Update Your Information

Information about person submitting this request:

Alumnus/a

Someone representing the Alumni

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.)

Alumni Information:

First Name: *

Last Name: *

Middle Name:

Name as Student if Different

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:

Address

City

State/Province

Zip/Postal

Country

Home Phone:

Would you like to provide your current employment info?

Yes

No

Current employment info

Company Name:

Job Title:

Business Street Address (include suite #):

City

State/Province

Zip/Postal

Country

Business Telephone:

Please send correspondence to

Home

Business

Additional Notes for Clarification:

How would you rate your experience at Suffolk University?

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We want to stay in touch!

Alumni Information:

Current Home Address:

Current employment info