University Sponsorship Request

Please fill in all the fields. This request should be filled in by a Full-Time Faculty member or University Administrative staff. If you are a student/part-time researcher, PLEASE DO NOT use this form, your request will be ignored.
University Name
Contact Name
Job Title
Email Address (University Assigned)
University/Department URL
I've read and understand the terms of the agreement. Specifically:
  • I am authorized by the university to enter into this agreement
  • I've read and understood the terms of the partnership
  • I've read and understood the FAQ on University Sponsorship