Personal Information:
Name:
  Nickname:
  Home Address:
  Home Phone:
  Home Email:
  Home Fax:
Professional Information:
  Company/Organization:
  Job Title:
  Work Address:
  Work Phone:
  Work Email:
  Work Fax:
  Select your appropriate organization type:

  Other (specify):
  Select your appropriate functional area:
  Other (specify):
  Select your appropriate industry type:
  Other (specify):
  Job Description (Briefly describe your role in 50 words or less):
Please check the appropriate boxes below:

The best way to contact me is:
Home number
Work number
Email
    Yes! Post my information in the on-line alumnae directory.*

 

  

*We will accept this as your permission to post the information entered above. The Alumnae Directory is password-protected.

Note: Your name and class year will already be in the directory. If you would like to remove your name from the web directory, please call or email the Alumnae Office at 617.521.3825 or somalum@simmons.edu. Please bear in mind that if you choose to list additional information, it is printable so fellow SOM Alumnae may contact you.

Any special comments or requests?