Pre-College STEM Program Application_Domestic

The Pre-College Program is a two-week summer experience designed for high school students entering their sophomore, junior, or senior year who are interested in pursuing higher education programs in a STEM related area.

Dates: July 26th - August 7th

Please complete this form, and we will share further details about the program with you.

Student Information

Email Address

First Name

Preferred Name

Last Name

Date of Birth

Cell Phone Number

Address

Mailing Address

Country

Street

City

Region

Postal Code

School Information

High School Name

What Grade Are You Entering Next Year?

Anticipated Entry Term for University

Which STEM track are you interested in?

Parent / Guardian Information

Parent First Name

Parent Last Name

Parent Email

Parent Cell Phone Number

Please upload a copy of your current academic transcripts/ grades.