BCPH-Research Scholars Program Faculty Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Eligibility Determination
*
I am one of the following: Faculty, researcher, or professional in public health, medical/clinical, or related fields
I am actively engaged in research
I have a commitment to health equity and social justice
I am able to mentor a high school, college, or post-bacc student on a bi-weekly basis for the BCPH Research Scholars Program.
What are your active research activities and projects that you would allow students to work on?
Current Location and Location for Summer 2025 (include CITY/STATE/COUNTRY)
Brief professional biography for us to include in directory for students to read:
What would be some of your mentoring goals for The Research Scholars Program with BCPH?
Include the url for your linkedIN and faculty profile
Which institution are you associated with where you are conducting research?
Include your most recent CV
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Include a brief description of current research, available datasets, or potential student-aligned research projects
Would you be willing to have a brief interview with BCPH to assess fit for the program?
Yes
No
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