QUESTIONNAIRE FOR REPRESENTATIVES APPLYING TO BECOME AN AGENT Phoenix Academy Partners are: Curtin University of Technology • Edith Cowan University • Murdoch University • Western Australia Department of Education • TAFE Western Australia • Independent Boys and Girls High Schools • Australian School of Tourism Hospitality Management • Sound and Audio Engineering (SAE) • Bond University • La Trobe University • Monash University • Insearch UTS
COMPANY DETAILS 1. Business Name:
_____________________________________________________________
2. Business Address:
_____________________________________________________________ _____________________________________________________________
3. Contact Name:
_____________________________________________________________
4. Telephone: __________________ Mobile: _____________________ Fax: ____________________ 5. Email: _______________________________ Website (if applicable): _________________________ 6. If you have a business in Australia, please supply us with your ABN number: ___________________
COMPANY BACKGROUND 1. Years in business as an education agent: _______________________________________________ 2. Is your office involved with any other business? If yes, please outline: _________________________ __________________________________________________________________________________ 3. Is your business a member of any professional or marketing organisation?
Yes
No
If yes, please list 1. _____________________________ 2. _____________________________ Yes
4. Does your office act as a subcontractor to another agency?
No
5. If yes, please name the agent: ________________________________________________________ 6. Number of international students sent for study in Australia each year: ________________________ 7. Number for ELICOS: _____________________
Number for Foundation Studies: _____________
Number for Secondary Education:___________
Number for TAFE/University: ________________
8. To which countries do you send most students for study? __________________________________ 9. Which Australian institutions do you represent? 1. _________________________________
2. ______________________________
3. _________________________________
4. ______________________________
5. _________________________________
6. ______________________________
7. _________________________________
8. ______________________________
10. How much is your student service fee? ___________________________________________ Does this include the fee for an Australian student visa?
Yes
is the fee for obtaining the visa? ___________________________________
J:\Marketing\Agents\Agent Enquiry Letters MASTERS\AGENT QUESTIONNAIRE.docLAST UPDATED 04/12/2008
No
If no, what
STAFF 1. Number of staff in your company: _________Counsellors: __________Administrative staff: ________ Yes
2. Have any of these staff studied/worked in Australia?
No
3. If yes, please provide details: _________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 4. Have you or any of your counsellors ever visited Perth?
Yes
No
5. If yes, when was the date of their last visit? ______________________________________________
COMPANY SERVICES Please indicate the services your company provides: Student counselling
Follow up with parents
Collecting fees
English Testing
Pre-departure briefing
Visa application
Others
Please specify:
___________________________ ___________________________ ___________________________
REFEREES Please indicate two referees we can contact, including one from an Australian institution you represent. (Failure to complete this section will result in delays and/or the rejection of agent applications)
Referee Name: ______________________
Referee Name: _______________________
Company:
______________________
Company:
_______________________
Email:
______________________
Email:
_______________________
Fax & Phone: ____________________
Fax & Phone: _____________________
The information provided on this questionnaire is correct and up to date: Name:
________________________
Position: ________________________
Signed: ________________________ Date:
________________________
If you are interested in becoming our agent, please complete this form and return via: Fax:
International Marketing Officer +618 9227 5540
Mail:
International Marketing Officer PO Box 256 Leederville, Perth, Western Australia, 6903
Provided the Representative has enrolled a student in a Partner Institution through Phoenix Academy, the Academy will manage the application, enrolment and the commission payable by that Partner Institution and will be responsible for the payment of all commissions to the Representative. Phoenix Academy Partners are: Curtin University of Technology • Edith Cowan University • Murdoch University • Western Australia Department of Education • TAFE Western Australia • Independent Boys and Girls High Schools • Australian School of Tourism Hospitality Management • Sound and Audio Engineering (SAE) • Bond University • La Trobe University • Monash University • Insearch UTS
J:\Marketing\Agents\Agent Enquiry Letters MASTERS\AGENT QUESTIONNAIRE.docLAST UPDATED 04/12/2008