New England College of Optometry · Alumni Profile Update Form

Contact Information

Name

*

First Name

Last Name

Former name/Name at graduation

Preferred Email

*

Verify Email

*

Preferred Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Preferred Phone

Degree Program

Doctor of Optometry 4-Year Program

Accelerated OD Program

Advanced Standing International Program

MS/OD China Program

MS in Vision Science

OD/MS Dual Degree

OD/PhD Dual Degree

Residency Programs

NECO Graduate, Class of

NECO Resident, Class of

Gender

Female

Male

Race/Ethnicity

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Two or more races

Prefer not to answer

Family Information

Spouse’s/Partner’s name Copy

Children’s names

Professional Information

Type of Practice in which you care for patients (check box where you work primarily)

Private (independent) with Ownership

Private (independent) without Ownership

Hospital

VA

Community Health Center

Chain/Corporate (ex. MyEyeDr or National Vision Inc.)

Academic Institution

Research Institute (ex. Schepens of Mass Eye and Ear)

Type of Service(s) you provide to patients (check all boxes where services account for 20% or more of your practice)

Primary Care including Contact Lens

Specialty Contact Lens

Pediatrics including Vision Therapy

Low Vision

Dry Eye

Myopia Control

Glaucoma

Pre and post-surgical care (ex. cataract surgery)

Donor Information

Please select areas where you would like to contribute to NECO (check all that apply)

Student Scholarships

Endowed Professorships

Research

Student Clinical Training

Innovation in Eye Care including Technology

NECO Events you would like to hear about (check all that apply)

Continuing Education

Industry Partnerships

Alumni Engagement

Research Seminars

NECO volunteer opportunities that interest you (check all that apply)

Shadow a student at your practice

Mentor a student

Mentor a recent graduate who is a practicing OD

Present at a career symposium

Have my patients or my practice participate in clinical research projects

Alumni Data Policy

Alumni data is used only for NECO purposes, such as promoting alumni events and programming; fundraising; and institutional research, such as accreditation, academic department assessment and other statistical measures that help program development. NECO will not sell your data. In addition, alumni contact information, demographic data and donor information is kept on our secure enterprise system and is not available to the public.

Why do we collect and maintain alumni data?

To share news and events with you. If we do not have your email address, we cannot send you our e- newsletters and information about our academic programs, volunteer opportunities, upcoming events including continuing education, class notes and other good news from alumni.

To measure the success of our programs. By knowing where our alumni work and the services they provide their patients, we are able to see how best to prepare graduates for the future of optometry and optometric practice. Staying in contact with our alumni is one of the ways we make sure our programs are best serving our students.

To share with accreditation committees. We look to alumni information to prove to these accreditors that our programs are indeed helping students build successful careers as Optometrists. We don’t share individual alumni information, but we do report how many of our alumni pursue additional graduate degrees and the types of career paths that our alumni take.

To ask you for your support. Throughout the year, we will share with you opportunities to support the areas of NECO that matter most to you.