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STEAM Design Application Form

APPLICANT INFORMATION

Select the race/ ethnicity(ies) that best fit you:*

The STEAM Design program was created to help address concerns about the under-representation of Black, Indigenous, Latin American, Filipino and other racialized communities within the health sciences through academic and career exploration at the University of Toronto.

[3] Indigenous peoples of Canada include First Nation (status or non-status), Inuit, and Métis peoples.
Select the gender identity(ies) that best fit you:*
The options identified below are based on the terminology used by the Ontario Human Rights Commission in the Policy on Discrimination and Harassment Because of Sexual Orientation and the Policy of Preventing Discrimination Because of Gender Identity and Gender Expression. [2] Trans refers to a person who identifies with a gender other than the one assigned to them at birth, or to a person whose gender identity and gender expression defers from stereotypical masculine and feminine norms. It is also used as an umbrella term for those who identify as transgender, transsexual, trans, gender variant, gender non-conforming, genderqueer, or an analogous term.

CONTACT INFORMATION

SCHOOL INFORMATION

One file only.
100 MB limit.
Allowed types: jpg, jpeg, png, pdf.

PARENT/GUARDIAN INFORMATION

(xxx-xxx-xxxx)
(xxx-xxx-xxxx)
(xxx-xxx-xxxx)

AREAS OF INTEREST

Please select all of the STEAM areas that interest you
Biological Sciences, Physics, Chemistry and Environmental sciences
IT, Robotics, AI
Civil, Mechanical, Electrical and Aerospace Engineering
Presentation, Creative Design, Visual Expression
Applied Math, Statistics, Data Analysis
How did you learn about the STEAM Design Program?