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UCSF Science and Health Education Partnership Interest Form
Thanks for your interest in SEP's programs! Please fill out the form so that we may contact you with more information regarding the programs you're interested in.
Please note that our programs are available only to teachers from SFUSD or SF public charter schools, and affiliates from UCSF.
Personal Info
First Name
Last Name
Work Email
I am a:
SFUSD or SF public charter school teacher
UCSF affiliate
Teacher Program Interest
What programs or opportunities are you interested in?
Classroom Partnerships (K-12 teachers)
STEM Storytime (K-5 teachers)
Amplify Science Summer Institute (K-5 teachers)
UCSF Anatomy Lab Tours (adults only, no students)
What is your UCSF role?
Role/Position
Please select...
Professional Student
Graduate Student
Post Doctoral Fellow
Staff
Faculty
Resident
Other
Role/Position Start Year
Other Role/Position
Department
School/Program
Please select...
Dentistry
Medicine
Nursing
Pharmacy
Physical Therapy
Other
Bioengineering
Biophysics
BMI
BMS
CCB
DSCB
Neuroscience
OCS
PSPG
Tetrad
QBC
Other
Dentistry
Medicine
Pharmacy
Other
Other School/Program
Title
Please select...
Postdoc Employee (Title Code 3252)
Postdoc Fellow (Title Code 3253)
Postdoc Paid-Direct (Title Code 3254)
Other
SRA I
SRA II
SRA III
Research Associate
Clinical Staff
Specialist
Other
Professor
Academic Coordinator
Academic Administrator
Acting Professor
Adjunct Professor
Clinical Professor (Volunteer)
Health Sciences Clinical Professor
Instructor
Clinical Instructor
Professor of Clinical ____
Professor in Residence
Professional Researcher
Visiting Professor
Emeritus
Other
Other Title
UCSF Affiliate Program Interest
What programs or volunteer opportunities are you interested in?
Classroom Partnerships
STEM Storytime
Teaching Workshops
Bay Area Science Festival
Mentoring a high school student (summer)
Teaching introductory lab skills to high school students (summer)
Giving a talk about my career as a science or health professional
Supporting high school students with science communication skills (abstract, posters, talks)
Leading a lab tour for high school audiences
Hidden Fields
CPP Cohort ID
2026 cohort - change mid to late October after app deadline
Summer Institute Cohort ID
2026 cohort - change late April after app deadline
Anatomy Lab Tour Cohort ID
2026 cohort - change late April/early May after lab tour
TW Cohort ID
2025 cohort - change mid to late November after registration ends
BASF Cohort ID
2026 cohort - change end of September/early October after registration ends
HIP Cohort ID
2026 cohort - change end of April/early May after mentor apps end
Volunteer Opportunities
Cohort ID
2025-26 cohort - change end of academic year/beginning of summer
Contact Information