Education Agent Reference Check Form

Education Agent Reference Check Form
Agent Location (Country)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agent Organisation Name
Referee Details
Organisation Name
Phone Number

Country CodePhone Number
Contact Person
Address
Email
example@example.com
How long has the agent been associated with your organisation for?
How many students has the agent enrolled with your organisation (approx.)?
How many students from these were cancelled with your organisation (approx.)?
What are the services that the agent provides to your institution?
Are there any complaints from students or other agents about this agent?
If YES, please specify below
Accurate and ethical marketing information provided by the agent about courses offered, fees, refund policy etc.
If NO, please specify below
Would you recommend us to collaborate with this agent?
Are you satisfied with the quality of this agent’s work? Please rate on a scale of 1-5, with 1 being ‘Unsatisfied’ and 5 being ‘Very Satisfied’.
Any additional Comments
Signature
Date

DayMonthYear
Date
Should be Empty:

Referee Details