If the Company/Agency issues purchase orders/vouchers/LOI to Cuyahoga Community College, the Third Party Authorization form must be included with the purchase order/voucher/LOI unless the purchase order/voucher/LOI already includes the following information:
Student Information
Sponsor Information
Please list the students that the Company/Agency is sponsoring for the term selected above and the maximum amount of charges to be billed. If the Company/Agency is paying a % of costs, please indicate the % to be billed to the Company/Agency. If additional space is needed, please attach a list of students on Company/Agency letterhead.
Student 1
Student 2
Student 3
Student 4
Student 5
Student 6
Terms and Conditions
All unpaid sponsor balances will be remitted to the Ohio Attorney General's office for collection efforts.
By clicking Submit you agree to to the terms and conditions stated above.