Diversity Overnight Host Form

Thank you for volunteering to be a diversity overnight host! Please take the time to fill out this brief form. As a host, your responsibilities include providing an insight to life at Brandeis, hosting students in the residence halls, and joining us for dinner on the first night! After completing this form, you will receive an email with more information about hosting. Thank you for your interest in volunteering with the Undergraduate Admissions Office!

If you have any questions, please contact diversityflyin@brandeis.edu.

Proxy Information

In the event that we cannot reach you, please provide the name and telephone number of a friend who would know your whereabouts. We will only contact this person if we cannot reach you after multiple attempts.

Name (First & Last)

Mobile Phone Number

Electronic Host Contract

By entering your name in the electronic signature below, you are agreeing to the rules and regulations. While hosting a potential member of the Class of 2024 can be an enriching experience, we want to remind you that it also requires responsibility. Please recognize the role in supporting the safety of your guest. The following must be adhered to:

I will respect my guest.
I will not leave campus during the event with my guest, unless I am attending to an emergency situation and I have notified campus officials.
I will not drink alcohol or take drugs in the presence of my guest or permit my guest to partake in such activities.
I will be attentive to my guest, and in the event that I cannot be with my guest, I will find another responsible individual to serve as host until my return.

I understand, if I do not follow this contract, I may be referred to the University Board of Student Conduct.

I understand my responsibilities and will fulfill them to the best of my abilities.

Electronic Signature for Host Matching (please type your full legal name in the box below)

Brandeis University Admissions

Diversity Overnight Host Form