Dr. 
              Mr. 
              Mrs. 
              Ms. 
              Miss 
            
            
            First Name:  
            
            Middle Name: 
            
            Last Name:   
            
            Institution: 
            
            Department:  
            
            Position:    
            
            Web page:    
            
            URL for CV:  
            
            
            I wish to be included in both the public database and the NJOHSP
            restricted database.
            
            I wish to be included only in the NJOHSP restricted database.
            

            
            

            The information marked with an asterisk (*) will not be included in
            the public database. This information will be available to select
            personnel of the New Jersey Office of Homeland Security and            
            Preparedness through a password protected web-based database.
            Home address and phone number (optional):
              
            *   Address Line #1:
            
            *   Address Line #2:
            
            *   City:
            
            *   State:
            
            *   Zip:
            
            *   Home Phone:
            
            
            Office address and phone number:
            
            *   Address Line #1:
            
            *   Address Line #2:
            
            *   City:
            
            *   State:
            
            *   Zip:
            
            *   Office Phone:
            
            *   Office Fax:
            
            *   E-Mail:
            
            *   Cellphone (optional):
            
            
            Please provide your educational background:
            
            Ph.D.:
            
            *   Area:
            
            *   Institution:
            
            *   Year Completed:
            
            
            Masters:
            
            *   Area:
            
            *   Institution:
            
            *   Year Completed:
            
            
            Bachelors: 
            
            *   Area:
            
            *   Institution:
            
            *   Year Completed:
            
            
            Other:
            
            *   Area:
            
            *   Institution:
            
            *   Year Completed:
            
                                      
            

              

              Select as many of the following as              
              apply to your areas of expertise:             
              

                
                Airborne Particles

                
                Animal Health

                
                Anthrax

                
                Artificial Intelligence

                
                Aviation Security

                
                Awareness

                
                Behavioral Recognition

                
                Bio defense

                
                Bio Weapons/Bio Security
                

                
                Biological
                

                
                Biometrics

                
                Border Security and Immigration

                
                Cargo and Supply Chain Security

                
                CBRNE

                
                Chemical
                

                
                Command and Control

                
                Commmuication

                
                Community Health

                
                Computer Science
                

                
                Contaminants

                
                criminology/Criminal Justice
                

                
                Critical Infrastructure Protection

                
                Cyber Security

                
                Countermeasures - Biological

                
                Countermeasures - Chemical

                
                Countermeasures - Radiological
                

                
                Cyber Security Disaster Recovery

                
                Decision Making

                
                Detection
                

                
                Disaster Management

                
                Drug Discovery

                
                Emergency Preparedness and Disaster Management

                
                Environmental Monitoring and Modeling

                
                Evacution Behavioral Response

                
                Exercise

                
                Explosives

                
                First Responders

                
                Forecasting

                
                Foreign Policy
                

                
                Forensics

                
                Gas

                
                Government and Politics

                
                Hazardous Materials

                
                Homeland Security Policy

                
                Human Exposure

                
                Immigration

                
                Information Security

                
                Intelligence and Information Awareness

                
                International

                
                Linguistics/Communication

                
                Logistics

                
                Law and Justice

                
                Mass Media

                
                Materials and Devices

                
                Medicine

                
                RFIC

                
                Middle East and Islam

                
                Military
                

                
                Modeling
                

                
                Mustard Gas
                

                
                Nuclear
                

                
                Pesticide
                

                
                Plume Dispersion
                

                
                Planning

                
                Port Security
                

                
                Preventive Medicine

                
                Public Health
                

                
                Radiation
                

                
                Radiological
                

                
                Recognition
                

                
                Risk Analysis

                
                Risk Communication

                
                Security

                
                Sensors

                
                Simulation
                

                
                Special Needs Population
                

                
                Statistics

                
                Technology
                

                
                Terrorism
                

                
                Threat Assessment

                
                Toxicology

                
                Toxins

                
                Training and Education

                
                Transportation

                
                Water

                
                WMD
 
                Other:
                

            
            

            

            Please provide a list of up to 10 key terms that
            would summarize your areas of expertise: 
            (Click here for some key term examples. 
            Opens a new browser window/tab)
            
            
            
            Keyterm #1
            
            Keyterm #2
            
            Keyterm #3
            
            Keyterm #4
            
            Keyterm #5
            
            Keyterm #6
            
            Keyterm #7
            
            Keyterm #8
            
            Keyterm #9
            
            Keyterm #10
            
            
            

            

            Please provide a BRIEF synopsis of your
            research interests/background: