Multidisciplinaire - Administration des affaires</option><option value="52">Multidisciplinaire - Arts et sciences sociales</option><option value="53">Multidisciplinaire - Sciences</option><option value="54">Musique</option><option value="55">Nutrition</option><option value="56">Philosophie</option><option value="57">Physique</option><option value="58">Psychologie</option><option value="59">Science infirmière</option><option value="60">Science politique</option><option value="61">Sociologie</option><option value="62">Traduction</option><option value="63">Travail social</option></select></div></div><div class="select-primary"><div class="select__menu is-black"><select class="is-black" id="VisitRequest_ProgramId2" name="VisitRequest.ProgramId2"><option value="">Sélectionner</option><option value="1">Administration des affaires - Comptabilité</option><option value="2">Administration des affaires - Finance</option><option value="3">Administration des affaires - Général</option><option value="4">Administration des affaires - Gestion des opérations</option><option value="5">Administration des affaires - Gestion internationale</option><option value="6">Administration des affaires - Management</option><option value="7">Administration des affaires - Marketing</option><option value="8">Administration des affaires - Systèmes d’information organisationnels</option><option value="9">Aménagement des forêts</option><option value="10">Anglais</option><option value="11">Art dramatique</option><option value="12">Arts visuels</option><option value="13">Arts visuels - orientation enseignement</option><option value="14">Biochimie</option><option value="15">Biochimie et biologie moléculaire</option><option value="16">Biologie</option><option value="17">Chimie</option><option value="18">Criminologie</option><option value="19">D.S.S. - Diplôme préparatoire aux sciences de la santé</option><option value="20">Design d’intérieur</option><option value="21">Développement durable et zone côtière</option><option value="22">Diplôme en administration des affaires </option><option value="23">Droit</option><option value="24">Économie</option><option value="26">Éducation physique</option><option value="25">Éducation primaire</option><option value="27">Éducation secondaire</option><option value="28">Éducation secondaire - Majeure en anglais</option><option value="29">Éducation secondaire - Majeure en biologie</option><option value="30">Éducation secondaire - Majeure en chimie</option><option value="31">Éducation secondaire - Majeure en éducation physique</option><option value="32">Éducation secondaire - Majeure en études familiales</option><option value="33">Éducation secondaire - Majeure en études françaises</option><option value="34">Éducation secondaire - Majeure en géographie</option><option value="35">Éducation secondaire - Majeure en histoire</option><option value="36">Éducation secondaire - Majeure en mathématiques</option><option value="37">Éducation secondaire - Majeure en musique</option><option value="38">Éducation secondaire - Majeure en physique</option><option value="39">Études françaises (linguistique, littérature ou mixte)</option><option value="40">Génie civil</option><option value="41">Génie électrique</option><option value="42">Génie mécanique</option><option value="43">Géographie</option><option value="44">Gestion de l’information</option><option value="45">Gestion du loisir, sport et tourisme</option><option value="46">Histoire</option><option value="47">Information-communication</option><option value="48">Informatique</option><option value="49">Kinésiologie</option><option value="50">Mathématiques</option><option value="51">Multidisciplinaire - Administration des affaires</option><option value="52">Multidisciplinaire - Arts et sciences sociales</option><option value="53">Multidisciplinaire - Sciences</option><option value="54">Musique</option><option value="55">Nutrition</option><option value="56">Philosophie</option><option value="57">Physique</option><option value="58">Psychologie</option><option value="59">Science infirmière</option><option value="60">Science politique</option><option value="61">Sociologie</option><option value="62">Traduction</option><option value="63">Travail social</option></select></div></div></div><div class="field-wrapper"><span class="group-label">Lors de ma visite, je souhaiterais&nbsp;:</span><label class="checkbox-container checkbox-label"><input id="VisitRequest_IsAttendCourt" name="VisitRequest.IsAttendCourt" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Assister à un cours</span></label><label class="checkbox-container checkbox-label"><input id="VisitRequest_IsMeetResponsible" name="VisitRequest.IsMeetResponsible" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Rencontrer le responsable du