New Graduate/Alumni Information

* Denotes required fields.

* Last Name:

* First Name:

* SBU ID #:

Maiden Name:

* Personal E-mail Address:

* Phone Number (with Area Code):

* Permanent Address:

* Address (continued):

* City:

* State:

* Zip Code:

* Country:

Clubs & Organizations Information

Club/Organization Name 1:

Club/Organization Name 2:

Club/Organization Name 3:

Club/Organization Name 4:

Other:

Employment Information

Are you or will you be employed? Yes No

Employer's Name/Address:

Position:

I'm interested in being a Career Advisor in the SB Career Center's ZebraCAN - Career Advising Network (if employed).

Yes No

In what capacity would you like to be involved with your Stony Brook Alumni Association?:

Newsletter

Public Speaking

Alumni Interest Groups & Chapters

Homecoming & Reunions

Recent Alumni Network

Alumni e-Newsletter

Facebook Fan Page

Online Community

Other:

* We will use the e-mail/phone number/address you provided above to contact you.