Agent Application Form

APPLICATION INFORMATION
NAME OF PROPRIETORS/DIRECTORS
NUMBER OF STAFF
COMPLIANCE WITH ESOS REQUIREMENTS
SUBMIT

Name of the Business/Company:

Name

Position

Background, qualification, and previous experience

Name

Position

Background, qualification, and previous experience

Business Registration number

Business Address

Telephone Number

Email Address

Website

Is the recruitment of students the core of your business?

Yes
No

For how many years has your business/company been involved in education counseling?

Country of Operation:

Do you have business premises which are suitable to adequately represent SEA?

Yes
No

Do you have another office/s operating under the same name?

Yes
No

Do you have any subsidiaries or associated offices that operate under a different company name?

Yes
No

How many staff are employed in your organisation?

How many of these staff are student counselors?

How long have these counselors been working in your company?

What languages do your counselors speak?

How many of your counselors have studied in Australia?

Do you belong to an Agents Association/Professional Network? eg. ICEF, PIER

Yes
No

Which other Australian institutions do you currently represent?

When is the most suitable time of year to conduct a marketing trip to your region or a visit to your office to recruit students?

How do you maintain your staff’s professional development?

How do you market SEA courses?

How many students do you propose to place with SEA in the next 6 months?

PLEASE ENSURE THAT YOU PROVIDE THE NAMES, CONTACT TELEPHONE NUMBERS AND E-MAIL ADDRESSES OF TWO REFEREES FROM INTERNATIONAL OFFICES OF OTHER AUSTRALIAN INSTITUTIONS THAT YOU CURRENTLY REPRESENT THAT WE MAY CONTACT

Name of Australian institution:

Name of contact person:

Tel.:

Fax:

E-mail:

Name of Australian institution:

Name of contact person:

Tel.:

Fax:

E-mail:

THIS APPLICATION WILL NOT BE PROCESSED IF THE ABOVE INFORMATION IS NOT PROVIDED.

Please use the space provided to include any other information you consider to be of importance to this application.

SIGNATURE

Printed Name

Date

Signature

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Country of Operation:

THIS APPLICATION WILL NOT BE PROCESSED IF THE ABOVE INFORMATION IS NOT PROVIDED.

SIGNATURE

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