Name *
Who are you and what do you do?
(If so, what school?)
What dates are you available? *

Our mentor community is strong and growing.

Please fill out this form to register as a mentor to our 2013 Social Impact Fellows. Mentors are invited to connect with our fellows prior to the summer institute, join us at our Berkshires house in August for workshops, one-on-one meetings, and fun, stimulating, activities, and be forever part of the Social Impact community at Penn.

We supply lodging and food for our mentors (though space is limited so register early) and can arrange for a pick up from any of the nearby train stations to Great Barrington (Hudson Station on Amtrak or Wassaic Station on Metro North). 

If you received an invitation to mentor, please indicate who referred you.

If you have questions, please email