Applications and Forms | University Club of USC

Application for Current Employees

Membership in the University Club is open to USC Faculty, post-docs, eligible Staff and University Affiliates. This application is for current USC employees only. If you would like to apply for an affiliate membership, please click here or for a retired membership, please click here and you will be redirected to the correct page.

Fields marked with an * are required.

Desired username *

Email *

First name *

Last name *

Birthday *

Address

Primary phone *

Mobile phone (if different)

Campus address *

Preferred Address (for billing and notices) *

Academic rank or administrative title *

Department *

School or division *

7 digit university ID *

Date of hire (mm/dd/yyy) *

Payment frequency

Would you like a card for your spouse/partner as well?

Spouse/partner's name *

Spouse/partner's birthday *

University Club dues of $300 can be paid annually using payroll deduction, internal requisition, cash, or credit card. *

University payroll deduction - dues and meal charges are paid by regular payroll deductions. The University of Southern California is hereby authorized to deduct University Club food and beverage charges and dues from my monthly payroll. The first 6 months of club membership is free for eligible USC employees who are first-time members. Payroll deduction of dues will commence automatically at the end of the 6 months unless the membership is canceled in writing to the University Club business office. By submitting this application, you are agreeing to these conditions.

Paid by departmental requisition - requisitions for dues if paid by your department are due in our business office before the start of each fiscal year. My dues will be paid by USC departmental requisition. I understand that my membership will be automatically renewed annually and be charged to the USC departmental account provided on the original requisition at the beginning of each fiscal year unless the membership is canceled in writing to the University Club business office. (A reminder of this will be sent to members prior to the beginning of each fiscal year to confirm this arrangement, or provide an opportunity to convert the membership dues to be paid by personal payroll deduction.) By submitting this application, you are agreeing to these conditions.

Cash, Visa, Mastercard or American Express - to be paid at the University Club, by mail, online, or over the phone.

Roster Preferences

Show me in the roster
Show my email
Show my office address
Show my primary phone
Show my spouse/partner's name

Comments

Enter code 9562 *