New Agent Application

Page 1

Agency Information

Hidden Section

Owner ID

SF Agent ID

General

Agency Name

This name must match your registered business name and beneficiary name on your banking details or your agent request will not be processed

General Email

Phone Number

Agency Website

Address

Country of Registration

GST/HST Number

Upload Business License File

You must upload a copy of your Business License to proceed with application

Street

City

Province (India)

Province (China)

State (Nigeria)

Province/Territory (Canada)

State (United States)

State/Province (Other)

Zip/Postal Code

Recruiting Information

Recruiting Market

Please hold control/command to select more than one.

Recruiting Market Province (India)

Recruiting Market Province (China)

Year Agency Established

YYYY

Year Started in Canadian Market

YYYY

Number of Students Sent to Canadian Colleges Last Year

Approved Signatory Information

First Name

Last Name

Title

Email

Role

Add Additional Contacts?

Add Additional Contact Information

First Name

Last Name

Title

Role

Email

Add a Secondary Contact?

Secondary Contact Information (If Applicable)

First Name

Last Name

Title

Role

Email

Add a Third Contact?

Third Contact Information (If Applicable)

First Name

Last Name

Title

Role

Email

I certify that all information provided as part of this application is true and correct to the best of my knowledge.

Yes

Page 2

Questionnaire

How did you hear about Durham College?

Does your agency currently represent other higher education institutions in Canada?

YesNo

Please list all institutions:

Names:

What inquiries does your agency encounter the most in terms of level of study and program type? E.g. 'postgraduate business programs'

Does your agency provide any immigration advice and/or counseling?

YesNo

Please provide details of any applicable licensing

What is your agency's Canadian student visa approval rate?

Is your agency on social media?

YesNo

Please provide us with the links:

FaceBook:

Twitter:

YouTube:

Other Social Media:

Page 3

References

Reference 1

Institution

City

Country

Contact Person

Email

Phone Number

Reference 2

Institution

City

Country

Contact Person

Email

Phone Number