REGISTER NOW: PRE-UNIVERSITY STEM INNOVATION PROGRAM 2023

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Applying Student's Name:

About the Pre-University STEM Innovation Summer  Program:

 

The  Pre-University STEM Innovation Summer Program by the Canadian Institute of STEM Innovation will specialize in an advanced and enhanced, bar-none STEM-based educational curriculum that emphasizes the interconnected subject areas of science, technology, engineering, and math (STEM) at university for students aged 10 – 17.

Schedule:
The Pre-University STEM Innovation Summer Program by the Canadian Institute of STEM Innovation sessions will take place from July 3 through to August 18, 2023. Course offerings, dates and program availability will vary from location to location.

Registration closes 1 week prior to the commencement of each week.

In-Person On Campus Programs Dates:

YORK UNIVERSITY:
July 17 – 21, 2023
July 24 – 28, 2023
July 31 – August 4, 2023  1
*August 7 – 11, 2023 – *Day only week

WESTERN UNIVERSITY:
July 24 – 28, 2023
July 31 – August 4, 2023

U ALBERTA:
August 7 – 11, 2023
August 14-18, 2023

UBC:
July 31 – August 4, 2023
August 7 – 11, 2023

TERMS AND CONDITIONS

– A student must be entering grade 5 or born in 2013 as a minimum age requirement to be eligible for entry to the program.

– Any student may apply. International students must be accompanied by a family member.

– A student must possess a willingness to learn and excel in STEM disciplines, STEM leadership and express interest in pursuing STEM-based careers.

– ALL LOCATIONS AND ALL WEEKS are currently accepting registrations. Weeks will be removed from the application as they become full.

– Spots will be allocated on a first come first serve and paid in full basis.

– Full program details will be provided upon acceptance.

– Once all documentation has been received by our office, it will be processed. The admissions department will contact you regarding the status of your application within 2-10 business days.

Documentation to submit with registration (Office will make photocopies if needed)
Forms to be completed and submitted
Payment Options (please select one)
* In the message line of the e-transfer please indicate your name, in addition to your child’s first, last name, Grade and Level. Please note that applications will not be finalized until payment is received. E-transfers are set up for auto-deposit and will be received immediately. Remember to save all e-payment email confirmations for your records.
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Promotional Emails

Thank you for choosing the Canadian institute of STEM Innovation.

We trust your experience will be a memorable and fulfilling one and you will see the standard of excellence resonate at our institution of learning.

Regards,
The Innovation Programs Team
Canadian institute of STEM Innovation.
Pre-University STEM Innovation Summer Program
(888) 814-STEM (7836)  

SECTION 1 – REGISTRATION FORM – Pre-University STEM Innovation Summer Program by the Canadian Institute of STEM Innovation

APPLICATION TYPE:
APPLICATION FOR THE Pre University Summer STEM Innovation Program
PROGRAM TYPE:

STUDENT INFORMATION

PLEASE NOTE that all siblings require individual forms (one form per registrant)
Student Name
Gender
Home (Primary) Mailing Address
Secondary Mailing Address (if applicable)
Please enter your email, so we can follow up with you.

PARENT/GUARDIAN INFORMATION

Applying Parent Name (Student's Mother / Father / Guardian)
Student's Mother / Father / Guardian Home Address (if different from student, if same type "same")

CUSTODY AND PRIMARY CAREGIVER INFORMATION (if different than the applying parent)

Primary Caregiver's Name
Does this student live with both parents?
If no, is there a custody agreement in place?
Is this student allowed to be released to non-custodial parent?
Name of Non-Custodial Parent

NAME(S) OF ADULT(S) TO WHOM CHILD MAY BE RELEASED (in addition to parents/guardians)

Name of Adult 1
Name of Adult 2

EMERGENCY CONTACT INFORMATION (in addition to parents/guardians)

Name of Emergency Contact 1
Name of Emergency Contact 2

DECLARATION OF INFORMATION:

I hereby certify that the above information is complete and correct.
I hereby certify that I understand that application fees, program deposits and program fees are NON-REFUNDABLE under any circumstance.
I hereby certify that I have read and understood the terms of application, age eligibility and registration.