Agent Application Form

Application Instructions:

Please complete ALL questions. Only complete applications will be accepted and must include all required documentation – please refer to the checklist below.

Acceptance Criteria:

The following criteria will be used to assess your agency’s suitability for Charter Australia to enter an Education Agent Agreement with:

Business Registration – a Registered Business complying with all relevant laws and regulations of Australia.
Business Services – demonstrated capacity to deliver counselling and support services to clients.
Market Knowledge and Capacity – demonstrated previous experience in recruiting international students in the Australian VET sector.
Appropriately Trained and Qualified Staff – education agent staff demonstrate the capacity to provide high quality services and information to prospective international students.

Primary Business Details

Company Name*

Under which agency agreement is sought

Trading Name (if any)

Company Rregistration ID*

Street Address*

City*

State*

Country/Region*

Website URL

Owner/CEO/Drector/Manager*

Position of the Person*

Main Contact Person*

Position of the Person*

Phone Number*

Email*

Number of Years the Company Has Been in Operation*

Number of Staff/Counsellors*

Have Any of Your Staff Completed the Education Agents Training Course Which Is Available on www.pieronline.org?*

Yes

If Yes, How Many

Number of ELICOS Students Recruited to Australia in the Past 12 Months*

Number of VET Students Recruited to Australia in the Past 12 Months*

Which Countries Do You Specialise in for Your Clients?

Other (Please Write the Country)

Due Diligence

Have You or any of Your Staff Been Convicted of a Criminal Offence, or Have Charges Pending For a Criminal Offence?*

Yes

If Yes, Please Provide Details:

Has Your Agency or Any Staff Member Employed by Your Agency Been Convicted or Charged With Any Offence Under Corporate or Regulatory Law?

Yes

If Yes, Please Provide Details:

Has This Agency Previously Operated Under a Different Trading Name and Been Pronounced Insolvent or Bankrupt?*

Yes

If Yes, Please Provide Details:

Referees

Please provide the contact details of 2 education providers in support of your application.

Referee 1

Name*

Organisation*

Position*

Phone Number*

Email*

Referee 2

Name*

Organisation*

Position*

Phone Number*

Email*

Checklist for Supporting Documents

Please Attach All the Documentation Listed Below to Support Your Application (Check Appropriate Box)

Business registration

Certificate(s) of Attainment, AEI – Education Agent Training Course (EATC) or evidence of completion of the course

Sample publications and promotional materials provided to students

Reference if available

I/we acknowledge that we do not consider submission of this application form as an appointment to act as an agent of Charter Australia Pty Ltd. Subject to the successful assessment of this application by Charter Australia, I/we are prepared to enter into an agent agreement with Charter Australia.

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