Special Student (Non-Degree) Application

Instructions

Please provide your biographical and educational information below. You will have the option of uploading a PDF of your final undergraduate transcript, which must indicate that you have earned a bachelor's degree. Please note that this form is not for Brandeis employees; Brandeis employees should follow the steps on the Human Resources website.

In addition to this form, you will need to provide an email from the course instructor approving your enrollment in their course.

Please contact Carrie Robertson with any questions about completing this form.

Biographical and Contact Information

First Name

Preferred First Name (optional)

Last Name

Suffix

Email Address

Birthdate

Legal Sex
For the purposes of this question, legal sex is defined as the current marker on your government identification documents. This includes things like your birth certificate, passport, state ID, or driver's license.

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Country of Citizenship

Undergraduate Educational History

At which institution did you receive your undergraduate degree?

When did you earn your bachelor's degree?

Upload your undergraduate a PDF of your final, undergraduate transcript indicating that you have earned a bachelor's degree. If you are unable to upload your transcript at this time, please arrange for it to be electronically delivered to Carrie Robertson.

Brandeis Course Information

What term are you looking to enroll in?

Provide the name and course number of the class that you would like to enroll in. If you do not know this information, you can find it in the Brandeis Schedule of Classes.

Provide the name of the course instructor. Please note that you will need to contact this instructor and have them email Carrie Robertson with approval for you to take their course.

Signature

By typing my full legal name below, I confirm that the information above and in any attached documents is complete and accurate:

Graduate School of Arts and Sciences

Special Student (Non-Degree) Application