Application to Be a Sponsoring Agency

Sponsoring Agency
Sponsor Name:
Web Site: optional
Sponsor Contact Information
Contact Person:
Contact Email:
Contact Phone:      Ext:  optional
Mailing Address
Address Line 1:
Address Line 2: optional
City, State, Zip+4: 
Charges Agency Will Pay
Please check all
that apply
Mandatory Fees
Dining / Meal Plans
Health Insurance
Dental Insurance
Tuition Refund Insurance
Parking Permits
Other: (please describe below)
Billing Preference
 EMAIL: Please email invoices to sponsor contact's email address.
 MAIL: Please mail invoices to sponsor contact's mailing address.
Sponsor's Agreement to USC Terms
By checking this box,
the agency agrees that:
  1. Agency must accept USC’s agency invoices without modification. For more information, please see Understanding Your Agency Invoice.
  2. Agency must pay USC’s agency invoices within 30 days of receipt by check, wire or ACH transfer (instructions provided on invoices).
  3. Agency may not require completion of the course(s) or verification of grade(s) as a condition of payment.

All information is required except where indicated as optional.