Education Agent Application Form

Please complete all sections carefully to ensure prompt processing of your application.

COLLEGE SELECTION

Please select the College(s) for which you have submitted an application: *

SECTION 1: COMPANY INFORMATION

Legal Business Name

Trading Name

Country of Company Registration

Date of Initial Registration

Head Office Address

Company Website

Contact Person Name

Overseas registration number

Contact Person Position

Contact Person Email Address

Contact Person Phone Number

How many years has the contact person worked in International Education?

Full name(s) Company Director(s)

Have any of the company directors ever been convicted of a criminal offence, or been subject to any banning, disqualification, or enforcement action by a regulatory body (including ASQA, TEQSA, or any state regulator)?

YesNo

Have / are any of the directors currently / previously been a director, owner, or key person of any other registered training organisation or education provider?

YesNo

If yes, please provide details.

SECTION 2: COMPANY KEY PERSONNEL

Personnel 1

Name

Position

Phone Number

International education related certifications

Personnel 2

Name

Position

Phone Number

International education related certifications

Does your company employ Registered Migration Agent(s) (RMA)?

YesNo

If yes, please provide their MARN(s)

Does your company employ a QEAC (Qualified Education Agent Counsellor)?

YesNo

If yes, how many?

Is your company a member of any professional associations (eg. ISEAA, AAERI, ITECA, ICEF, PIER etc.)

YesNo

Association Name:

Membership Number:

SECTION 3: SERVICES

SECTION 4: EXISTING PARTNERSHIPS AND PERFORMANCE

Does your company have formal agreements with other Australian education institutions?

YesNo

If yes, how many current, formal education agreements do you have?

In the previous 12 months, how many students have you referred to Australian education institutions under your formal education agreements?

Have you ever had an education agent agreement terminated by any institution?

YesNo

If Yes, please provide details:

SECTION 5: ASSOCIATED ENTITIES

Does your company operate franchises?

YesNo

Please nominate the Business Names and ABNs for the franchise operations we may expect to receive applications from

Does any person associated with your business (including directors, officers, employees, contractors, family members, or related entities) have any ownership, control, beneficial interest, or family / business connection with any other CRICOS-registered provider?

YesNo

If Yes, please provide details (CRICOS provider name and code, nature of the connection, and the person(s) involved):

SECTION 6: REFERENCES

Please Provide 2 Referees (Contacts Of Two Other Training Providers You Represent)

Referee 1

Education Institution Name

Contact Person Name

Contact Person Position

Phone Number

How many students did you refer to this Education Institution in the previous 12 months?

Referee 2

Education Institution Name

Contact Person Name

Contact Person Position

Phone Number

How many students did you refer to this Education Institution in the previous 12 months?

SECTION 7: COMPLIANCE

Do you have any actual, potential, or perceived conflict of interest that may influence, or be seen to influence, your recruitment practices or representations on behalf of the RTO (including financial interests, relationships with other providers, or incentive arrangements)?

YesNo

If yes, please provide details.

Do you regularly monitor the Department of Home Affairs (DHA) website https://immi.homeaffairs.gov.au/ and the Department of Education to stay informed of changes to student visa requirements, immigration policies, and education regulations that may affect the students you counsel and refer?

YesNo

Do your staff have sound knowledge and understanding of the ESOS Act, the National Code of Practice for Providers of Education and Training to Overseas Students, and the obligations of education agents when representing registered providers?

YesNo

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

YesNo

SECTION 8: PERFORMANCE MONITORING AGREEMENT

As an education agency, we agree to:

Participate in agent monitoring, including mid-term and end of term reviews

Maintain detailed student records

Implement corrective actions when required

SECTION 9: TRAINING AND DEVELOPMENT

As an education agency, we commit to:

Attend mandatory agent training

Maintain current knowledge of Australian education regulations

Ensure all staff receive appropriate training

SECTION 10: QUALITY ASSURANCE

SECTION 11: BANK ACCOUNT DETAILS

Please nominate the bank account into which agent commissions will be paid:

Bank

Account Name

BSB (Australian bank accounts only)

Account Number

Swift Code

SECTION 12: REQUIRED DOCUMENTS TO ATTACH

Business registration documents

MARA Certificate

PIER Certificate

Other Doc.

Signature

Name *

Position *

Signature Format

Pen Eraser

Sign Date