Co-op Application Form – Physics, Astronomy, Chemistry, Mathematics and Statistics Programs

Our intake process has changed. In addition to submitting this application form, all undergraduate students are also required to register in SCIE 201. If you encounter problems with registration, please email scicoopinfo@uvic.ca.

Use this form to submit an application for admission to the Physics, Astronomy, Chemistry, Mathematics and Statistics Co-op Program.

To be eligible to apply, you must be a full-time UVic student majoring in a discipline which corresponds to the Co-op program of your choice, with a minimum of a B average.

The application deadline is September 15. Applications are processed as received so the earlier you apply, the earlier you will know your application status.

The information collected in this application will be used to assess your fit for the program and no single item will have a negative impact on our admission decision.

1. Personal information

First Name (this is your formal name as appears in UVic records)

Last Name (this is your formal last name as appears in UVic records)

Preferred name: How would you like us to refer to you? (optional)

Preferred pronouns? (optional)

UVic Student Number (V Number)

Preferred email address

Non-UVic email addresses are OK, but make sure you add UVic as a trusted sender in your mailbox.

Preferred phone number (e.g., 250-123-4567)

Citizenship status

Canadian citizen Permanent resident or landed immigrant International student Other

Country of citizenship (if not Canada; e.g., Indonesia, Peru)

Please provide citizenship status

2. Academic information

Level of study

Undergraduate student Graduate student

Have you completed a total at least two semesters of university or college study?

Yes, at UVic Yes, elsewhere Not yet

Who is your graduate project / thesis supervisor?

Have you received permission from your graduate supervisor to take part in co-op?

Yes No

Describe your academic plans and career goals

4. Comments

Anything else you’d like to let us know that you’d like us to consider with your application?

To keep a copy for your records, please print this page before submitting your data.

Co-op Application Form – Physics, Astronomy, Chemistry, Mathematics and Statistics Programs

UVic Co-op + Career

UVic Co-op + Career