Request to add new sponsor

Coeus Users may use this form to request a new sponsor that is not in the Coeus sponsor list based on a search. Review the FAQ on sponsor searches.

Complete as much information as possible. Be sure to include your name and contact information so that we are able to contact you if necessary. 
  After you submit the form, a copy of the request will be sent to the Requestor Email.  If you do not receive the email or if you have not received any response within 8 work-hours after you submit the form (that is, by the next work-day), please contact Janet Simons or Dennis Paffrath in ORD.

NOTE:  For U.S. addresses, please provide a 9-digit Zip Code when possible.

Fields marked with * are required.