Mt Doug STEM Certificate application
Any students with missing requirements and/or courses that were taken outside of Mount Douglas will be reviewed by a committee to determine eligibility.
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Name
Email Address
Check off where you completed Chemistry 11 and Physics 11.  (Note: Both courses are required to meet eligibility requirements.)
Mount Douglas
Online
Elsewhere
Chemistry 11
Physics 11
Clear selection
Which of the following courses have you taken and where? (Note: A minimum of two of these courses are needed to meet eligibility requirements.)
Mount Douglas
Online
Elsewhere
Physics 12
Chemistry 12
Anatomy and Physiology 12
Climate Change 12
Geometry 12
Computer Science 12
AP Statistics 12
Clear selection
Indicate which Calculus course you completed and where. (Note: Calculus is a required course to meet eligibility requirements.)
Mount Douglas
Online
Elsewhere
Calculus 12
AP Calculus 12
Clear selection
Which intro computer course(s) did you take and where? Leave blank if you did not take any of these courses.  (Note: While an intro course is required for eligibility, the committee may grant a senior student an exemption based on other course credentials.)  
Mount Douglas
Online
Elsewhere
ICT 9
Web Development 10
Computer Studies 10
Digital Comm 11
Clear selection
Which grade 11 computer course(s) did you take? (Note: A computer course is required to meet eligibility requirements.)
Mount Douglas
Online
Elsewhere
Computer Science 11
Web Development 11 (Computer Programming))
Clear selection
Which technology course(s) did you take? (Note: A technology course is required to meet eligibility requirements.)
Grade 9
Grade 10
Grade 11
Grade 12
Robotics
Drafting
Design and Innovation
Automotive Technology
Mechanics
Power Technology
Skills Exploration
Woodwork
Media Design
Clear selection
List the STEM competitions that you participated in and include the sponsor teachers name for each.
  •  eg. Waterloo Fermat Math Competition - Mr. Dickson.   (Note:  A minimum of two are required to meet eligibility requirements.)
Which post-secondary school do you plan on attending?
What is your first choice for program of study?
Do you feel this STEM Certificate has helped prepare you for your program of study? Explain.
Submit
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