New agent application form

Please fill out the application below. Due to the high volume of agent applications we receive, we will only respond if we are looking to expand our agent network in your market(s). If you do not hear from us, your application will be kept on file. If our marketing plans change , your application will be reviewed again and we will contact you. Thank you again for your interest in working with us.

Agency Details

In which country(ies) or region(s) do you wish to represent Loyalist College:(Required)

Company Name(Required)

Name of the contact person(Required)

First Last

Position of the contact person(Required)

Email of the contact person(Required)

Address(Required)

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

Agency Phone number(Required)

Website(Required)

Company's Owners Name

First Last

How long has your company been operating?(Required)

How many full time and part time staff do you employ?(Required)

Is your company registered to operate as an education agency, business or organization?(Required)

Yes

Please list any international professional memberships or certifications such as NAFSA, ICEF, etc., for your agency.(Required)

Do you currently work with any Canadian colleges or universities?(Required)

Yes

If yes please list them below

Describe the structure of your company. Do you operate in more than one location – if so, please list the locations and facilities briefly below.(Required)

Is the agency engaged in any other activities other than education? Please outline briefly.(Required)

Which type of business insurance do you currently have?(Required)

No Insurance

$1 million liability

$2 million liability

Other

Does your agency provide any immigration counselling?(Required)

Yes

If yes, please provide specific details regarding your company’s authorization to consult on matters relating to immigration

The Agent acknowledges that anyone providing immigration/citizenship advice or representation for a fee or other considerations, be it directly or indirectly, must be an authorized representative in accordance with the Immigration and Refugee Protection Act (IRPA) and the Citizenship Act in Canada, Bill C-35.(Required)

Yes

Do you have any dealings with the local Canadian Embassy/High Commission?(Required)

Yes

Does the agency work with sub-agents or other parties in recruiting students? If so, please list the names and contact information of each sub-agent(Required)

How many students do you recruit annually for Canada and the rest of the world?(Required)

How many students do you estimate to send to Loyalist College during the next 12 months?(Required)

Do you have a plan for future expansion? Please Explain(Required)

Service Information

Do you provide the following services to applicants:(Required)

Counselling Services

Program and School selection and application

Document collection and payment

Language training

Study Permind and Visa application

Do you charge applicants a fee of for the services listed above? If so, please provide full information as to how much the fee is and what services are covered.(Required)

Do you provide the following services to the institutions you currently represent?(Required)

Placing Advertisement in local Media

Attending Local education fairs

Seminars for visiting staff

Visits to local institutions

Marketing report and updates

Marketing and promotion information

How would you propose to recruit students for Loyalist College? Please outline a one year marketing proposal with draft costing implications(Required)

How did you hear about Loyalist College(Required)

If you advertise, please enclose recent examples of advertisement undertaken by you company.

Accepted file types: jpg, gif, docx, doc, pdf, Max. file size: 16 MB.

Please upload your company profile or a brochure(Required)

Max. file size: 16 MB.

Please upload any other supporting document

Max. file size: 16 MB.

References

At lease one reference MUST be a Canadian post-secondary institution.

Reference 1: Institution Name(Required)

Reference 1: Address(Required)

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

Reference 1: Contact Name(Required)

First Last

Reference 1: Email(Required)

Reference 1: Phone(Required)

Reference 2: Institution Name(Required)

Reference 2: Address(Required)

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

Reference 2: Contact Name(Required)

First Last

Reference 2: Email(Required)

Reference 2: Phone(Required)

Declaration

I confirm that the information on the form is complete and accurate and that all essential information has been included. I agree that Loyalist College can process my information for my application and internal market research.(Required)

Yes

CAPTCHA

Agency Details

Service Information

Marketing and promotion information

References

Declaration

About Loyalist

Study at Loyalist

Alumni

Employment