Heller Microcredential Application Creation Form

Microcredential Program

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Microcredential Program

Not all courses are offered each term. The following courses are scheduled for the fall-1 late August start:
AI Literacy: Understanding and Mitigating Algorithmic Bias

Biographical Information

First Name

Middle Name

Last Name

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship

Permanent Resident of US

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

Current Employer - Brandeis Corporate Partners (if applicable)

Partners HealthCare Affiliation (if applicable)

Current Employer - if not listed above

Are you a Brandeis alum or current student?

Yes

No

From which school did you graduate?

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