Indigenous Student STEM Access Program Application

Please complete the form below to apply for the Indigenous Student STEM Access Program (ISSAP).
If you have any questions, our team can be reached at

Preferred Method of Communication*
Please select your preferred method of communication. If you have another preferred method of communication please select Other.
Do you identify as Indigenous?*
If you have identified as Indigenous, the Indigenous Student Centre will reach out to you to confirm your proof of ancestry.
9-Digit Student ID Number
Start Term*
Current Level of Education*
What do you hope to study after your preliminary year?*

The personal information collected pursuant to this user agreement form is collected under the authority of the University of Western Ontario Act, 1982, as amended, and will be used for the purpose(s) of assessing your application for the Indigenous Student STEM Access Program (ISSAP). Please direct questions about this collection, use, or disclosure of personal information on this form to the Director, Indigenous Student Centre, (519) 661-4095.

Return to Indigenous Student Centre Website
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