INVOICE-AGENT COMMISSION

INSTRUCTIONS

In order for recruitment agency to receive payment for recruitment of student to Humboldt State University, please fill
out and submit this invoice to our office. You may also submit an invoice from your agency. However, it must contain all
of the information listed below.
Please allow 2-3 weeks for payment. If you have any questions, contact our office by email at
international@humboldt.edu or call our office at +17078264142.
Term/Session:
IELI - If the student is studying at the International English Language Institute (IELI), the sessions are: Fall 1, Fall 2,
Spring 1, Spring 2, Summer 1 or Intersession.
Undergraduate/Graduate Study: Fall Semester or Spring Semester.
Amount/Commission: We currently offer 20% commission on all ESL sessions ($464.00 per 8 weeks and $264.00 for
Intersession). Payment will be 4 weeks after the start of each session and for undergraduate/graduate study, 15%
commission after the census date.
Note: You may list multiple students on one invoice. However, you must provide an invoice for each session or term.
BILL TO:
You can mail, fax or email invoice.
Mail Invoice to:
Humboldt State University
Center for International Programs-Billing
1 Harpst StreetArcata, California, 95521-8299 U.S.A
Fax invoice to: +17078263939
Email: international@humboldt.edu
Agency Name:
Address:
State/Province:
Agency Phone:

Invoice Date:
Agent Reference #/Contract #:
Term/Session:
Description of Service:

PAY TO

Country:
Agency Fax:

PREFERRED METHOD of PAYMENT

Make sure to include Bank or Branch name, SWIFT code, Account Number, etc.

Last Name (Family Name/Surname)

1.
2.
3.
4.
5.

STUDENT INFORMATION
First (Given) Name

Total:
Thank you for sending your student to Humboldt State University!
www.humboldt.edu/international

Amount (US $)