Parents

Thank you for sharing this information, which will enable SBU to better serve, inform and communicate with SBU parents, students and families.  This form is for the families of current SBU students.  If you are a prospective student or parent, please visit our Admissions Web site.

 

 

Student's First Name:     Student's Last Name:  
 
Class Of:         Student's Cell Phone:   

 
Mother/Guardian Information

 
First Name:          Last Name:   
 

Address:   
 
 
City:       State:     Zip:  

Home Phone:    Cell Phone: 
 

Home E-mail Address: 
 

 
Employer:       Title: 
 

Business Address: 
 
City:     State:     Zip: 
  
Business Phone:     Business E-mail:  
 

 
I prefer to receive information by: 

SBU Alumna: 

 
Class Year:           Maiden Name: 
 
College(s) Attended: 
 
 

Father/Guardian Information 

First Name:          Last Name:   
 

Address:   
 
 
City:       State:     Zip:  

Home Phone:    Cell Phone: 
 

Home E-mail Address: 
 

 
Employer:       Title: 
 

Business Address: 
 
City:     State:     Zip: 
  
Business Phone:    Business E-mail:  
 

 
I prefer to receive information by: 

SBU Alumnus: 

 
Class Year:      College(s) Attended: 
 
 
* * * Your other children & their grade in the Fall of 2010 * * * 
Name Grade DOB E-Mail Address
           
       
       
       
    
       

Build your SBU Family Tree
Family members who attend SBU or who are SBU alumni
(please indicate their relationship to the SBU student): 

Name Relationship Class Year