département</span></label><label class="checkbox-container checkbox-label"><input id="VisitRequest_IsVisitCampus" name="VisitRequest.IsVisitCampus" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Visiter le campus</span></label><label class="checkbox-container checkbox-label"><input id="VisitRequest_IsVisitResidences" name="VisitRequest.IsVisitResidences" type="checkbox" value="true" style="position: absolute; opacity: 0;"><span class="checkbox-checkmark"></span><span>Visiter les résidences</span></label></div><div class="field-wrapper multiple-field"><span class="group-label">*&nbsp;Date(s) où je suis disponible&nbsp;:</span><input type="text" class="VisitRequest_AvailabilityDate1" id="VisitRequest_AvailabilityDate1" name="VisitRequest.AvailabilityDate1" value="" required><input type="text" class="VisitRequest_AvailabilityDate2" id="VisitRequest_AvailabilityDate2" name="VisitRequest.AvailabilityDate2" value=""><input type="text" class="VisitRequest_AvailabilityDate3" id="VisitRequest_AvailabilityDate3" name="VisitRequest.AvailabilityDate3" value=""></div><div class="field-wrapper"><label><span>Commentaires&nbsp;:</span><textarea cols="20" id="VisitRequest_Comments" name="VisitRequest.Comments" rows="2"></textarea></label></div></div><div class="group submit full"><input type="submit" class="button button-small button-blue button-200" value="Soumettre ma demande" id="submitVisiteForm" style="visibility:hidden"><input id="validateVisit" type="submit" class="button button-small button-blue button-200 openCaptchaForm" value="Suivant"></div></form></div></div></div></div></div><div id="coursOverlay" class="overlay"></div><div id="OverlayCondition" class="overlay"></div><div id="captchaForm" class="overlay"><div class="overlay-captcha"><div class="overlay-header"></div><div class="overlay-body"><div id="visite-form-etudiant" class="visite-form top-form" data-module="visite" ><div class="container-fluid no-padding"><div class="row"><div class="col-md-6 offset-md-3"><form action="/" method="post" style="" onsubmit="return checkform(this);"><div class="captcha"><div class="captcha__wrapper"><div class="captcha__header"><div class="captcha__header--top"><span class="icon icon--close-black float-right" id="closeCaptchaForm"></span></div><div class="captcha__header--bottom"><span class="captcha__number button button-small button-blue button-200" id="CaptchaDiv"></span></div></div><div class="captcha__body" id="captchaBody"><div class="captcha__body--top"><div class="captcha__input"><input type="hidden" id="txtCaptcha"><input type="text" name="captchaInput" id="captchaInput" size="15" placeholder="Entrez le code ci-dessus" autocomplete="off"></div></div></div><div class="captcha__footer"><input id="captchaSubmit" type="submit" class="button button-small button-blue button-200" value="Soumettre ma demande"></div></div></div><script type="text/javascript"> // Captcha Script generateCode(); function generateCode() { var a = Math.ceil(Math.random() * 9)+ ''; var b = Math.ceil(Math.random() * 9)+ ''; var c = Math.ceil(Math.random() * 9)+ ''; var d = Math.ceil(Math.random() * 9)+ ''; var e = Math.ceil(Math.random() * 9)+ ''; var code = a + b + c + d + e; document.getElementById("txtCaptcha").value = code; document.getElementById("CaptchaDiv").innerHTML = code; } function checkform(form){ if(form.captchaInput.value == "" || ValidCaptcha(form.captchaInput.value) == false) { generateCode(); document.getElementById('captchaInput').value = ""; return false; } } // Validate input against the generated number function ValidCaptcha(){ var str1 = removeSpaces(document.getElementById('txtCaptcha').value); var str2 = removeSpaces(document.getElementById('captchaInput').value); if (str1 == str2){ return true; }else{ return false; } } // Remove the spaces from the entered and generated code function removeSpaces(string){ return string.split(' ').join(''); } </script></form></div></div></div></div></div></div></div><div id="confirmationForm" class="overlay"><div class="overlay-confirmation"><div class="overlay-header"></div><div class="overlay-body"><div class="container-fluid no-padding"><div class="row"><div class="col-md-6 offset-md-3"><div class="captcha"><div class="confirmation__wrapper"><div class="confirmation__header"><div class="confirmation__header--top"><span class="icon icon--close-black" id="closeConfirmationForm"></span></div></div><div class="confirmation__body" id="confirmationBody"><p> Bonjour, votre demande a bien été reçue. Pour toute autre question, prière de faire parvenir un courriel à <a href='mailto:info@umoncton.ca'>info@umoncton.ca</a> ou téléphoner au <a href="tel:18003638336">1-800-363-8336</a>.