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2024 STEMpowered Leader In Training Application
Name
Applicant email
Address
City/Province
Postal Code
Phone Number
School
Grade
- Select -
10
11
12
12+ (Graduating)
Parent's Name
Parent Email
Does the applicant identify as Black?
STEMpowered is a program for self-identifying Black youth that aims to reduce barriers to STEM learning opportunities. The program is offered uniquely to Black youth (African, Afro-Caribbean, Black Canadian, afro-Latine, African American, and other African descent).
Yes
No
Are you affiliated with any of the following groups?
Are you affiliated with any of the following groups?
- Select -
Ethiopian Association of KW
NIROW (Nigerians in the Region of Waterloo)
CAYA (Canadian Aweil Youth Association)
CCAWR (Caribbean Canadian Association of Waterloo Region)
AFRO (African Family Revival Organization)
Not affiliated
Other…
Enter other…
Training Session
All LIT participants
must
attend one of the training sessions
before
they can begin their in-camp placement(s). You can join us for a training session on Saturday, June 29th
OR
Saturday, July 20th.
Saturday, June 29th
Saturday, July 20th
Please Answer These Questions
Why do you want to be part of the STEMpowered Leader In Training Program?
Outside of camps, what leadership experience have you had? (volunteering, clubs, sports, work experience, etc.)
What strengths do you bring to the STEMpowered Leader In Training Program?
What would you like to learn and/or improve through the STEMpowered Leader In Training Program?
Upload your personal interest application
If your submission is not a file, you can submit a document with further information (e.g. a link to your submission, etc.). Please note that a personal interest submission is required for your application to be evaluated.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
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