Brandeis Summer School - New Student Record Creation Form

Please complete the form below if you do not already have a Brandeis Student Record and would like to register for Summer School classes in Workday (the Brandeis student records system). This form will begin the registration process by creating a new Brandeis student record.

If you are already an existing Brandeis Student, please do not attempt to create a new student record. As a current student, you can use the information found here to register for summer classes.

Personal Information

First Name

Middle Name

Last Name

Preferred First Name

Birthdate

Legal Sex

Female

Male

X or another legal sex

Contact Information

Email Address

Brandeis Email Address (if applicable - leave blank if you do not already have a Brandeis address)

Email Address Type (Hidden)

Home Phone

Cell Phone

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship Details

Country of Citizenship

U.S. Permanent Resident?

Yes

No

SSN (US residents only)

Academic Details

What is your affiliation with Brandeis?

Current Brandeis Undergraduate Student

Current Brandeis Graduate Student

Past Brandeis Student (Graduate or Undergraduate)

New Visiting Student (Graduate or Undergraduate)

Returning Visiting Student

High School Student

Brandeis Employee

Do you already have a Brandeis student ID number?

Yes

No

Brandeis Student ID Number

Institution

Degree

Please detail which other degree

Year of Graduation

High School Student Information

High School students who have completed their junior year of high school or equivalent may apply to take select Summer School courses. As part of the application, a high school transcript needs to be sent to the Summer School Office via email to summerschool@brandeis.edu and recommendation from a teacher or guidance counselor are required. This form will ask for the contact information of your recommender so that we can send them a unique URL for their recommendation.

Please note that we are unable to provide supervision to minors, therefore Summer School courses are open only to High School students who reside locally or have made their own housing arrangements and will commute to campus for classes. Additionally, financial aid is not available for visiting high school students.

High School Name

Year of Graduation

Tell us why you are interested in taking college-level courses this summer? Please also tell us what courses you are interested in taking with us this summer?

Recommendation Details

Please provide details about your recommender. You recommendation must be from a teacher or guidance counselor.

Name of Recommender

Reccommender email address

Relationship to the recommender :

Teacher

Guidance Counselor

Other

Please specify :

Parent Information

Name of Parent of Guardian

Email address of Parent or Guardian

Additional Information

Please specify any additional details about your answer above.