Employer Reimbursement Form

Student must be registered for classes to apply for Employer Reimbursement Deferment.
Student Information
Student Name:  required
USC ID: required
USC Email:  required, (ends in @usc.edu)
Is student an undergradudate?     Yes       No
Major:
School:
Term to be deferred:

Comments:

Please make sure all information has been entered before submitting.