Education Agent Application Form

Company / Business Name*

Trading Name (if different from company name)*

Company / Business Registration Number*

Years established*

Name of director / CEO*

Town and country of company / Business Registration*

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone*

Format: (000) 000-0000.

Email*

Website*

Please describe your business activities

Number of staff

Number of international offices

Locations of international offices

Person 1

Name

First NameLast Name

Position

Qualifications and previous experience

Membership of education agent professional bodies

Person 2

Name

Position

Qualifications and previous experience

Membership of education agent professional bodies

Person 3

Name

Position

Qualifications and previous experience

Membership of education agent professional bodies

What are your target markets?

What marketing strategies will you use to promote our courses?

Please outline any support services that you offer prospective students.

Do you charge students any fees for your service? If YES, please provide details of the services and relevant fee for each.

How many Australian education institutions are you currently representing?

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 of Practice for Providers of Education and Training to Overseas Students 2018 (the National Code 2018). Please attach additional information such as company flyers etc. if required.

Have you or any of your staff completed any formal Education Agent training, such as the Education Agents Training Course (EATC) available through www.pieronline.org?

YESNO

If YES, please list who has completed the course.

Do you have a comprehensive understanding of the requirements of the Education Services for Overseas Students (ESOS) Act 2000 and the National Code 2018?

YESNO

Do you regularly monitor the Australian Department of Home Affairs website (http://www.homeaffairs.gov.au/) and the Department of Education and Tra

YESNO

Are you willing to comply with the requirements of UK English College regarding advertising, course materials and application procedures, and provide accurate information to students?

YESNO

Are you prepared to use the marketing materials provided by UK English College to promote our courses?

YESNO

Please provide any other information that you think will support your application.

Please provide details of at least 3 Australian educational institutes that we can contact for a reference.

Institution 1

Name of institution*

Contact Person*

Position*

Phone Number*

Email Address*

Dates when you worked with them*

Date

Institution 2

Name of institution

Contact Person

Position

Phone Number

Email Address

Dates when you worked with them

Date

In signing this agreement, you declare that:

You will actively promote UK English College and recruit students in an accurate, ethical and professional manner
You will comply with relevant UK English College policies and procedures, the UK English College Education Agent Code of Conduct and the ESOS Legislative Framework (including the National Code 2018)
You will ensure that all relevant staff members are suitably qualified and experienced and aware of their obligations
You will promptly act upon any reasonable directions given by UK English College
The answers and details provided in this application are true, accurate and complete.
UK English College is authorised to contact the referees listed to collect information about my conduct and services.
You acknowledge and agree to the privacy statement provided below.

Privacy Statement: All information collected, used or disclosed by UK English College is confidential and is protected by the Privacy Act 1988 and other relevant legislation. UK English College policy is outlined in the Privacy Policy and Procedures, which can be viewed upon request. Information about Agents or students may be made available to Commonwealth and State agencies if required to provide the information by law.

Signature*

Date*

Date

Printed Name

Please submit this completed form to UK English College in one of the following ways:

In person: UK English College
Level 8, 140 Elizabeth Street
Sydney, NSW 2000 Australia

By postal mail: UK English College
Level 8, 140 Elizabeth Street
Sydney, NSW 2000 Australia

By e-mail: admin@ukenglishcollege.nsw.edu.au

Education Agent Application Form

Company Details & Background

Director & Employee Details

Person 1

Person 2

Person 3

Potential Markets & Services to be provided

Agency Performance & Compliance

Additional Information

References

Institution 1

Institution 2

Declaration