Member Institution Application
Please Select Your Membership Type
Sustaining Member Institution ( $ 10,000 for each year.)
U.S. Institutional Membership ( $ 3,000 for each year.)
International Affiliate Membership ( $ 4,000 for each year.)
Partner Membership ( $ 5,000 for each year.)
Institution Information
Name of Institution
Current Logo
Type of Institution
Please select...
University
Non-profit Research Institute
Governmental Institution
President or Head of Institution
Affiliation
Please select...
AAC
AAU
ACC
Alaska Native and Native Hawaiian Serving Institutions (AANH)
APLU
Asian American and Native American Pacific Islander Serving Institutions (AANAPISI)
Big 10
Big 12
Big East
D1
D2
D3
ERI (Emerging Research Institution)
HBCU
Hispanic Serving Institutions (HSI)
Ivy League
M1
M2
M3
Native American Serving Nontribal Institutions (NASNTI)
NCAA
Power 5
Predominantly Black Institutions (PBI)
R1
R2
R3
RCU / Research Colleges and Universities
SEC
TCU
Other
Please select as many as apply
Name of Affiliation
Institution's Mission
Mailing Address
Phone Number
Website
Twitter/X
Instagram
Facebook Page
Institutional Contacts
Primary Member Representative
This person will be listed as the primary point of contact on NAI communications and invoices.
Business School Contact
Who can we contact from your institution's Business School?
Government Affairs Representative
Please provide the name and email of your Government Affairs Representative
Marketing & Communications Contact
Who can we contact for marketing and promotional purposes?
Let us know
Why are you joining the NAI?
How did you hear about us?
What NAI resources are you most excited about?
Does your institution currently include patents, licensing, and commercialization activities as part of tenure and promotion programs?
Yes, we do
No, we would like to
No, it is not something we are interested in
Do you need assistance / guidance in learning how to change the culture of your institution around patents, licensing, and commercialization activities?
Yes
No
Membership Authorized By
Comment or Message