We want to stay in touch!

Whether you’ve been out of touch for a while, moved to a new town or simply changed your email address, we want to know. It’ll only take a few moments to help us keep your personal and professional information current.

Information about person submitting this request:
Full Name:
Daytime Phone:
Extension:
Current Name:
Last Name:
First Name:
Middle Name:
Name As Student ( if Different ):
Last Name:
First Name:
Middle Name:
Date of Birth: (mm/dd/yyyy)
Year of Graduation from Suffolk:
Degree Received from Suffolk:
(most recent if multiple)
Cell Phone:
Preferred Email Address
Current Home Address Information:
Street:
(include apt./unit #)
City:
State:
Zip/Postal Code:
Country:
(If not in the USA)
Home Phone:
Current Employment Information:
Company Name:
Job Title:
Business Street Address:
City:
State:
Zip/Postal Code:
Business Telephone:

I prefer to receive my correspondence at home / business.

 
Additional Notes for Clarification:
For problems/questions regarding this form please call 617-573-8443.