Education Agents 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*

Phone*

Email*

example@example.com

Website

Please describe your business activities

Number of staff

Number of international offices

Location of international Offices:

Director and Employee Details

PERSON 1

Name

Position

Qualification and previous Experiences

Membership of education agent professional bodies

PERSON 2

Name

Position

Qualification and previous Experiences:

Membership of education agent professional bodies

PERSON 3

Name

Position

Qualifications and previous experiences

Membership of education agent professional bodies

Potential Markets and Services to be Provided

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.

Agency Performance and Compliance

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 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?*

YesNo

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?*

YesNo

Do you regularly monitor the Australian Department of Home Affairs (DHA) website (www.homeaffairs.gov.au) and the Department of Education?*

YesNo

Are you willing to comply with the requirements of Australian Virtus Institute regarding advertising, course materials and application procedures, and provide accurate information to students?*

YesNo

Are you prepared to use the marketing materials provided by Australian Virtus Institute to promote our courses?*

YesNo

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

Please provide details of at least 2 Australian educational institutes that we can contact for a reference.

Institution 1

Name of Institution*

Contact Person

Position

Phone Number

Email Address

example@example.com

Dates when you worked with them

Date

Institution 2

Name of Institution*

Contact Person

Position

Phone Number

Email Address

example@example.com

Dates when you worked with them

Date

Signature*

Printed Name*

SC7.2 - Education Agents Application Form