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First Name

Last Name

Name Prefix
(e.g., Mr. Dr., Ms., Mx., etc.)

Position Title

Primary Phone
(Format = xxx-xxx-xxxx)

Address

City

State

Zip Code

If applicable, DoD Agency Employed By

Degree

MastersDoctoral

Current Organization Name

Years of Experience
(Format = #.#)

Resume/CV Upload

Upload a recent PDF copy of your resume/CV using the following file name format: Lastname_Firstname_Resume

Uploaded Resume:

Discipline Area

I am actively and directly employed by a Department of Defense (DoD) organization and I am interested in participating in the DoD NDSEG Mentorship Program

Aeronautical and Astronautical Engineering
Artificial Intelligence and Machine Learning
Astrodynamics
Biomedical Engineering
Biosciences (Includes Toxicology)
Biotechnology (separate from Biosciences)
Chemical Engineering
Chemistry
Civil Engineering
Cognitive, Neural, And Behavioral Sciences
Computer and Computational Sciences
Cyber Sciences (to include “hard” networks, cybersecurity, disinformation)
Electrical Engineering
Geosciences (Includes Terrain, Water, And Air)
Materials Science and Engineering (including Materials for Extreme Environments)
Mathematics
Mechanical Engineering
Naval Architecture and Ocean Engineering (Includes Undersea Systems)
Oceanography (Includes Ocean Acoustics, Remote Sensing, and Marine Meteorology)
Physics (Including Optics)
Political, Economic, and Sociocultural Sciences
Quantum Science
Space Physics