New Agent Questionnaire

ORGANISATION DETAILS

Legal Entity*

Trading Name:*

ABN:

(Australian organisations only)

Contact Person:*

Position Title:*

Owner
Director
Manager

Email:*

Phone Number:*

Skype Id:

Messenger Id:

Website Home Page:

Registered Business Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SECTION A - PROMOTION OF YOUR COMPANY

1. How many years has your agency been operating?*

2. How many staff are employed?*

3. Do you advertise your company?*

Yes
No

If “Yes”, where?*

4. Does the business owner, director or manager conduct activities other than as an educational agent?*

Yes
No

If “Yes”, please give some examples?*

5. From which countries do you recruit students? (Please Tick)*

Other countries:*

6. From which education level (university, college, school, etc.) do you recruit students?*

University
College
School
Other

Other education level:*

7. Does your agency participate in any educational fairs in Australia?*

Yes
No

If yes, approx how many do you participate in per year?*

Abroad?*

Yes
No

If yes, please list the countries below

If yes, approx how many do you participate in per year?*

8. How many students did you recruit over the last 12 months?*

9. How many students do you anticipate to recruit this year?

Less than 10
Between 10-20
20-40
40+

10. Do you currently represent other Australian institutions?*

Yes
No

If “Yes”, please provide details of these institutions and length of association:*

11. Does your agency represent any other providers in Brisbane? Which one(s)?*

13. Would you commit your agency to send students exclusively to Shafston when sending students to Brisbane?*

Yes
No

If no (Please explain)*

SECTION B - SERVICES PROVIDED

14. Do you charge prospective students for your services?*

Yes
No

If "Yes", how much?*

$ AUD

How many student counselors do you employ?*

15. Are the following services provided? (Please Tick)*

Student Counseling
Pre-Departure Briefing
Travel and Accommodation Bookings
Visa Assistance
Migration Services
Other

If Other (Please explain)*

SECTION C - RECRUITMENT FOR SHAFSTON

16. What programs will you recruit students for? (Please tick boxes below)*

Select All
Study Tours (short courses)
ELICOS (General English, Cambridge, IELTS)
High School Preparation
Vocational Courses

SECTION D - AUSTRALIAN REFERENCES

17. Please provide the name and contact details of two business referees in Australia whom we might contact.

REFERENCE 1

Name of Referee:*

Business Name:*

Email Address:*

Phone Number:*

Business Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

REFERENCE 2

Name of Referee:*

Business Name:*

Email Address:*

Phone Number:*

Business Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SECTION E - YOUR PROFILE

18. Briefly describe your agency profile and why you would like to become a Shafston agent.

19. Please use this section below to provide any additional supporting information.

Drop files here or

20. I agree to comply with the Australian government legislation which specifies the responsibilities of the education agent and the registered provider.*

ESOS Act 2000 / National Code

Yes
No

CAPTCHA

	46 Thorn St, Kangaroo Point Brisbane QLD 4169 Australia
	+61 (7) 3249 4111
	info@shafston.edu

Monday	8:30am - 5:00pm
Tuesday	8:30am - 5:00pm
Wednesday	8:30am - 5:00pm
Thursday	8:30am - 5:00pm
Friday	8:30am - 5:00pm
Saturday	Closed
Sunday	Closed

ORGANISATION DETAILS

SECTION A - PROMOTION OF YOUR COMPANY

SECTION B - SERVICES PROVIDED

SECTION C - RECRUITMENT FOR SHAFSTON

SECTION D - AUSTRALIAN REFERENCES

REFERENCE 1

REFERENCE 2

SECTION E - YOUR PROFILE