Congratulations on making it to the start of a new school year! Throughout the year we would like to be sure we have your up-to-date contact information. Please take a few minutes to complete the following survey and click "Submit" when you are finished.

(Note: Unless we receive your updated address, we cannot send you a care package this fall!)

* Required fields are in bold.     

Contact Info

Please fill out your current HOME address and phone:

If you are living on campus please also list your SCHOOL address and phone:

College Enrollment Info

College:	Please select one American International College Andrews University Assumption College Atlantic International University Art Institute of New England Becker College Benjamin Franklin Institute Bentley College Berklee College of Music Bethune Cookman Boston College Boston University Bowdoin College Brandeis TYP Bridgewater State College Brown Univesity Bryn Mawr Bunker Hill Community College Cambridge College Carroll College Clark University (MA) Clark-Atlanta University Clayton College Colgate University Cornell University Curry College Emmanuel College Fisher College Fitchburg State College Framingham State College Georgia Tech Hamilton College Hampshire College Hampton University Harvard University Holy Cross Howard University Johnson & Wales University Katherine Gibbs Laboure College Lasell College Lesley College Lincoln University Mass Bay Community College Mass College of Pharmacy Massasoit Community College Massachusetts Institute of Technology Morehouse College Mount Holyoke College Mount Ida College New England College of Finance Newbury College Northeastern University Norwich University Not Attending Other Pace University Penn State Pine Manor College Pratt School of Design Quincy College Regis College Rivier College Roxbury Community College Salem State College Simmons College Smith College St. John's Suffolk University Swarthmore Temple University Towson State Tufts University U Mass-Amherst U Mass-Boston U Mass-Dartmouth University of California - University of Central Florida University of Hartford University of New Hampshire University of North Texas Valencia Community College Wentworth Institute of Technology Westchester Community Westfield State College Wheaton College Worcester Polytechnic Institute Worcester State College Xavier University (LA) Youngstown State
If "Other" please specify:
What is your enrollment status?:	Please select one Enrolled full-time Enrolled part-time Not enrolled, but returning Not enrolled, not returning Graduated - Bachelor's Degree Graduated - Associate's Degree
When do you expect to graduate?	Please select one Fall 2009 Spring 2010 Fall 2010 Spring 2011 Fall 2011 Spring 2012 Fall 2012 Spring 2013 Fall 2013 Spring 2014 Fall 2014 Spring 2015 Not graduating Unsure
What is your major?:
How many classes are you taking this semester?: Please select one? 0 1 2 3 4 5 6 7 8 9 10
Please list the classes and the credits for each:
	Credits? 0 1 2 3 4 5 6 7 8 9 10 Credits? 0 1 2 3 4 5 6 7 8 9 10 Credits? 0 1 2 3 4 5 6 7 8 9 10 Credits? 0 1 2 3 4 5 6 7 8 9 10 Credits? 0 1 2 3 4 5 6 7 8 9 10 Credits? 0 1 2 3 4 5 6 7 8 9 10

Thank you for taking the time to respond to our survey. Please push the "Submit" button when finished.