NAI Member Information Update

Contact Information

First Name

Middle Name

Last Name

Suffix

Discipline

Field

Primary Affiliation	If -Other- selected
Title	Bio Link from your affiliated institution

Mailing Address

Primary Address Type

Mailing Street

Mailing City

Mailing State/Province

Mailing Zip/Postal Code

Mailing Country

Email

Preferred Email

Work Email

Personal Email

Phone

Preferred Phone

Work Phone

Home Phone

Additional Contacts

Assistant Name

Assistant Email

Email my annual dues to:

New Inductee Information

Will you be inducted as a Fellow or Senior Member in the next NAI Annual Meeting?

YesNo

Please upload a headshot, bio and, if necessary, an audio file with the correct pronunciation of your name or send these to members@academyofinventors.org.

Please provide a headshot to use for Induction Ceremony

Please enter the phonetic spelling of your full name here

Alternatively, provide an audio file (mp3, mp4, m4a, flac, wav, wma, aac) with your name's correct pronunciation

Please upload your bio following the example format below

Bio Template (150 maximum word count): (First Name, Middle Initial, Last Name), (Ph.D./M.D.), is (enter current position title) at (enter institution name). (Last Name) is (enter important contributions to invention and innovation, field of research, area of leadership, etc.). He/she is the recipient of (name prestigious prizes, honors and awards). He/she holds (number) U.S. patents and (number) foreign patents that have been licensed to (number) companies. He/she is the founder of (startup companies). He/she has published (enter number of articles, books, book chapters) and serves as (editor, editorial board, etc.) for (peer-reviewed journals, etc.). (Last name) is a (member/ Fellow) of (prestigious organizations such as National Academies of Engineering, Medicine or Science or AAAS, IEEE or AAA&S).

AAAS Fellow	AIMBE Fellow	IEEE Fellow	NAE Member
NAM Member	NAS Member	AAA&S Member	Nobel Laureates
Draper or Wolf Prize	U.S. Medal of Science/Tech. & Innovation	National Inventors Hall of Fame	Lemelson-MIT Prize