Master's Certificate Enrollment Form

Complete the form below to enroll in a Master's Certificate. If you have questions at any time, please contact our enrollment advisors at 781-736-8787 or online@brandeis.edu.

Certificate Program

Master's Certificate

Contact Information

First Name

Middle Name

Last Name

Preferred Name

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Email Address

Biographical Information

Birthdate

For 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.

Legal Sex

We understand that gender identity can be expressed in a variety of ways. Should you wish to elaborate on your response in the above Biographical Information section, you are invited to respond to the following optional question concerning gender identity. Your response will not affect your enrollment.

Gender Identity

Citizenship

Permanent Resident

Yes

No

Social Security Number

Please carefully review the following statement and click the checkbox to state that you understand the statement.

For those students who are not U.S. Citizens or U.S. Lawful Permanent Residents (Green Card holders): Please be advised that the Division of Graduate Professional Studies, in the Rabb School of Continuing Studies, is unable to issue F-1, M-1, or J-1 non-immigrant student visas for its part-time graduate programs, in accordance with U.S. immigration regulations.

Individuals who hold visa statuses in the U.S. that also allow for pursuit of study (such as H-1B1, R-1, L-1, Trade NAFTA), may pursue coursework at the Rabb School provided they fulfill the terms, and maintain the validity, of this status while studying at the Rabb School. If a student is currently in the U.S. pursuing full-time study at another college or university, and holds an F-1, M-1, or J-1 student visa from that institution, s/he is advised to contact the Designated School Official/Responsible Officer at the sponsoring institution to obtain authorization to pursue study at the Rabb School, while simultaneously maintaining full-time student visa status at the original, visa-sponsoring institution.

I understand the above written statement.

Employer Information

In order to enroll in the Healthcare Analytics Certificate program, you are required to be currently employed in the healthcare field.

Employer

Partners HealthCare Affiliation

Other - Employer

Education

In order to enroll in the Healthcare Analytics Certificate program, you are required to have completed a four-year bachelor's degree from a regionally accredited U.S. institution or equivalent.

In order to enroll in the Jewish Professional Leadership program, you are required to have completed an associate's degree from a regionally accredited U.S. institution or equivalent.

If you completed your degree outside of the United States, you may be required to submit an English Proficiency test (IELTS or TOEFL).

In order to enroll in the Cheminformatics, Drug Discovery or Genomics Certificate programs you are required to have completed a four-year bachelor's degree from a regionally accredited U.S. institution or equivalent. You are also required to fulfill the prerequisites listed below.

I have completed a completed a four-year bachelor's degree from a regionally accredited U.S. institution or equivalent.

Yes

No

I have completed an associate's degree (at minimum) from a regionally accredited U.S. institution or equivalent.

Yes

No

Name of university:

Year of graduation:

I have completed undergraduate coursework in Molecular Biology or Biochemistry

Yes

No

Please provide the institution and date where the course was completed:

I have completed undergraduate coursework in Statistics, Probability or Biostatistics

Yes

No

Please provide the institution and date where the course was completed:

Are you a Brandeis Alum?

From which school did you graduate?

What year did you graduate?

Additional Information

How did you hear about us?

US Armed Forces status

Were you referred by a friend?

Yes

Name of Referrer

Upload your current resume:

Please upload your academic transcript showing that you have completed an associate's degree from a regionally accredited U.S. institution or equivalent.

A transcript copy can be used to process your enrollment. An official transcript sent from the institution is required by the start of classes, and can be sent to online@brandeis.edu

Scholarship Opportunity

If you would like to be considered for a tuition award for the Jewish Professional Leadership online certificate, please answer the following prompt:

Highlight any leadership experiences that demonstrate your potential to make a positive impact in the nonprofit space. How will this scholarship help you achieve that potential?

Master's Certificate Enrollment Form

Complete the form below to enroll in a Master's Certificate. If you have questions at any time, please contact our enrollment advisors at 781-736-8787 or online@brandeis.edu.

Why Choose Brandeis