Agent Application Form | Universal English

Account Manager

COMPANY INFORMATION

Company name

Trading Name

ABN (If Applicable):

GST Registered

Yes

MARA/Overseas Agent ID:

Please tick the sectors that you promote

English

Higher Eductaion

Main Office Contact Details

Title

Mrs

Miss

First name

Last name

Position

Mobile

Website

Phone

Address

Agent Details

Year Founded:

Years as an education agent:

Organisation Chart (If available, please attach)

Yes

Upload Organisation Chart

Business Profile/Strategic Plan (If available, please attach)

Yes

Upload Business Profile/Strategic Plan

Has the company or any individual within the company ever been involved in past, pending, threatened or potential litigation, arbitration, administrative actions or other disputes?

Yes

If yes, please provide details:

Number of students recruited to Australian Institutions each year?

Please list the popular courses amongst your students:

Did your office receive any student visa refusals?

Yes

If yes, please provide reasons:

How do you intend to promote Universal Learning Group institutions in your office?

How many students do you intend to recruit to ULG each year?

No of staff:

No of staff in student’s section:

Services provided to students:

Have you or your staff completed the EATC Training (ICEF Academy)? https://www.icef.com/academy/courses/education-agent-training-course-eatc/

Yes

List members of Associations:

Number of offices (locations).

Do you recruit students to countries other than Australia? Yes/No. If yes, please list below:

Do you represent educational institutions in Australia? Yes/No. If yes, please list below:

Have you work or worked with sub-agents? Yes No. If Yes, what is the name of this agency?

References

List two referees from Educational Institutes that your Agency represents. One referee must be from an Educational Institute in Australia:

Reference 1:

Contact Name:

Organisation:

Position:

Phone

Address

Reference 2:

Contact Name:

Organisation:

Position:

Phone

Address

DECLARATION

I am interested in representing Universal Learning Group’s subsidiary colleges and its partners as an education agent and I agree to do so in an honest and professional manner. I agree to:

Regularly monitor policies and changes to the policies as reported on the Department of Home Affairs (DHA) website.
Regularly monitor policies and regulations and changes to these policies and regulations as reported on the www.education.gov.au website.
I have read the National Code 2018 and agree to adhere to the relevant Standards.
I declare and take all reasonable steps to avoid conflicts of interest with my duties as an education agent of Universal Learning Group (ULG)

Examples of conflicts of interest include, but are not limited to:

When the agent charges services fees to both overseas students and ULG for the same service;
Where an education agent has a financial interest in ULG; or
Where an employee of an education agent has a personal relationship with an employee of ULG.

(Please attach a separate sheet to disclose any conflicts of interests)

I declare that I have read the AUSTRALIAN INTERNATIONAL EDUCATION AND TRAINING Agent Code of Ethics attached to this application.

Name

Signature

Role

Date

Become an Agent

COMPANY INFORMATION

References

DECLARATION

AUSTRALIAN INTERNATIONAL EDUCATION AND TRAINING

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Acknowledgment of Country