Outlist Directory

An online directory and database have been created for Baylor College of Medicine LGBTQ+ students, staff, faculty, residents and postdocs.

This directory will help promote engagement, networking and awareness. We invite Baylor staff, faculty, and trainees who identify as LGBTQ+ to join this directory.

While our allies are a vital part of the Baylor community, this form is intended to be completed only by individuals who identify as a member of the LGBTQ+ community.

(Note: By completing this form, I understand that the Outlist directory is maintained on a regular basis and will be accessible to the Baylor community via the Office of Institutional Diversity, Equity and Inclusion. I agree to have my name linked to my email account, which would enable people accessing the Outlist to contact me for networking opportunities. I agree to notify the DEI if my status with the College changes (e.g. I graduate, leave the College or, my job title changes). If at any time, I would like my information removed from the Outlist, I can send a written request to institutionaldiversity@bcm.edu. Submission of this form indicates acknowledgement of these terms).

Name*

First NameLast Name

Please include degree(s) if applicable (e.g. PhD, MA). For ease of formatting, do not include periods in your degrees.*

Baylor Email*

example@bcm.edu

Pronouns (Select all that apply)*

Identities you would like listed*

Identities you would like listed (Select all that apply)*

Sexual Orientation*

I would like to be listed under the following category (Please do not list levels/post-graduate years.):*

(e.g. Assistant Professor, Graduate School of Biomedical Sciences Student, Resident Physician)

Department/Division/School (Please do not use abbreviations)*

Students, Residents, Post-Docs, Fellows: Graduation year or anticipated year of program completion*

Are you a member of Baylor’s PRIDE, or the COATS Program?*

YesNo

Academic Interests*

Interest in mentoring learners (e.g. students, residents, post docs)?*

YesNo

Upload Headshot*