The following form is intended as a painless and rapid method to collect the data needed to generate a faculty database which will serve as a useful resource to the Academic Dean and Provost Office, the Research Office, and the Public Affairs Office.
For example:
--The Dean's Office will be able to identify faculty who are alumni of a given institution or who have prior military experience.

--The Research Office will be better able to respond to inquiries from potential research funding agencies. At present, a call may come into the Research Office requesting the name of an individual whose research interests match their specific fields of study. Currently, no searchable database exists, and it is a hit or miss process based upon memory. With the addition of many new faculty members to USNA, the need for such a database has become apparent.

--The Public Affairs Office will be able to respond to requests for faculty with expertise in "Non-Professional Specializations" such as bee keeping, Civil War expertise, or photography, for community speaking engagements.

At your convenience, it is requested that you complete and submit this form online.
Personal Information
Full Name (include nickname):
Civilian or Military Rank/Title:
Department/Building Location and Room Number:
Email Address:
Phone Number:

Academic Degrees
Example: Enter MS 1965 University of Wyoming
Baccalaureate Degree YearSchool
Post-Baccalaureate Degree YearSchool
Post-Baccalaureate Degree YearSchool
Post-Baccalaureate Degree YearSchool
Post-Doctoral Experience YearSchool

Prior Military Experience
Prior Military Service (yes or no)
If yes, enter branch
Highest Rank Achieved

Current Fellowships, Societies, and Positions Held

Pertinent and Recent Awards (USNA and non-USNA related)

Non-Professional Specializations

Research Interests
Enter a maximum of Six Keywords or phrases which best describe your specialty or specific areas of research interest

Keyword 1:
Keyword 2:
Keyword 3:
Keyword 4:
Keyword 5:
Keyword 6:

Brief Summary of Research Interests
Please limit summary to 150 words or less