Education Agent Application Form

EDUCATION AGENT APPLICATION FORM
ABOUT THIS FORM

Thank you for your interest in becoming an education agent with Sage College Australia. Once we receive your application, we will acknowledge we have received your application within 3 working days of receipt. If you require any assistance in completing this form, please contact us by phone or email. Please ensure you include the details of two referees who can support your application. Once we have assessed your application (within 10 working days of receipt), we will be in touch with you in writing regarding the outcome of the application. If the application is approved, we will send you an agreement in writing for signing and you will need to participate in an induction with us thereafter.
COMPANY DETAILS
Company name (legal and trading name):*
ACN and ABN:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website address:
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
COMPANY OVERVIEW
Please provide services your company offers:*
DETAILS OF COMPANY DIRECTORS:
Name of Company Head:*

First NameLast Name
Gender:*
Email:*
example@example.com
Phone Number:*
Please enter a valid phone number.
EXPERIENCE

Please outline your experience in recruiting international students. This should include:
When was your Agency established:*
What Australian Education Providers do you currently represent? (Please list minimum 2 providers):
1)

2)
Do you have sub-agents?*

YesNo
From which country/countries does the company primarily recruit students? (Please list names of countries):
How many students did you send to Australia last year?:
REFEREES
Company name:*
Contant person name:*

First NameLast Name
Contact person position:*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Company name:*
Contant person name:*

First NameLast Name
Contact person position:*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
PRIVACY NOTICE:
Sage College Australia is required to collect education agents’ personal information. This may be
shared with the Australian Government as required for the purposes of:
• promoting compliance with the ESOS Act and the National Code;
• assisting with the regulation of Agents;
• promoting compliance with the conditions of a particular student visa or visas, or of student visas
generally; or
• facilitating the monitoring and control of immigration.
Information about education agents can also be accessed by all registered providers through PRISMS
and includes:
• the outcome of the enrolments
• the percentage of completed CoEs by the education agent
• the number of CoEs created with the education agent’s involvement against the total number of
CoEs created for the provider.

EDUCATION AGENT DECLARATION
• I declare that the information provided is true and correct.
• I agree to the collection, use and disclosure of my personal information as per the Privacy Notice.
• I understand my responsibilities as an education agent under the National Code 2018 Standard 4
and have a good understanding of the international education system in Australia, including the
International Education and Training Code of Ethics.
Name of education agent representative:*
Education agent representative position:*
Signature*

Powered by Jotform SignClear
Date*

DayMonthYear
Date
DOCUMENTS UPLOAD
Business Certificate:*

Cancelof
Business Profile

Cancelof
Should be Empty:

EDUCATION AGENT APPLICATION FORM

ABOUT THIS FORM

COMPANY DETAILS

COMPANY OVERVIEW

DETAILS OF COMPANY DIRECTORS:

EXPERIENCE

REFEREES

DOCUMENTS UPLOAD