Education Agents Application Form - SSBT

Company Details and Background

Company / Business Name: *

Years Established: *

Name of Director/ CEO: *

City *

Country *

Enter your country

State *

Postal Code *

Phone *

Email *

Website *

PLEASE DESCRIBE YOUR BUSINESS ACTIVITIES:

Number of staff: *

Number of international offices: *

Locations of International Offices: *

Director and Employee Details

Person 1

Full Name *

Position *

Qualifications and Previous Experience: *

Membership of Educations Agent Professional Bodies: *

Agency Performance and Compliance

Provide 3 Australian education institutions that you currently representing? *

How many students have you referred to Australian educational institutions in the past 2 years? *

Please briefly outline how you and your organization will fulfill your responsibilities as an education agent as required by the National Code 2018. Please attach additional information such as company flyers etc. if required. *

File Upload *

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Have you or any of your staff completed the Education Agents Training Course (EATC) available through www.pieronline.org? *

If YES, please list who have completed the course. *

Do you have a comprehensive understanding of the requirements of the ESOS Act and National Code? *

Do you regularly monitor the Australian Department of Immigration and Citizenship (DIAC) website (www.immi.gov.au) and the Department of Education *

Are you willing to comply with the requirements of <Organisation> regarding advertising, course materials and application procedures, and provide accurate information to students? *

Are you prepared to use the marketing materials provided by <Organisation> to promote our courses? *

Reference

Please provide details of at least 3 Australian educational institutes that we can contact for a reference.

Institution 1

Name of Institution: *

Contact Person: *

Email Address: *

Dates when you worked with them: *

Institution 2

Name of Institution: *

Contact Person: *

Email Address: *

Dates when you worked with them: *

Declaration

In signing this agreement, you declare that *

You have read and understood the extract from the ESOS Act 2000 Obligations of Agents.

The answers and details provided in this application are true, accurate and complete.

SSBT is authorised to contact the referees listed to collect information about my conduct and services.

You acknowledge and agree to the privacy statement provided below.

Checklist

I confirm below documents are attached along with this application: *

Two recent reference letter from educational institutes

Profile must include: History 2.Staff details 3.Facilities & Services 4. Sub agents

AEI Educational Certificate / ISANA National Code tutorial

Agent Contract - (Only for SSBT use)

Business Registration certificate