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Continuing Education and Conferences
CEU Sponsor
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Request for CEC Sponsorship
Are you an organization outside of the University requesting the Office of Continuing Education and Conferences to sponsor a Certificate Program?
Are you an organization outside of the University requesting the Office of Continuing Education and Conferences to sponsor a Certificate Program?
Yes
No
Sponsor Name
Sponsor ID
Sponsor Type
Corporate
Cosmetology
Government Agency
Nonprofit
USC Department
Association Name
Education Program Provider
Business / State Agency
Campus Partner?
Campus Partner?
Yes
No
FEIN Number
Nonprofit ID Number
Primary Contact Information
Primary Contact First Name
Primary Contact Last Name
Primary Contact Email
Primary Contact Address
Primary Contact Address
Country
Street
City
Region
Postal Code
Primary Contact Address Priority [Internal]
High Priority
Normal Priority
Low Priority
Inactive
Primary Contact Address Type [Internal]
Mailing Address
Permanent Address
Add Primary Contact Email to Devices
Email Address Device Type for Primary Contact
Email Address
Email Address High Priority for Primary Contact
High Priority
Normal Priority
Low Priority
Inactive
Primary Contact Phone Number
Add Primary Contact Phone to Devices
Primary Phone Device Type for Primary Contact
Primary Phone
Would you like to add a secondary contact?
Would you like to add a secondary contact?
Yes
No
Secondary Contact
Secondary Contact First Name
Secondary Contact Last Name
Secondary Contact Email
Secondary Contact Phone Number
Billing Contact Information
Billing contact is different from primary contact?
Billing contact is different from primary contact?
Yes
No
Billing Contact Name
Billing Contact Email
Billing Contact Phone Number
Billing Contact Address
Billing Contact Address
Country
Street
City
Region
Postal Code
Billing Address Priority [Internal]
High Priority
Normal Priority
Low Priority
Inactive
Billing Contact Address Type [Internal]
Mailing Address
Permanent Address
Billing Contact Name
Billing Contact Email
Billing Contact Phone Number
Display Name
Key
Submit
