Membership form

Please fill out the form below and attach the requested documents. Feel free to contact the CRIAQ team if you need assistance.

  • 1
    Identification of the authorized representative
  • 2
    Organization identification
  • 3
    Identification of the member organization's representatives
Identification of the authorized representative

Please provide the information of the person who will be attached to the membership. This must be the person who has the authority to contract the membership within your organization.

* One or more fields contain an error. Please check and try again.

* One or more fields contain an error. Please check and try again.

Name of the organization

  • Select...

0/500

0/500

Contact details

  • Select...
  • Select...

Field of expertise

0/300

Organization incorporated in Canada

Please fill in the following information if your organization is incorporated in Canada.

Organization incorporated in Quebec

Please fill in the following information if your organization is incorporated in Quebec.

Member organization documents

Upload a file

JPEG, JPG or PNG file on white or transparent background. Max. 10 Mo

Upload a file

PDF or PowerPoint file. Max. 10 Mo

Upload a file

PDF file mandatory for SMEs and start-ups. The file can be downloaded in the info bubble (i). Max. 10 Mo

* One or more fields contain an error. Please check and try again.

* One or more fields contain an error. Please check and try again.

Representative to the Annual General Membership Meeting (for voting)

A person designated by the organization to attend the Annual General Meeting of the members. This person will have the right to vote.

Signatory Representative for Project Agreements

Person with delegated authority to commit the organization to a project.

Authorized Signatory for Confidentiality Agreements

Person with delegated authority to sign confidentiality agreements that CRIAQ may request.

Representative responsible for liaison between CRIAQ and the adhering organization

Person responsible for R&D. This person will be invited to attend CRIAQ’s RDV Network events.

Finance and Accounting Department Representative

Person responsible for accounts payable and receivable. Email address may be generic.

Communications Department Representative

Person in charge of communications and public relations.

* One or more fields contain an error. Please check and try again.

* One or more fields contain an error. Please check and try again.

We have received your membership form and thank you for your interest in the CRIAQ. Our team will contact you to confirm receipt of your form, and will send you the services agreement for signature.