Employer Sponsorship Form

Employer Sponsorship Form

This form is to be completed and submitted to MCC prior to the start of the class(es).
Student Name

First NameMiddle NameLast Name
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email
example@example.com
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
MCC Student ID Number
Your MCC student number is emailed to you after you are accepted. If you do not have a student number, please do not complete this form until you do.
Semester
Academic Year
Please use the full 4 digit year (i.e. 2024).
Employer/Sponsor (to be billed)
Please type in the name of your company/sponsor (For example, Howmet, Trinity Health, etc)
Employer/Sponsor Email
Please type in the email of the person at your company/sponsorship that should sign off/approve.
Add the courses requiring sponsorship below:
Please be sure to include the class & section number for each class (example, ENG 101 F08)
Student Release Authorization

I certify that all the answers on this application are complete and accurate to the best of my knowledge. I agree to become knowledgeable about MCC's rules and regulations and abide by them. I understand that course transferability varies by institution, and that it is therefore my responsibility to check with the recieving institution to see if my credits will transfer. MCC may release my grade, transcripts and other information relating to my attendance and progress to the sponsoring company/organization and officials noted on this form.

I understand that I am responsible for ALL tuition and charges related to attending MCC if a course is not approved by the sponsor. Students are responsible for all costs associated with erolled courses in addition to or in lieu of the ones noted above.

Please sign and date below if you agree.
Student Signature

Clear
Today's Date

MonthDayYear
Sponsor/Company Information
Employer/Sponsor- Please check ALL that apply to the applicant:
Sponsor/Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Title of Signing Official
Please indicate your title at listed company
Employer/Sponsor Release

Signing this form indicates the sponsor agrees to be billed for any and all costs accrued for the authorized classes. If the student fails to complete the course(s) or withdraws after the published refund period, the sponsor guarantees payment to MCC. Invoices are processed after the refund with terms of "Net 30 Days". Signing this form means the sponsor guarantees payment without regard to the completion of the class, the final grade or termination of employment.
Sponsor Signature

Clear
Should be Empty:

Employer Sponsorship Form

Sponsor/Company Information