Graduate/Practitioner Information Update

If you are a graduate of NYIM, we will place your business information on our referral map. This map will be available to the public to help them locate a service that is close to where they are. Make sure you click SUBMIT after you fill in the form. This information will also be used to update our Job Placement database.

Name*
First Last
Email*
Business Name*
Address*
Street Address City State ZIP Code
Phone*
Website
Place a check mark in the following box if you DO NOT want this information made available to the public.
- DO NOT publish.
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