Suffolk University - Commencement Publicity

Please complete this questionnaire for the purpose of providing your local newspapers with information concerning your graduation from Suffolk University. If you have any questions, contact Karen DeCilio at 617-573-8508 or kdecilio@suffolk.edu.
I desire no publicity on my graduation I authorize the release of the following information for hometown publicity.
Note: Fields marked with ** indicate a required field.
Personal Information:
Salutation:	Miss Ms. Mrs. Mr.
First Name: **
Last Name: **
Email Address: **
Telephone number: (for use by our office only)**	( ) -
International Telephone numbers:
Permanent Home Address:**
Marital Status:	Single Married
Degree Expected:	Other:


Spousal Information:
First Name:
Last Name:
Please include names and ages of children:


Information About Father:
First Name:
Last Name:
Deceased?	Yes No
Address:


Information About Mother:
First Name:
Last Name:
Deceased?	Yes No
Is address the same as father’s?	Yes No
If mother’s address is different, please indicate:


Employment:
Name of Employer:
Position/Title:
Employer’s Address:


Educational Background:
High School:
Year Graduated:

College:
Degree Received:
Year Graduated:

Advanced Degree:
Institution:
Year Graduated:




Activities/Awards/Honors while attending Suffolk:



Publicity Information:
Name of Hometown Newspaper:
Address (if known):


Please Note:
The Boston Globe and Boston Herald do not publish graduation announcements Newspapers publish announcements at their own discretion.