Diploma Name Preference Form Diploma Name Preference First Name Middle Name Last Name Student # NESL Email (addresses from @nesl.edu only) Division: Day Division Day Part-Time Division Evening Division Special Part-Time Mailing Address After Graduation It is the responsibility of the student to notify the Registrar's office as soon as possible when an address change occurs in order to assure timely correspondence from all departments at New England Law | Boston Street Address Apt. or Suite # City State AlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaFed. States MicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriNorthern Mariana IslandsMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNova ScotiaNorthwest Territories (Canada)NunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonArmed Forces AmericaArmed Forces AfricaArmed Forces Middle EastArmed Forces EuropeArmed Forces CanadaArmed Forces Pacific Zip Code Family Connection: If a member of your family graduated from Portia or New England Law | Boston, please give Name, Relationship and Year of Graduation: Name Relationship Year of Graduation 19081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011 Do you plan on graduating in May? Yes No If so, would you like to: Pick Up Diploma Have My Diploma Mailed Failure to complete this form and submit it to the Dean's Office will result in your diploma being printed with the name that is on file with the Registrar's Office.