APPLICATION FOR ADMISSION Foreign Language Division

ICLS Agent Information Form

English as a Second Language Division1133 15th Street NW, Suite 600, Washington, DC 20005, USATel: (202) 639-8800 english@icls.com

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Agent information

Last Name*

First Name*

Title*

Organization*

Street or Postal Address*

City*

Country *

Primary Phone Number*

Alternate Phone Number

E-mail Address*

Website*

Copy of your business license or registration.*

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Describe your personal and professional experience in representing ESL schools and/or recruiting students for educational or travel programs.*

Describe your company’s history and experience in representing ESL schools and recruiting students for educational or travel programs.*

Describe the type of students (e.g.,) business managers, government officials, technical specialists, college and university students, etc.) you can recruit for ICLS.*

Explain the type and length of ESL programs in which the students that you could recruit would be interested.*

What kind of information and support do you need from ICLS to help you recruit students? Would information in your native language be useful?*

What is the estimated number of students you think you could recruit to study at ICLS over the period of one year and the period of three years?*

Would your students be interested in an ESL study program that also included visits to historical sites and museums, meetings with business or governmental representatives, etc.? If so, please describe.*

Have you visited, worked or lived in Washington, DC? If so, please describe your experience.*

Do you, as an agent, receive funds from the student(s) directly for your services? If so, please describe.*

If you have social media accounts, please share those links here.

Please give us the names and contact information (phone and email) for your references. You may also upload letters of reference below*

Letter/s of reference (optional)

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Are you a member of IALC?*

Other comments:

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