University Of Pennsylvania Biomedical Postdoc Council Diversity Committee (BPC-DC) Faculty Mentor Information Form Thank you so much for your interest in serving as a mentor for the BPC-DC mentoring program. Please take a few minutes and fill out this form*. Your answers will be posted on the BPC-DC website and will allow potential mentees to choose the mentor that best fits their needs… Thanks for all of your help! Name & Degree (s): Email: Department and Number of Years at Penn: Research Interests: Race/Ethnicity (optional): Gender: Extracurricular Interests: Please email this form to [email protected] along with a copy of your current CV or biosketch. *By submitting this form you are agreeing to the terms listed in the document “Program description and Agreement-Mentor”. Please direct any questions/comments to Folami Ideraabdullah [[email protected]] or Caleph Wilson [[email protected]].