STEM Access Fund Application

Youth Information:

Full Name

Age

School

Parent / Guardian Information:

Full Name

Phone number

Funding Eligibility:

Are you currently eligible for other local funding programs (e.g., County of Lambton YRASP)?

Please submit proof that shows that you are not eligible for other local funding programs (e.g., pdf or screenshot of rejection letter or email)

Drag and drop or click to select a file.

Youth Statement of Interest:

Please share briefly why your child(ren) would like to join STEM programs:

Household Information:

Number of people in household

Number of dependents in household

Household income range

Number of people employed in household

Optional – Equity & Inclusion Information:

Do you identify as part of any of the following communities?

Other Information:

How did you hear about the STEM Access Fund?

Other details you would like us to consider

Consent & Confirmation:

I confirm that the information provided is accurate and understand this application is for subsidy support through the STEM Access Fund.

Supported By