Lead College Agent Application Form

Agent Application Form
Company Legal Name *
Company Trading Name *
Company Registration Number *
Business Registration Number
Australian Business Number
(for Australian-based companies only)
Business Address
Unit Details
Street Number *
Street Name *
PO Box Details
City/Suburb *
Post Code *
Postal Address
Building Name
Unit Details
Street Number *
Street Name *
PO Box Details
City/Suburb *
Post Code *
Email *
Phone *
Fax
Year Established *
Website
Number of Staff/Counsellors *
Migration Agent Authority Number (MARN)
Description of Business/Brief Summary *
Staff Information (Director / CEO / Managers / Counsellors)
Name *

Prefix First Name Middle Name Last Name
Gender *

Male Female Other
Position Held *
Email *
Qualifications *
Name

Prefix First Name Middle Name Last Name
Position Held
Email Validator
Qualifications
Name

Prefix First Name Middle Name Last Name
Position Held
Email Validator
Qualifications
Number of Staff *
Number of Students Recruited (annually) *
Target Market (regions.countries of client base & courses of interest to your clients) *
Optional: Details of other Institutions/Universities you currently represent in Australia & other Countries

Please list
Name of Institution *
Name of Institution *
Name of Institution *
Name of Institution *
Name of Institution *
Performance
The number of students referred to Australian education institutions over the past 2 years.
High School & ELICOS Courses *
Vocational Courses *
Undergraduate Courses *
Post Graduate Courses *
Compliance
Please tick Yes or No and Complete All Sections
1. Do you understand that students coming to Australia on a student visa must have a primary purpose of studying and must study full time? *

Yes No
2. Do you understand that students coming to Australia on a student Visa must be a Genuine Temporary Entrant (GTE) approved candidate? *

Yes No
3. Do you understand that you must not make any guarantees about achieving residential status in Australia, but you can refer students to the relevant website? *

Yes No
4. Do you understand that you must not make any guarantees about completing the courses without achieving the requisite to completion of the courses? *

Yes No
5. Do you have the knowledge of the requirements of the Education Services for Overseas Students (ESOS) Act 2000 and National Code 2018 as an Education Agent? *

Yes No
6. Please list the main responsibilities of Education Agents under the National Code 2018. How do you comply with these obligations? *
7. Do you regularly monitor the Australian Department of Home Affairs website? *

Yes No
8. Are you prepared to comply with the requirements of Lead College regarding advertising, course material and application procedures, and provide accurate information to students to make informed decisions. *

Yes No
Do you have a representative in Australia? If so, please provide the details below. *

Yes No
Company Name
Business Address (If marked Yes)
Building Name
Unit Details
Street Number
Street Name
PO Box Details
City/Suburb *
Post Code *
Company Business Reg No.
Phone
Fax
Description of Potential Markets
What do you believe is the most effective marketing strategy to employ in your region or market? *
From which geographical area will your potential market come? Please describe any strengths you have in these regions to justify your choice. *
Please describe the characteristics of your potential market (age, income, educational background, university networks, etc.). *
What is the most suitable time of the year to conduct a marketing trip to your region or a visit to your office to recruit students? *
Student Services
Please outline the support services you offer to students. *
Do you charge students any service fees? If yes, please provide details. *
Academic References
Please list the names and contact details of three (3) professional referees you represent:
Referee 1
Institute Name *
Contact Name *
Email *
example@example.com
Phone *
Referee 2
Institute Name *
Contact Name *
Email *
example@example.com
Phone *
Referee 3
Institute Name
Contact Name *
Email *
example@example.com
Phone *
Declaration
I (Full Name), *
confirm that the information provided is true and accurate to the best of my knowledge and I authorise Lead College to approach referees to collect any information/details as you may request from time to time.
Signature *

Clear
Date *

Day Month Year
Date
Critical Document Checklist Required Attachments

In order to assess your application, the following documents are required: *

	Supplied
Evidence of business registration
Company/Business profile
Photo of premises and staff
Documents that you believe will support your application, particularly describing the student services you provide
Evidence of professional memberships, if any
Supporting promotional materials/information provided to international students, including website URL

Upload Documents *

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Cancel of
Date *

Day Month Year
Date
Agent Application Form | V2.0 - Revised June 2020

ABN: 63 604 422 853
Should be Empty:

Agent Application Form

Optional: Details of other Institutions/Universities you currently represent in Australia & other Countries

Performance

Compliance

Description of Potential Markets

Student Services

Academic References

Declaration

Critical Document Checklist Required Attachments