Education Agent Application Form

Brisbane Professional College

RTO:41556 CRICOS:03517B

Education Agent Application Form
Individual / Company Name*
ABN (If registered in Australia)
MARA Number (If applicable)
Website*
Contact Person*
Position*
Telephone Number
Mobile Number *
Email*
example@example.com
Address*
Do you have any branches?*

YesNo
Please list all of the branch office locations*
Number of Years in the industry?*
Are you working with sub agents?*

YesNo
Please list the sub agents*
Please list the countries / regions you work with *
Expected number of students per year*
Educational Referee (1)
Name
Position
Organisation
Address
Telephone
Email
example@example.com
Educational Referee (2)
Name
Position
Organisation
Address
Telephone
Email
example@example.com
Please provide the below documents to support your application
Evidence of business registration / Agency Registration

Cancelof
Evidence of your Complaints and Appeals processes with the student (e.g. policy)

Cancelof
Copy of your Refund Policy with the student

Cancelof
Sample of current marketing material containing your registration number or other identifier

Cancelof
Copy of Written Agreement you have with students that is signed by both yourself and the student, including payment details and/or payment plans

Cancelof
List of countries you are currently servicing

Cancelof
List of all relevant partnerships, affiliations and agreements including any sub-agent representation agreements.

Cancelof
Provide proof of Qualified Education Agent Counsellor Certificate if you have passed PIER (Professional International Education Resources), or if you have attended an online Education Agent Training Course (EATC), or other approved Education Agent Training Course.

Cancelof
ASSURANCES GIVEN (please place a tick beside those you warrant and if not, provide a brief explanation as to the reasons you do not)
(If applicable) Please provide a brief explanation of why you are unable to provide any assurances of the above
Declaration: I declare that the information provided above is correct and I am an authorised person to act on behalf of the company.

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