Sponsorship agreement
Section A: Student details
(If more than one student is to be sponsored you may attach a separate list detailing Student Names, Student IDs, Course Codes and Course Names)
Student Name
Student ID
Course Code
Course Name
Section B: Sponsor details
Sponsor/Organisation Name
(This name will appear on the invoice)
Postal
Address
Name of contact
(Invoice will be sent to this person)
Telephone
Email
Section C: Sponsor agreement details
Full duration of the course
❑
Current academic year only
❑
Duration of
sponsorship
Current study period only
❑
Other (please specify) _____________________________________
❑
All fees
❑
(Student Services and Amenities Fee plus HECS/Tuition Fees)
HECS/Tuition Fees only
❑
Level of sponsorship
Student Services and Amenities Fee only
❑
Other
______________________________________
❑
(please specify)
Section D: Sponsor authorisation
I confirm that:
•
I have read and accept the conditions noted under the important information section of this
agreement
•
I am authorised to sign this agreement on behalf of the sponsor organisation
Signature
__________________________________ Print Name____________________________________
Date
______________________
Position Title______________________________________________ Telephone________________________
Email
_________________________________________________________________________________
Deakin University CRICOS Provider Code 00113B