Diversity Recruitment, Retention & Mentorship BTP Mentor Diversity Recruitment, Retention and Mentorship Form Please report on your efforts to recruit and retain those with disabilities or from an underrepresented minority background. Keep in mind your responses should be in the context of the current calendar year. Additionally, please report on your efforts of mentorship trainings. Faculty Mentor NameUniversity-Wide Recruitment & RetentionHosted a minority summer research studentSelect all that apply Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another studentName of studentHome university Presented at a Historically Black College or University or at a Hispanic Serving InstitutionSelect all that apply. For a list of HBCUs and HSIs, see here and here, respectively. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another college/universityName of universityDate of presentation Participated in a National Conference related to increasing diversity (NOBCChE, SACNAS, ABRCMS) or inclusionSelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another conferenceName of conferenceDate(s) Participated in a UW program to increase diversity (BOPS, CHOPS, Engineering OPS)Select all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another programUW program nameDate(s) Served on a University-wide committee related to diversitySelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another committeeName of committeeRole Other University-Wide Role or ActivitySelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another activityInclude relevant information Departmental/Graduate Program-specific Recruitment and RetentionDepartmental Diversity CommitteeSelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another committeeName of committeeRole Underrepresented minority group member mentoredSelect all that apply. Current or during previous 12 months DetailsClick the + on the right to add another menteeNameTitle (undergrad, grad student, postdoc) Other Department or Graduate Program-specific Role or ActivitySelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another activityInclude relevant information BTP-specific URM Recruitment & RetentionShared information about BTP at a conference or eventSelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another activityConference/event nameDate(s) Nominated minority student or student with a disability to BTPSelect all that apply. Nominated a minority student in current calendar year DetailsClick the + on the right to add another traineeName of student Other BTP specific Role or ActivitySelect all that apply. Participated in current calendar year Planned for upcoming year DetailsClick the + on the right to add another activityInclude relevant information Campus Mentorship and Diversity TrainingsParticipated in NRMN - National Research Mentoring NetworkSelect all that apply. Participated in NRMN in current year Planned for NRMN in upcoming year Participated in WISELI Excellence & Diversity or Breaking the Bias HabitSelect all that apply. Participated in WISELI / Breaking Bias in current year Planned for WISELI / Breaking Bias in upcoming year Participated in CIMR (Center for Impovement of Mentored Experiences in Research)Select all that apply. Participated in CIMR in current year Participated in CIMR in upcoming year Participated in Delta Research Mentor TrainingSelect all that apply. Participated in Delta Research Mentor in current year Participated in Delta Research Mentor in upcoming year Other mentorship or diversity trainingsSelect all that apply. Participated in Other Mentorships / Trainings in current year Planned for Other Mentorships / Trainings in upcoming year DetailsClick the + on the right to add another activityList specific training or activity Consent* I understand my information is being used for campus and NIH reporting purpose(s).