Leaders in Engineering & Design (LED) 2023 Application Form

Full Name: Preferred Name: Pronouns:

Date of Birth: Phone Number: Email:

Address: School: Grade:

(entering in Fall 2023)

How did you hear about us? Special Requirements:

School (i.e. mobility, vision, etc.)
Social Media
Brochure
Friend
Previously attended SV camps
Other:

Which program are you applying to?

Biomedical Engineering: Tissue Culture Club (July 10-26th) – Limited to Grades 11 & 12
All-Girls*: Civil Engineering in the City (July 17-21)
Video Game Realization (August 14-18)

* We have an inclusive view of the word “girl”. All-girls programs welcome non-binary, two-spirit, trans, and
genderqueer youth into these programs.
Have you applied to be a Junior Counsellor (volunteer) If you are facing any type of socio-economic barrier(s),
this summer with Science Venture? we have a limited number of scholarships available.
Would you like to be considered for a bursary
Yes scholarship?
No
Yes
I certify that the information provided on, and attached to, this application form is correct and I responsible for the
content:

(sign) (date)

Application Procedure:
1) Fill out the top portion of this form (Application Form).
2) Prepare a Statement of Interest:
a. Using your preferred communication style – show us why you are the right fit for our LED Summer
Institutes. Be as creative as you’d like with it. Video, audio, artwork, essay – the format is up to
you, but be sure to show/tell us about:
i. Yourself and your interest in engineering, science, and leadership
ii. Why you want to come to the LED Summer Institute
iii. What you can contribute to the program
b. Attached a file, video link, etc. to your application.
3) Have a teacher fill out our Teacher Reference form to support your application to our LED program(s).
They will email this separately to svprograms@uvic.ca
4) Email your Application Form and Statement of Interest to:
Science Venture LED Selection Committee – svprograms@uvic.ca