New Graduate-Alumni Information

*Required Fields

*Last Name :

*First Name:

*SBU ID #:

Maiden Name:

* Personal email Address:

* Phone (w/area code):

* Permanent Address:

*Address cont.:

*City:

*State:

*Zip Code:

*Country:

Clubs & Organizations Information

Club / Org Name 1:

Club / Org Name 2:

Club / Org Name 3:

Club / Org Name 4:

Other:

Employment Information

Are you or will you be employed? Yes No Still Working on it

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 email/phone/address you provided above to contact you.