</p></div></div></div></div></div></div></div></div></div><div id="errorForm" class="overlay"><div class="overlay-error"><div class="overlay-header"></div><div class="overlay-body"><div class="container-fluid no-padding"><div class="row"><div class="col-md-6 offset-md-3"><div class="error"><div class="error__wrapper"><div class="error__header"></div><div class="error__body" id="errorBody"><div class="error__body--top"><div class="error__label"><p>Désolé, veuillez réessayer</p></div></div></div><div class="error__footer"><input id="errorFormButton" class="button button-small button-blue button-200" value="Retour au formulaire"></div></div></div></div></div></div></div></div></div></div><div class="page-theme-d8"><div class="cart--desktop"><div class="cart--desktop-container container no-padding"><div class="intro-small"><div class="intro-small__wrapper"><div class="intro-small__container"><div class="intro-small__header"><div class="title"><div class="title__icon"><span class="icon icon--campus">icon</span></div><div class="title__body"><div class="title__heading"><h1 class="title-h1">Formulaires en ligne</h1></div><div class="title__line"><div class="line-shape"></div></div><div class="title__text"><h2 class="title-h2">Université de Moncton</h2></div></div></div></div><div class="intro__body"><p class="text-paragraph"></p><ul class="list"></ul></div></div></div></div></div></div><div class="cart--ipad"><div class="cart--ipad-container"><div class="intro-small"><div class="intro-small__wrapper"><div class="intro-small__container"><div class="intro-small__header"><div class="title"><div class="title__icon"><span class="icon icon--campus">icon</span></div><div class="title__body"><div class="title__heading"><h1 class="title-h1">Formulaires en ligne</h1></div><div 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class="grille-special__header__mobile"><div class="grille-special__header__mobile__heading"><div class="container"><div class="row"><div class="col-md-12"><h2 class="title-h2">Formulaires en ligne</h2></div></div></div></div></div><div class="grille-special__body"><div class="container"><div><div data-drupal-messages-fallback class="hidden"></div><article data-history-node-id="307" role="article" about="/bourses-formulaires-en-ligne" typeof="schema:WebPage"><span property="schema:name" content="Formulaires en ligne" class="hidden"></span><div><div property="schema:text"><h4>Campus d'Edmundston</h4><ul><li><a href="https://www.umoncton.ca/umce-campus/bourses-accueil-leadership-etudiant">Bourses d'accueil - leadership étudiant</a></li></ul><h4>Campus de Moncton</h4><ul><li><a href="https://www.umoncton.ca/umcm-campus/bourses-accueil-ville-moncton-immersion"><span>Bourses d'accueil - Ville de Moncton en immersion</span></a></li><li><a href="https://forms.office.com/r/nD8Dg5tKxR" target="_blank">Bourses d'accueil - leadership étudiant</a></li></ul><h4>Campus de Shippagan</h4><ul><li><a href="https://www.umoncton.ca/umcs-campus/bourses-accueil-leadership-etudiant">Bourses d'accueil - leadership étudiant</a></li></ul></div></div></article></div></div></div></div></div></div></div></div></main><footer class="footer"><div class="container"><div class="row"><ul class="footer__main"><li class="footer__main__item"><div class="footer__media"><div class="footer__media--logo"><img src="/themes/custom/umoncton-theme-d8/pattern_lab/dist/images/logo/logo-generique__vrtcl.svg" class="img-fluid" /></div><div class="footer__media--social-media mb-3 mt-3"><div class="social-media-link"><div class="social-media-link__item"><a href="https://www.facebook.com/umoncton" class="social-media-link__link"><span class="icon icon--facebook"></span></a></div><div class="social-media-link__item"><a href="https://twitter.com/umoncton" class="social-media-link__link"><span class="icon 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363-8336</p><p class="address__texte">(Canada et États-Unis)</p></div></div></div></li><li class="footer__main__item"><div class="address"><h5 class="address__title--main is-enabled"></h5><h6 class="address__title">Campus de Moncton</h6><div class="address__container"><div class="address__sub_container--first"><p class="address__texte">18, avenue Antonine-Maillet</p><p class="address__texte">Moncton NB E1A 3E9, Canada</p><p class="address__texte"><a href="mailto:info@umoncton.ca" class="address__texte--link">info@umoncton.ca</a></p></div><div class="address__sub_container--second"><p class="address__texte">506 858-4000</p><p class="address__texte">Sans frais: 1 800 363-8336</p><p class="address__texte">(Canada et États-Unis)</p></div></div></div></li><li class="footer__main__item"><div class="address"><h5 class="address__title--main is-enabled"></h5><h6 class="address__title">Campus de Shippagan</h6><div class="address__container"><div class="address__sub_container--first"><p 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