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CLASS NOTES:

Keep your fellow classmates and alumni up to date your news of your professional achievements, awards/ honors, exciting news of your travels to far-away destinations, family news, and other items of interest. Please fill out this form and we will share it in the next magazine and on our School of Nursing Alumni website.

Date:

First Name:

Last Name:

Maiden Name:

Class(es) of:

Email address you'd prefer to use:

Spouse/Partner Name:

Is this a new home address?

Yes
No

Street Address:

City, State, Zip

Preferred Phone Number:

Current professional title:

Current Hospital/Practice affiliation:

Class Notes/News you'd like to share:

Thank you for sharing your news. If you'd like to add or edit any of your responses, please contact Mary Hoffmann @ mary.hoffmann@stonybrook.edu