Application
Name: Email:
University: Faculty Supervisor(s):
Trainee status: .
If already enrolled, Year in program, anticipated graduation
Request for Stipend?
If you hold another scholarship, which one? (Major scholarship holders will receive half of the stipend listed).
Anticipated workshop attendance and dates (select whichever best applies):
- Silicon Photonics – PassiveYear
- Silicon Photonics – Active Year
- Silicon for Photonics (CMOS electronics)Year
- Systems, Integration and PackagingYear
Target year for industrial internship:Year
Please comment on your expectations of the industrial internship (e.g. preferred discipline, company, geographical location, internship duration, salary).
What plans do you have to obtain an internship (submit a CV, find a company, talk to companies, talk to your supervisor, check the Si-EPIC web page list of partner companies)?
Note: the Si-EPIC program will provide limited assistance to trainees in securing an internship. Companies interested in offering Si-EPIC internships include: IBM Canada Ltd, Bromont, QC (French working knowledge required); PMC-Sierra Inc., BC; Lumerical Solutions, Inc., BC; TELUS, BC; TeraXion, Inc., QC; Reflex Photonics Inc., QC; Apollo Photonics, Inc, ON; Optelian, ON.
Research proposal (½page)
What makes you suitable for the Si-EPIC program (experience, interest in the program, etc.)?
Relevant publications (may refer to CV)
*Please attach a CV
Trainee and Faculty Supervisor signatures indicate a commitment to the requirements above. Continued funding from this program is contingent on following these requirements.
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Trainee signatureFaculty signature(s)
Please submit SIGNED completed form to:
Christie Fong, Program Coordinator, by March 6th, 2015 with the subject line “Si-EPIC Application-2015-FULLNAME”