NUSL ALUMNI/AE:
ADDRESS/PHONE INFORMATION UPDATE
Help us stay in touch with you by updating your confidential address information below. You can also
print this form out, and either mail or fax it to our office. Fields with an * are required.
If you
would like to participate in the university's Alumni Online Directory, go to http://www.alumniconnections.com/neu/
Thank you for the
update!
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| GENERAL | |
| * First Name: |
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| Middle Initial: |
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| * Last Name: |
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Graduation Name:
(if different) |
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| * Class Year (YYYY): |
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| Is your spouse/partner a NUSL alumnus/a? |
Yes No |
| First Name: |
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| If Yes, Last Name: |
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| Class Year (YYYY): |
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| PERSONAL | |
| * Home Street, Line 1: |
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| Home Street, Line 2: |
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| * City: |
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| * State/Province: |
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| * Zip Code: |
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| * Country: |
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| Home Phone: |
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| E-Mail Address: |
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| PROFESSIONAL | |
| Your Title: |
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Brief Description of Position
(associate, staff attorney, in-house counsel): |
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| Company Name: |
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| Business Street, Line 1: |
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| Business Street, Line 2: |
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| City: |
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| State/Province: |
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| Zip Code: |
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| Country: |
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| Business Phone: |
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| E-Mail Address: |
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| Practice Area(s): |
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| Does your employer offer a matching gift program?: |
Yes No |
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| MISCELLANEOUS | |
| Preferred e-mail address: | Work Home |
| Preferred mailing address: | Work Home |
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