HSSP89a: Student profile

Please email Andrew Hart (andyhart@brandeis.edu or andrew.robert.hart@gmail.com) to let him know you have completed this form. This is only one of several steps you must take to gain approval for your internship to count towards your HSSP HOE requirement.

    STUDENT INFORMATION

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    INTERNSHIP INFORMATION

    This is a required question
    Summer
    Fall
    Spring
    This is a required question
    Summer
    Fall
    Spring
    This is a required question
    Summer
    Fall
    Spring
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    POST-BRANDEIS PLANS

    This is a required question
    This is a required question
    This is a required question

    AFFIRMATION OF STUDENT'S RESPONSIBILITIES FOR HSSP89A (AND, IN PART, HOE) REQUIREMENTS

    I understand that I (the student electronically signing below) must fulfill the following requirements to secure an approved internship and enrollment in HSSP89a: 1) Meet with the internship instructor in the fall of my sophomore or junior year, 2) Complete this form BEFORE any meeting with the internship instructor, 3) Declare HSSP as a major, and 4) Complete the required internship approval form AND receive written approval BEFORE beginning my internship. I further understand that: 1) I must plan accordingly with particular attention to timing so that I do not risk non-approval of my internship, and 2) Failure to plan may result in more unintended time and resources devoted to my completion of the HSSP major.
    This is a required question

    Please email Andrew Hart (andyhart@brandeis.edu or andrew.robert.hart@gmail.com) to let him know you have completed this form. This is only one of several steps you must take to gain approval for your internship to count towards your HSSP HOE requirement.