UDR Reporting Form - Pilot Program

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This form will guide your UDR activities this semester and should be informed by discussion between all the UDRs in your department/program and the faculty/staff with whom UDRs plan. You will receive a copy of your responses and will be expected to either follow this plan or communicate changes to your Lead UDR.

Email *

Department/Program *

Name of UDR Completing this Form *

Name, Class Year, and Email of all UDRs in the Department/Program *

Name and Position of Faculty/Staff UDR Advisor *

What are your goals for the upcoming semester for your department/program? (Example: to increase career development for majors) *

What department/program initiatives will you be working on this semester? (Example: to build an alumni contact database) *

What events will you be organizing for this semester? (Example: a Hiatt-sponsored resume workshop) *

What resources or support will you apply for or need? (check all that apply) *

UDR Funding

UDR Grant (for collaborative initiatives)

Department/program funding

Brandeis Pluralism Alliance grant

None

Other

Required

If 'Other' was checked above, please specify:

Please provide a timeline of planning/execution for the initiatives and events listed above. *

Is there anything else we should know?

A copy of your responses will be emailed to the address you provided.

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