Document 10380439

Please have the Sponsor complete this form in its entirety and return via e-mail, fax or mail
• E-mail: [email protected]
• Fax: 719-255-3911
• Mail: Campus Wide Extended Studies, 1420 Austin Bluffs Pkwy, Colorado Springs, Colorado 80918
Letter of Authorization-Third Party Sponsorship
This letter of authorization authorizes the University of Colorado to directly bill a sponsor for tuition or related expenses.
Sponsored Student Name:
Amount of sponsorship or the
basis for calculating the award
(max $ amount of award):
Sponsored Student’s ID #:
Type of charges the sponsor will pay
(tuition, fees, on-campus housing,
books, parking, etc.):
Sponsor’s name and direct billing address:
Any applicable purchase order numbers, work
order authorizations or other billing codes:
The period of the sponsorship
(semester or length of time)
Contact name, phone number, and e-mail address:
Additional Comments or unique billing requirements
(company ID numbers, badge numbers, contract numbers
or any other pertinent information needed on the invoice)
By signing this form, you the sponsor, commit to pay the above designated charges for the listed student.
Signature of the Sponsor
(or other person(s) authorized to make
commitments on behalf of the sponsor)
Printed Name and Title: