2025 STEMpowered Conference Application

Applicant Information

First Name

Last Name

Preferred First Name

Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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

Parent/Guardian Information

First Name

Last Name

School Information

Current School

Current Grade

Conference Info

Why are you interested in joining the STEMpowered Conference?

How did you hear about the conference?

Participants have the option of staying overnight at the University of Waterloo campus as part of the conference. Space is limited, so please indicate below if you would like to be considered to stay in overnight accommodations:

Yes, I would like to stay in overnight accommodations.

No, I will not be staying overnight during the conference.

2025 STEMpowered Conference Application

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