School of Arts & Sciences Office of the Dean 116 College Hall Philadelphia, PA 19104-6377 Tel 215.898.7320 Fax 215.898.0821 NATURAL SCIENCES POSTDOCTORAL TRAINING REGISTRATION NAME: _ PENN ID: _ DEPARTMENT: MENTOR: EMAIL ADDRESS: _ PHONE NUMBER: _ POSTDOC START DATE: _ I would like to participate in the Optional Elements of Postdoctoral Training offered by the Biomedical Postdoctoral Program for a two year period, beginning on the first anniversary of my hire date as a Postdoc I am aware that the Career Workshop Series is offered in March of even years (2014), while the Research Success Skills Series is offered in March of odd years (2013) I agree to attend the Career Workshop Series and the Research Skills Series If I not attend the series offered in my first year, I understand that I may be ineligible to participate in a second year of the program _ Signature Date Send completed form to: Janel Baselice, SAS Dean’s Office, 116 College Hall/6377 or by email: janelm@sas.upenn.edu UNIVERSITY of PENNSYLVANIA