Education Agent Application Form Step 1 of 4 25% Thank you for your interest in becoming an education agent with Spectrum College. Once we receive your application, we will acknowledge we have received your application within 3 working days of receipt. If you require any assistance in completing this form, please contact us by phone or email. Please ensure you include the details of two referees who can support your application. Once we have assessed your application (within 10 working days of receipt), we will be in touch with you in writing regarding the outcome of the application. If the application is approved, we will send you an agreement in writing for signing and you will need to participate in an induction with us thereafter. You can send this form back to us by post or email.Company ProfileCompany NameBusiness NameACNABNRegistered For GST? Yes No Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Website Address Phone Number(Required)Email(Required) Company Overview(Required)Accounts Representative NameAccounts Email Accounts PhoneAdmission Team Representative NameAdmission Team Email Admission Team Phone Please outline your experience in recruiting international students.Number of years you have been in business(Required)Number of providers you currently represent(Required)Do you use any sub-agents?(Required) Yes No Indication of the geographical areas from which you currently recruit students fromNumber of students referred to Australian education institutions in the past three years(Required)Any other information you would like to add regarding your experience.What benefits would you bring to our partnership?(Required) Referee 1 – Company Name(Required)Referee 1 – Contact Person Name(Required)Referee 1 – Contact Person PositionReferee 1 – Contact Person Phone(Required)Referee 1 – Contact Person Email(Required) Referee 2 – Contact Person Name(Required)Referee 2 – Company Name(Required)Referee 2 – Contact Person PositionReferee 2 – Contact Person Phone(Required)Referee 2 – Contact Person Email(Required) Terms and Conditions(Required)Spectrum Education is required to collect education agents’ personal information. This may be shared with the Australian Government as required for the purposes of: – promoting compliance with the ESOS Act and the National Code; – assisting with the regulation of Agents; – promoting compliance with the conditions of a particular student visa or visas, or of student visas generally; or – facilitating the monitoring and control of immigration. Information about education agents can also be accessed by all registered providers through PRISMS and includes: – the outcome of the enrolments – the percentage of completed CoEs by the education agent – the number of CoEs created with the education agent’s involvement against the total number of CoEs created for the provider. I agree to the Privacy Notice.Consent(Required)– I declare that the information provided is true and correct. – I agree to the collection, use, and disclosure of my personal information as per the Privacy Notice. – I understand my responsibilities as an education agent under the National Code 2018 Standard 4 and have a good understanding of the international education system in Australia, including the International Education and Training Code of Ethics. I agree to the aboveName of Education Agent Representative(Required)Education Agent Representative Position(Required)Copy of business registration certificates Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 128 MB. Upload your resume in .pdf, .doc or .docx formatBrief Organisational Profile Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 128 MB. Upload your resume in .pdf, .doc or .docx formatCertificate of registration with MARA; if available Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 128 MB. Upload your resume in .pdf, .doc or .docx formatAny other document in support of your application, where relevant Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 128 MB. Upload your resume in .pdf, .doc or .docx formatSignature(Required)Date(Required) DD slash MM slash YYYY
