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Agent Application Form

Page 1 of 1
Agent Information
Title:
Mr.Mrs.
First Name:
Last Name:
Agency Contact Information
Agency Name:
Country:
Address:
Email:
 
Website:
Phone Number:
Alternate Phone Number:
Fax:
Agency Profile
Years Founded:
Number of Staff:
Locations and Offices of Your Agency (if applicable):
Does your agency have a partnership with other agencies/sub-agencies?
YesNo
If you answered yes above, please list below.
How many students did you send abroad last year?
Which countries did you send students to?
Please estimate how many students you expect to send to Mohawk College over the next 12 months.
From what countries?
Is your company registered to operate as an education agency, business or organization?
YesNo
Do you belong to any association or are you affiliated with any organization relevant to the type of education services your company provides?
YesNo
If yes, please specify.
Owner/President of Agency
Title:
Mr.Mrs.
First Name:
Last Name:
Services Your Agency Provides
Education Advising:
Program and school selection and application for admission
Collecting all necessary documents and payments
Student Services:
Visa application and processing
Travel arrangements
Accommodation
Medical insurance
Post-arrival services
Other Services:
Do you charge a fee for your services?
YesNo
If yes, for what services and what amount?
Does your company offer any other services not related to education or student services?
YesNo
If yes, please specify:
How do you help students obtain their study permit?
What is the success rate (%) of your students obtaining a Canadian study permit:
What type of promotion does your agency use to recruit students?
Please list the programs at Mohawk College (in priority order) that you are most interested in promoting:
Other than recruiting individual students, does your company work on contract training (group training)?
YesNo
References
Please provide the contact information of 2 schools (preferably Canada/USA).
1. Name of School:
Location:
Contact Person:
Email address:
 
Phone Number:
Fax Number:
2. Name of School:
Location:
Contact Person:
Email address:
 
Phone Number:
Fax Number:
Checklist
Please ensure you attach the following with your application. You may either attach it below or mail or fax it to International Education at Mohawk College. See our contact page for our mailing address and fax number.
A company profile
Other documents to support the goodwill of the agent, such as reference letters or agent appointments from other institutes.
If possible, your business card, company brochures or promotional materials that you use to promote your services.
Processing Information
How did you hear about Mohawk College?
InternetReferralEducation Fair
Friend / ColleagueCEC / Canadian EmbassyPublication
Other - please list below
Other: