Applications and Forms | University Club of USC

Considering rejoing the University Club? Request a renewal below and a University Club staff member will contact you for a follow-up. If you would prefer to be reached by phone, please include a note with your phone number in the comments section.

"*" indicates required fields

First Name*

Last Name*

Email*

Member Birthday

School or Unit

Department

On-Campus Building and Room Number (e.g. KSH 101)

Mail Code (e.g. MC: 1541)

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Spouse or Partner Free Membership*

Yes

Spouse/Partner Name

Spouse Partner Birthday

Comments

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Comments

This field is for validation purposes and should be left unchanged.