Rise and Shine Summer 2025 Registration Form

We are accepting registrations on a rolling basis.

This information is collected to help us assess your suitability for the Rise and Shine program. Your personal information is treated as confidential by Minerva BC and is collected and managed in accordance with the Personal Information Protection Act.

APPLICATION INSTRUCTIONS

Please note that you cannot save your progress in this application. We encourage you to save your responses in a separate document to ensure you don't lose your work.

Acceptance
Applications will close on August 8th. Get your application in early to save your spot!

Program Dates:

Summer: 7 virtual morning sessions
Monday, August 11th: 10am- 11:30am PST
Tuesday, August 12th : 10am- 11:30am PST
Wednesday, August 13th: 10am - 11:30am PST
Thursday, August 14th: 10am - 11:30am PST
Tuesday, August 19th: 10am - 11:30am PST
Wednesday, August 20th: 10am - 11:30am PST
Thursday, August 21st: 10am - 11:30am PST

Questions?
Please contact our Youth Programs Coordinator, Lea Posteraro at lea@minervabc.ca

Please note: We ask for your mailing address in order to be able to send you the welcome package. We ask for your phone number as we have a two-factor verification process to access our Zoom calls.

Question Title

* 1. APPLICANT INFORMATION

First Name

Last Name

Age

Address

City

Postal Code

Cell Number

Home Phone (please write n/a if not applicable)

Preferred Email

Secondary School

Secondary School Address

Do you have Parent/Guardian Approval? (Yes or No)

Parent/Guardian Email

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* 2. What are your preferred pronouns?

She/Her

They/Them

I don't know yet

I would rather not say

Other (please specify)

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* 3. What racial or population group(s) do you belong to? Select all that apply to you, or please specify in the other text box below.

First Nations

Métis

Inuit

International Indigenous Peoples

White

South Asian

Chinese

Black

Filipino

Latin American

Arab

Southeast Asian

West Asian

Korean

Japanese

Would Rather Not Say

Other (please specify)

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* 4. Do you identify as any of the following?

Immigrant

Refugee

Newcomer to Canada

None of the above

Other (please specify)

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* 5. Do you identify as a person with a disability?

(According to the Employment Equity Act (Canada), "persons with disabilities means persons who have a long-term or recurring physical, mental, sensory, psychiatric or learning impairment who:
- consider themselves to be disadvantaged in employment by reason of that employment, or
- believe that an employer or potential employer is likely to consider them to be disadvantaged in employment by reason of that impairment, and includes persons whose functional limitations owing to their impairment have been accommodated in their current job or workplace.)

Yes

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* 6. Do you self-identify with any other marginalized groups that you would like to share with us?

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* 7. What are you hoping to learn in the Rise and Shine program? (100 - 200 words)

Please submit your application by clicking the "done" button below.

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* 8. How did you hear about this program?

Social Media

Friends

Teacher

From Minerva

Other (please specify)

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* 9. If anyone referred you to this program, please enter their name and email below.

Name

How do you know them?