SCIC - AGENT APPLICATION FORM

AGENT APPLICATION FORM
COMPANY DETAILS
SCIC Account Manager*

FrankRominaAshleyLiviaNot sure
Legal/entity name *
Trading name*
ABN (if applicable)
Head office address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Email*
example@example.com
Phone Number*

Area CodePhone Number
Principal/ Owner
Given name*
Family name *
Job title *
Email *
Phone number
Key Contact Person
Given name*
Family name *
Job title *
Email *
Phone number
COMPANY PROFILE

Please attach company profile documentation, If available.
Year established*
Number of staff*
Number of students recruited each year *
Main Australian providers represented *
Branch office locations (list cities) *
Industry association memberships
RECRUITMENT JURISTICTIONS

Please attach company profile documentation, If available.

Type a question

	Country	Number of years recruiting from this country
1
2
3
4
5
6

MARKETING
1. What strengths do you believe the Sunshine Caost international College (SCIC) has that will allow you to promote it as a choice of English language educational institution for overseas students?
2. How many students do you believe you will be able to recruit for SCIC in the first year of representation?
3. What do you need from SCIC to help you promote it as a choice of educationalinstitution for overseas students?
INDUSTRYKNOWLEDGE AND TRAINING

Type a question

	YES	NO
Have you and key agency staff read: Education Services for Overseas Students Act 2000 (ESOS Act) The National Code of Practice for Providers of Education and Training to Overseas Students 2018 (National Code 2018) ELICOS Standards 2018
Do you and key agency staff have a sound knowledge of the Department of Home Affairs (DHA) regulations and Genuine Temporary Entrant criteria?
Have you and/or key agency staff done PIER’s Education Agent Training Course (EATC)?
Are you and/or key agency staff Qualified Education Agent Counsellors (QEAC)?
Are you and/or key agency staff registered migration agents?

Please specify ifyou have completed any other industry training:
REFEREES

Please provide two referees including at least one Australian education provider:
Referee 1
Given name*
Family name *
Job title *
Email*
example@example.com
Phone number
Referee 2
Given name
Family name
Job title
Email Address
example@example.com
Phone number
DECLARATION

I declare that all information provided in this application are complete and accurate and that all information pertaining to this application has been fully disclosed, irrespective of whether or not such information was specifically requested. I/we authorise Sunshine Coast International College (SCIC) to collect additional information on my agency if required.

I/We declare that I/we understand all relevant laws and regulations of Australia and of the countries where we recruit students, in particular those laws pertaining to Australian consumer protection, the ESOS Act, the National Code 2018 and the ELICOS Standards 2018. I/ we also agree to regularly view the Department of Home Affairs website at https://www.homeaffairs.gov.au/ to monitor policies and any changes to the policies. I confirm my obligation to always comply with such policies and regulations, including any amendments.
Name*
Position*
Signature*

Clear
Date*

DayMonthYear
SUPPORTING DOCUMENTATIONS

Please attach the followingdocuments in support of your application:
Business registration certificate (offshore agencies only)

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Company profile

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Evidence of staff training/knowledge (e.g., ETAC, QEAC)

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Registered migration agent certification, if applicable

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Current referee letters, if available

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List of branch offices with contact details, if applicable

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THANK YOU FOR TAKING THE TIME TO COMPLETE THIS FORM
Should be Empty:

AGENT APPLICATION FORM

COMPANY DETAILS

Principal/ Owner

Key Contact Person

COMPANY PROFILE

RECRUITMENT JURISTICTIONS

MARKETING

INDUSTRYKNOWLEDGE AND TRAINING

REFEREES

Referee 1

Referee 2

SUPPORTING DOCUMENTATIONS

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS FORM