Become a Member

USF Chapter of the National Academy of Inventors™ Membership Application

The academy is open to all members of the USF community including alumni and affiliates who have received an issued patent from the USPTO.
Name:
Terminal Degree:
Relationship to USF:
Patent Number (only 1 required):
Professional information for Member List and on our website
Title:
University or Organization:
Department:
Research area of specialization:
Contact information (will not be published)
Mailing address:
Address line 2 (unit or suite):
City:
State:
ZIP Code:
Country:
Mail Stop:
Phone:	( )
Email: