SECTION 1: APPLICANT INFORMATION

Applicant Name:
Email Address:
Mailing Address:
Best phone to reach you:
Date of Birth (mm/dd/yyyy):
Name of High School:

MCP and SIN - Please note that upon hiring, an MCP number and Social Insurance Number (SIN) will be required from successful applicants. Students who do not have a SIN upon notification of acceptance will not be accepted. Please do not include them on this application.

Are you a resident of Canada? YesNo

What grade level are you currently completing? Level 2 (Grade 11)Level 1 (Grade 10) - Labrador students only

Do you have any health concerns, accessibility requirements or other information we should know about? (I.e. allergies, medical requirements)

SECTION 2: APPLICANT INTERESTS
What are your educational and career aspirations for the future?

Please indicate the subjects you are most interested in:

SECTION 3: PERSONAL STATEMENT
The Personal Statement will help us to understand why you think a WISE Student Summer Research Placement would be of benefit to you and your future career goals. This Statement should be a maximum of two pages. Include your interests, groups and activities you may be involved in and why they may be relevant to your application for WISE SSEP. This statement is an important part in the assessment of your application so show us your enthusiasm and personality!

SECTION 4: JOB PLACEMENT SELECTION

Job Placement Ranking
Use the job descriptions to indicate the SSEP placements that most interest you. The Selection Committee will try to place you with a job based on your preferences.

NOTE:
1. Some jobs have two available positions, and some can be done remotely.
2. All positions are subject to change as they are dependent upon the funding and supervision available.

Please rank your choices by listing the job number and title below: (e.g. Research Assistant #2026A24)

First Choice:
Second Choice:
Third Choice:
Fourth Choice:
Fifth Choice:
Sixth Choice:

SECTION 5: ADDITIONAL REQUIREMENTS

Grades
A copy of your most recent grades must be included. For applications submitted online, instructions will be included in the acknowledgement message that is sent to the applicant after clicking the “Submit” button. For email or postal mail, a copy must be attached to the email message or included in the mailed envelope.

Teacher References
Two teacher references are required. Please indicate who will be providing references for you.

Name of Teacher Reference #1:
Name of Teacher Reference #2:

Time Commitment
Are you planning on missing time? YesNo

Are you planning on missing more than three days? YesNo

If yes to either question, please explain and specify dates:

Residence
During the SSEP employment period, do you plan to live with somewhere other than with your parent or guardian? YesNo