Full-time Student Request Form

Students requesting to take a full course load should review all academic and refund policies prior to the completion of this form. Students should contact their student advisor prior to completing this form.

Note: This form must be completed prior to each registration period.

Student Information

First Name

Last Name

Brandeis Email Address

Preferred Email Address

Birthdate

Student ID

Course Information

Session

Course 1 - Number and Title

Course 2 - Number and Title

Course 3 - Number and Title

Reason for Taking Three Courses

I certify that all information above is accurate.

Why Choose Brandeis

Brandeis combines the breadth and scope of a world-class research university with the intimacy and accessibility of a small liberal arts college. Consistently ranked among the nation’s best universities, Brandeis is widely recognized for the excellence of its teaching, the quality and diversity of its student body and the outstanding research of its faculty. As a leading research university and member of the prestigious Association of American Universities, Brandeis fosters self-motivated, curious students ready to engage new experiences and equipped for global endeavors.