USC Rossier School Business Management Certificate Program Application

Please make sure that you complete all fields and documents required. Your application will not be reviewed nor processed if it is incomplete. To successfully complete this application you will need an updated resume and two professional references with their email addresses and phone numbers listed.

Registrant Information

First Name

Last Name

Personal Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Employment Information

Current workplace (School District / Company):

Title/Position

Work Email

Work Phone

Number of years in this position:

Number of years in this district/company:

Work Mailing Address

Country

Street

City

Region

Postal Code

Education

Highest Degree Granting Institution

Highest Degree Held

Other Degrees/Certifications Held (Optional)

Eligibility Requirements

Resume

Please upload your current resume as a PDF.

Professional References

As a part of your application to the School Business Management Certificate Program, you are required to supply two professional references with their email addresses and phone numbers and listed.

Reference 1

Reference 01: First Name

Reference 01: Last Name

Reference 01: Email Address

Reference 01: Phone Number

Reference 2

Reference 02: First Name

Reference 02: Last Name

Reference 02: Email Address

Reference 02: Phone Number

How did you hear about this Professional Development program? (Check all that apply)

Please indicate your method of payment. If you are paying tuition by purchase order, an invoice will be sent upon your official acceptance into the program. Your enrollment will not be finalized until a purchase order is received.

Credit Card

Purchase Order

Purchase orders can be processed for Districts, however, your district must be set up as a vendor here on our end. Please fill out the Purchase Order Request Form that can be accessed HERE

The following information will be needed:

Name of District

Billing Contact Person

Billing Address

Attendee's names and email addresses

W9 is embedded within the above PO Request Form along with email to send it to

Once the approved purchase order (with a purchase order number) has been received, we will await your check for tuition for your registration to be considered complete.

Payment Details

At the time of application, you will be charged a $25 application fee. You will be redirected to a payment page once you click 'Submit' below. Your application will not be reviewed until you have paid this fee.

Amount Due:

A non-refundable deposit of $800 is due upon admission to this program. The remaining tuition ($7200) is due June 1st.