Last name: 

First name: 

Email address: 

This field is required.

Collection Notice:

The information on this form is collected under the authority of the University Act (R.S.B.C. 1996, c.468). It is collected, protected, used, disclosed and retained in compliance with the Freedom of Information and Protection of Privacy Act (R.S.B.C. 1996, c. 165). This information is being collected for the purpose of registering participants attending outreach programs with the Faculty of Applied Sciences (FAS). If you have any questions about the collection and use of this information please contact the FAS Manager of Outreach and Diversity at fas_outreach@sfu.ca or 778-782-7020.

About the Organization:

SFU Applied Sciences Outreach (with Science AL!VE) strives to engage youth in hands-on science, technology, engineering, art & design, and mathematics (STEAM) based programs to build measurable skills and improve self-confidence. Aligned with the SFU Faculty of Applied Sciences’ mandate, we aim to dispel stereotypes in the field of science and engineering and work towards achieving diversity and inclusion. We work to empower those traditionally underrepresented groups in STEAM by developing barrier-free programs for girls, at-risk youth, and Indigenous communities.

FAS Outreach Bursary Program:

We are committed to making our programs accessible to as many youth as possible by offering bursaries to subsidize program fees. To be considered, please fill out the bursary form below. We also ask that parents/guardians apply for bursaries based on their current needs. These bursaries enable us to extend our reach to youth who may otherwise be unable to participate in our programs due to financial barriers.

Please do not register for the program before submitting a bursary application. We aim to respond to your bursary application within two weeks and may request a copy of your most recent notice of assessment for verification purposes.

Deadline: The last day to submit a bursary application is Sunday, June 16 at 11:59 pm PT.

Contact:

If you have questions, please do not hesitate to contact Eva at sacoord@sfu.ca.

---

Section 1: Participant Information

Please provide participant's information below.

Participant's First Name: 

Participant's Last Name: 

Partipant's Email Address:

Grade Completed as of June 2024: 

• 4
• 5
• 6
• 7

---

Section 2: Program Selection

Please select the program you are requesting a bursary for. Please ensure that the participant's grade completed as of June 2024 falls under the grade range of the selected program.

You can review our summer program offerings here: https://sciencealive.ca/app-dev-summer

Program week: 

• App Dev Summer Program, July 2-5, Grade 6-7
• App Dev Summer Program, July 22-26, Grade 4-5
• App Dev Summer Program, July 29-Aug 2, Grade 6-7 (All Girls)
• App Dev Summer Program, Aug 6-9, Grade 4-5 (All Girls)

Important notes about bursary percentage:

• If you submit your bursary application by the early bird deadline (i.e., Sunday, May 12 at 11:59 pm PT), the bursary percentage will be applied to the early bird fee.
• If you submit your bursary application after the early bird deadline (i.e., Sunday, May 12 at 11:59 pm PT), the bursary percentage will be applied to the regular fee.
• Please review our summer program fee here.
• We ask that parents/guardians apply for bursaries based on their current needs. These bursaries enable us to extend our reach to youth who may otherwise be unable to participate in our programs due to financial barriers.

Please select the bursary percentage you need: 

• 25% off program fee
• 50% off program fee
• 75% off program fee
• 100% off program fee

---

Section 3: Parent/Guardian Information

Please provide parent/guardian's information below. 

Parent/Guardian's First Name: 

Parent/Guardian's Last Name: 

Relationship to Participant (e.g., mother): 

Email Address: 

Phone Number: 

Address Line 1: 

Address Line 2:

City: 

Province/Territory: 

Postal Code: 

---

Section 4: Financial Information

We may request a copy of your most recent notice of assessment for verification purposes.

Year of Most Recent Notice of Assessment: 

Total Income Indicated on Most Recent Notice of Assessment: 

Number of Dependents: 

Number of persons who live with you and rely on you for financial support.

Additional information/questions/comments:

If you have any questions or comments or wish to provide additional information, please include them in the space above.

---

Section 5: Certification

By signing below, I confirm that all information in this application is complete, true, and accurate.

Signature: 

Please type your full name.

Next Steps

Thank you for submitting a bursary application. We aim to respond to your bursary application within two weeks and may request a copy of your most recent notice of assessment for verification purposes. If you have any questions, please contact Eva at sacoord@sfu.ca.

This field is required.