Education Agents Application Form | RTO Code 45457 | CRICOS Code 03734
Company Details and Background
Business Legal name:
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Trading name (if different from Business Legal Name):
Company/Business Registration Number
*
Business Address
*
Years Established
*
Phone
Number of staff
Email
example@example.com
Number of international offices
Website
Locations of International Offices (if applicable)
Please describe your business activities:
Director and Employee Details
Person 1
Name:
*
Position
*
Qualifications and previous experience
Person 2
Name:
Position
Qualifications and previous experience:
Potential Markets and Services to be Provided
What are your main target markets?
*
What marketing strategies will you use to promote our courses?
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Please outline any support services that you offer prospective students.
Do you charge students any fees for your service? If YES, please provide
Agency Performance and Compliance
How many Australian education institutions are you currently representing?
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How many students have you referred to Australian educational institutions in the past 2 years?
*
Please briefly outline how you and your organisation will fulfil your responsibilities as an education agent as required by the National Code 2018. Please attach additional information such as company flyers etc. if required.
*
Have you or any of your staff completed the Education Agents Training Course (EATC) available through www.pieronline.org?
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Yes
No
If yes, please list who has completed the course.
Do you have a comprehensive understanding of the requirements of the ESOS Act and National Code?
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Yes
No
Do you regularly monitor the Australian Department of Home Affairs - Immigration and Citizenship (DHA) website (https://www.homeaffairs.gov.au/) and the Department of Education and Training
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Yes
No
Are you willing to comply with the requirements of Australian Academy of Business and Technology PTY Ltd. regarding advertising, course materials and application procedures, and provide accurate information to students?
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Yes
No
Are you prepared to use the marketing materials provided by Australian Academy of Business and Technology Pty Ltd to promote our courses?
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Yes
No
Additional Information
Please provide any other information that you think will support your application.
References - Please provide details of at least 3 Australian education providers that we can contact for a reference.
Institution 1
Name of the Institution
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Contact Person
*
Position
*
Phone Number
*
Email Address
Dates when you worked with them
/
Month
/
Day
Year
Date
Institution 2
Name of the Institution
*
Contact Person
*
Position
Phone Number
Email Address
Dates when you worked with them
/
Month
/
Day
Year
Date
Institution 3
Name of the Institution
*
Contact Person
*
Position
*
Phone Number
Email Address
Dates when you worked with them
/
Month
/
Day
Year
Date
Declaration
In signing this agreement, you declare that:
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You have read and understood the extract from the ESOS Act 2000 Obligations of Agents.
The answers and details provided in this application are true, accurate and complete.
Australian Academy of Business and Technology PTY Ltd is authorised to contact the referees listed to collect information about my conduct and services.
You acknowledge and agree to the privacy statementprovidedbelow.
Privacy Statement
All information collected, used or disclosed by Australian Academy of Business and Technology Pty Ltd is confidential and is protected by the Privacy Act 1988 and other relevant legislation. Australian Academy of Business and Technology Pty Ltd’s policy is outlined in the Information Privacy Policy available from our website. Information about Agents or students may be made available to Commonwealth and State agencies if required to provide the information by law.
Signature
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Printed Name
*
Date
*
/
Month
/
Day
Year
Date
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