Quantum Innovators in science and engineering will run September 30 – October 3, 2019. Applications will be reviewed on a rolling bases. Full name Preferred name What is your gender identity? Note: This can also include gender expression as it relates to your gender identity. Do you identify as Indigenous? This includes First Nations (North American Indian), Métis or Inuit? Yes No I prefer not to answer at this time Note: First Nations include Status and Non-Status Indians. Yes. Please specify (optional): Do you identify as a member of a visible minority? Yes No I prefer not to answer at this time Note: Visible minority includes persons who are non-Caucasian in race, non-white in colour, or identify as a visible minority and who do not report being Indigenous. This can include race or ethnicity. Examples of this may include: Black, Chinese, Filipino, Japanese, Korean, South Asian or East Indian, Southeast Asian, West African, North African or Arab, Latin American, person of mixed origin (with one parent in one of the visible minority groups in this list), or other visible minority group. Yes. Please specify (optional): Do you identify as a person with a disability? Yes No I prefer not to answer at this time A person with a disability (or disabilities) is a person who may find spaces inaccessible due to barriers in a variety of spheres including: physical, mental, sensory, psychiatric, learning or other areas. Disabilities may be visible or non-visible, and may change over time. It includes individuals who: • consider themselves to be disadvantaged in employment by reason of that impairment, and/or • believe that an employer or potential employer is likely to consider them to be disadvantaged in employment by reason of that impairment; and /or • include persons whose functional limitations owing to their impairment have been accommodated in their current job or workplace. Yes. Please specify (optional): Email address Institute Position Field of study/work Supervisor's name Supervisor's email Curriculum Vitae (CV) Please upload a PDF of your most recent CV.One file only.3 MB limit.Allowed types: pdf. Talk title and abstract Your talk should be 35 minutes with questions.One file only.6 MB limit.Allowed types: pdf. Bio with photograph Upload your bio with a photograph of yourself.One file only.6 MB limit.Allowed types: pdf. Leave this field blank
Quantum Innovators in science and engineering will run September 30 – October 3, 2019. Applications will be reviewed on a rolling bases. Full name Preferred name What is your gender identity? Note: This can also include gender expression as it relates to your gender identity. Do you identify as Indigenous? This includes First Nations (North American Indian), Métis or Inuit? Yes No I prefer not to answer at this time Note: First Nations include Status and Non-Status Indians. Yes. Please specify (optional): Do you identify as a member of a visible minority? Yes No I prefer not to answer at this time Note: Visible minority includes persons who are non-Caucasian in race, non-white in colour, or identify as a visible minority and who do not report being Indigenous. This can include race or ethnicity. Examples of this may include: Black, Chinese, Filipino, Japanese, Korean, South Asian or East Indian, Southeast Asian, West African, North African or Arab, Latin American, person of mixed origin (with one parent in one of the visible minority groups in this list), or other visible minority group. Yes. Please specify (optional): Do you identify as a person with a disability? Yes No I prefer not to answer at this time A person with a disability (or disabilities) is a person who may find spaces inaccessible due to barriers in a variety of spheres including: physical, mental, sensory, psychiatric, learning or other areas. Disabilities may be visible or non-visible, and may change over time. It includes individuals who: • consider themselves to be disadvantaged in employment by reason of that impairment, and/or • believe that an employer or potential employer is likely to consider them to be disadvantaged in employment by reason of that impairment; and /or • include persons whose functional limitations owing to their impairment have been accommodated in their current job or workplace. Yes. Please specify (optional): Email address Institute Position Field of study/work Supervisor's name Supervisor's email Curriculum Vitae (CV) Please upload a PDF of your most recent CV.One file only.3 MB limit.Allowed types: pdf. Talk title and abstract Your talk should be 35 minutes with questions.One file only.6 MB limit.Allowed types: pdf. Bio with photograph Upload your bio with a photograph of yourself.One file only.6 MB limit.Allowed types: pdf. Leave this field blank