2020 Rabb Genesis Online

Brandeis Precollege Programs

Thank you for your interest in the Brandeis University Precollege Programs. We offer online, academically robust programs for high school students.

We are glad you are interested in our online learning. We review each of our registrations to confirm your final enrollment in the program and will reach out with any questions. If you have questions, you can email us at precollege@brandeis.edu.

Once registered, students will receive information about online orientation, as well as the program schedule. Students will have access to an online learning platform, and engage in live-time online learning. Program schedules will be released in Eastern Daylight Time.

Please complete the form below to register for one of our programs.

Student Information

First Name

Preferred First Name

Middle Name

Last Name

Date of Birth

Mailing Address

Country

Street

City

Region

Postal Code

Best Student Email Address

Phone Number

Please select your program of interest below

App Design, Online July 6 - 17, 2020

Genesis, Online July 6 - 25, 2020

Global Health: Science, Medicine and the Social Determinants of Health, Online July 20 - 24, 2020

Queer Academics and Activism, Online July 20 - 24, 2020

Race, Inequality and Social Justice, Online July 20 - 24, 2020

Service Leadership, Online July 6 - 17, 2020

High School Information

Name of High School

High School Graduation Year

2020

2021

2022

2023

Current Student Grade

Senior

Junior

Sophomore

Freshman

Guidance Counselor or School Contact First Name

Guidance Counselor or School Contact Last Name

Guidance Counselor or School Contact Email Address

Statement of Interest

Please share why you are interested in Brandeis Precollege Programs:

Parent/Guardian Information

Parent/Guardian First

Parent/Guardian Last

Parent/Guardian Phone Number

Parent/Guardian Email

Signature

By signing below, you agree to the following statement: I understand that once my registration has been submitted it may not be altered in any way; and that I will need to contact Brandeis University Precollege Programs directly if I wish to provide additional information. I certify that all information submitted in the registration process - including this form and any supporting materials - is my own work, factually true, and honestly presented, and that these documents and statements become the property of Brandeis University and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, should the information I have certified be false or incomplete.

Payment

Amount Due
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Brandeis University Admissions

2020 Rabb Genesis Online