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Agent Registration

Organisation Information
Agent Questionnaire
Final Submission

Agency Information

Company Legal Name *

Business Name *

Agency Address*

City*

State/Province*

Country*

Postal Code*

Telephone*

Company Web Site*

Signing Entity Information

Title*

Mr.

Ms.

First Name*

Last Name*

Title/Designation*

Email Address*

Point of Contact Information

Title*

Mr.

Ms.

First Name*

Last Name*

Title/Designation*

Email Address*

Agent Questionnaire

1. When was your Company Founded?*

2. Are you working with Sub-Agents? *

Yes

3. Which Universities / Colleges are you working with in Canada?*

3. a) If any other, please specify?

4. Which Country/Nationalities do you recruit from? *

5. How many students did you recruit overseas in the last year? Please specify number of students and the countries you sent them to with the percentage of each.*

IsApplicable	Country	# of Students

6. What Programs where the students recruited into ? Please specify the percentage of students in each level of education.*

IsApplicable	Level of Education	# of Students

7. How many staff members does your company have?*

Agent Questionnaire

8. Which programs are highly popular in the region from where you recruit students?*

9. What Marketing Strategies do you follow to promote your services?*

10. Do you have any branch offices? If yes, please specify the locations. *

11. Please share two University/Institution names for reference checks.

IsApplicable	School Name	Contact Name	Position	Email	Phone