Update Your Information

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.

Required fields are marked with an asterisk (*)

Information about person submitting this request:

Full Name:

Daytime Phone:

Extension:

(This information is requested only in the event that the person submitting the form is not the Alumnus. This information will only be used if the Alumni Relations Office needs to contact you and will not become part of the Alumnus’ record.)

Current Name:

First Name:*

Last Name:*

Middle Name:

Name As Student (if different):

First Name:

Last Name/Family Name:

Middle Name:

Student ID Number (if available):

Date of Birth::

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
(include suite #):

City:

State:

Zip/Postal Code:

Country:
(If not in the USA)

Business Telephone:

Please send correspondence to

home

business

Additional Notes for Clarification:

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