1 Start 2 Complete Alumni can use this form to submit changes of address (work and home), email, and other vital information. Submissions will also be used for Class Notes in Brown Medicine. Please make sure that your name and email are entered. privacy Check here if you would not like this information used in Class Notes. Communications Preferences Check if you would like to receive, whenever possible, communications from the Office of Alumni and Parent Programs electronically. Your name Your email address Your Brown MD class year Your Brown undergraduate year (if applicable) Your employer Your medical specialty Subspecialty Your current professional activity and location Professional activities, accomplishments and developments you'd like to share Recent news or anecdotes about yourself or your classmates you'd like to contribute to our publications Work address Home address Your preferred mailing address Home Work Your Phone Numbers Work Home Mobile Your residency - where and when Fellowship, if applicable If applicable, please let us know: Relationship status Spouse Partner Spouse or partner's place of business Business address Names and birthdays of your children Opinions, questions or concerns about the Medical School that you would like us to be aware of and/or address Story ideas for future issues of Brown Medicine magazine Are you interested in serving on the Brown Medical Alumni Association Board or helping to plan reunion class activities and regional events? Yes No Would you be willing to act as a source of advice and possible advocacy related to residency programs and career opportunities for current Brown medical students? If so, the Medical School will share your contact information with students. Yes No