Agent Application | Rockford College

Step 1 - Business details

Company/Business Name*

Business Registration Number*

Country of Registration*

Registration Date*

Expiry Date(If any)

Trading Name(If any)

Business Registration Certificate *

Documents allowed are: .jpg, .jpeg, .doc, .docx, .gif, .png, .pdf, .xls, .xlsx

ABN/CAN (If located in Australia):

Business Profile

Documents allowed are: .jpg, .jpeg, .doc, .docx, .gif, .png, .pdf, .xls, .xlsx

Primary Email *

Secondary Email

Website

Main Contact Number: *

Owner/Director's details

Name*

First Name

Last Name

Email *

Contact no: *

Head Office Details

Address*

Street Address

Address Line 2

City

State/Province/Region

ZIP / Postal Code

Country

Postal/Business Address*

Please tick if postal address is the same as the business address

Street Address

Address Line 2

City

State/Province/Region

ZIP / Postal Code

Country

Do you have your business operations at other locations?

Yes No

Step 2 - Business activities

What are your business activities?

No. of staff *

Has any staff member completed Education Agent Course (e.g.QEAC)? *

Yes No

Please list the name(s) of staff and membership number. *

First name

Last name

Membership number

Education Agent Course completion certification (If any)

Documents allowed are: .jpg, .jpeg, .doc, .docx, .gif, .png, .pdf, .xls, .xlsx

Is any of your staff member a registered migration agent? *

Yes No

Please list the name(s) of staff and MARA number. *

Staff First name

Staff Last name

MARA number

Does your organization need to have a permission from your government to operate as an Education Agency?

Yes No

Please attach the relevant documents (Permission/Registration Certificate)

Documents allowed are: .jpg, .jpeg, .doc, .docx, .gif, .png, .pdf, .xls, .xlsx

What other countries do you send your students to? *

How many students did you send to Australia in the last 12 months? *

What services do you provide to students? *

Do you charge any service fee to student?

Yes No

Please provide details.

Step 3 - Marketing Plan

Which City and Country is your target market?

Target Country*

Target City*

What are your main promotional activities*

Promotional Activities

Duration

Target area/Groups

Step 4 - Education Provider / Business Referees

Referee 1 details

Organisation name*

Referee 1 Name*

First Name

Last Name

Referee 1 Address*

Street Address

Address Line 2

City

State/Province/Region

ZIP / Postal Code

Country

Referee 1 Phone*

Referee 1 Email*

Referee 1 Position*

Referee 2 details

Organisation name*

Referee 1 Name*

First Name

Last Name

Referee 1 Address*

Street Address

Address Line 2

City

State/Province/Region

ZIP / Postal Code

Country

Referee 1 Phone*

Referee 1 Email*

Referee 1 Position*

Signature*

I declare the information supplied in this application is true and correct. I understand The Rockford College has every right to refuse my application based on information I have provided.

First Name

Last Name

Complete

Thank you!

We will get back to you soon.

Continue →

Owner/Director's details

Head Office Details

Which City and Country is your target market?

What are your main promotional activities*

Referee 1 details

Referee 2 details

Thank you!

Find Us

Useful Links

Student Support