SC7.2-I: Education Agents
Application Form
Kingsway College
SC7.2-I - Education Agents Application Form V1.2.docx Page 1
Company Details and Background
Company / Business Name:
Trading name (if different from Company name)
Company/ Business Registration Number:
Years Established:
Name of Director/ CEO:
Town and Country of Company/ Business Registration:
Business Address
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
Name:
Position:
Qualifications and previous experience:
Membership of education agent professional bodies:
SC7.2-I: Education Agents Application Form
Kingsway College
SC7.2-I - Education Agents Application Form V1.2.docx Page 2
Person 2
Name:
Position:
Qualifications and previous experience:
Membership of education agent professional bodies:
Person 3
Name:
Position:
Qualifications and previous experience:
Membership of education agent professional bodies:
Potential Markets and Services to be Provided
What are your target markets?
What marketing strategies will you use to promote our courses?
SC7.2-I: Education Agents Application Form
Kingsway College
SC7.2-I - Education Agents Application Form V1.2.docx Page 3
Please outline any support services that you offer prospective students.
Do you charge students any fees for your service? If YES, please provide details of the services and relevant fee for each.
Agency Performance and Compliance
How many Australian education institutions are 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 organisation will fulfil your responsibilities as an education agent as required by the
National code 2018. Please attach additional information such as company flyers etc. if required.
Have you or any of your staff completed the Education Agents Training Course (EATC) available through
www.pieronline.org
?
Yes No
If YES, please list who has completed the course.
Do you have a comprehensive understanding of the requirements of the ESOS Act and National Code?
Yes No
Do you regularly monitor the Australian Department of Home Affairs (DHA) website (https://www.homeaffairs.gov.au/) and
the Department of Education
Yes No
Are you willing to comply with the requirements of Kingsway College regarding advertising, course materials and
SC7.2-I: Education Agents Application Form
Kingsway College
SC7.2-I - Education Agents Application Form V1.2.docx Page 4
application procedures, and provide accurate information to students?
Yes No
Are you prepared to use the marketing materials provided by Kingsway College to promote our courses?
Yes
No
Additional Information
Please provide any other information that you think will support your application.
References
Please provide details of at least 3 Australian educational institutes that we can contact for a reference.
Institution 1
Name of Institution
Contact Person
Position
Phone Number
Email Address
Dates when you worked with them
Institution 2
Name of Institution
Contact Person
Position
Phone Number
Email Address
Dates when you worked with them
Institution 3
Name of Institution
Contact Person
Position
Phone Number
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.
SC7.2-I: Education Agents Application Form
Kingsway College
SC7.2-I - Education Agents Application Form V1.2.docx Page 5
Kingsway College 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.
Privacy Statement: All information collected, used or disclosed by Kingsway College is confidential and is protected by the
Privacy Act 1988 and other relevant legislation. Kingsway College
policy is outlined in the Information Privacy Policy
available from our website. Information about Agents or students may be made available to Commonwealth and State
agencies if required to provide the information by law.
Signature: Date: / /
Printed Name:
Please return this form along with supporting evidence to Kingsway College at the below address.
G08&G09/22 St Kilda Road, St Kilda VIC 3182
Or email:
info@kingswaycollege.vic.edu.au