Agent Application Form

    Business Name

    IS THIS BUSINESS AN AUSTRALIAN BUSINESS?*
    YesNo

    1. Office address

    COUNTRY*

    2. Contact name

    3. Business background

    DO YOU USE SUB-AGENTS OR OTHER PEOPLE NOT EMPLOYED DIRECTLY BY YOU TO PERFORMANCE STUDENT RECRUITMENT ACTIVITIES?*
    YesNo
    IF YES, DO YOU ENSURE SUCH SUB-AGENTS AND OR INDIVIDUALS ARE AWARE OF AND COMPLY WITH RECRUITMENT AGENT OBLIGATIONS UNDER THE ESOS ACT?*
    YesNo
    ARE YOU PREPARED TO PROVIDE THE DETAILS OF ANY SUCH SUB-AGENTS OR INDIVIDUALS TO High Gate IF AGENCY AGREEMENT IS EXECUTED?*
    YesNo
    WHICH SERVICES WILL YOU PROVIDE FOR STUDENTS? (PLEASE TICK ALL THAT APPLY)*
    STUDENT COUNSELINGFOLLOW UP WITH PARENTS

    4. Understanding of and complying with ESOS requirements

    ARE YOU PREPARED TO REGULARLY MONITOR THE AUSTRALIAN DEPARTMENT OF HOME AFFAIRS (DOHA)?*
    WEBSITE (WWW.HOMEAFFAIRS.GOV.AU)
    YesNo
    ARE YOU PREPARED TO REGULARLY MONITOR THE AUSTRALIAN DEPARTMENT OF EDUCATION AND TRAINING?*
    WEBSITE (WWW.EDUCATION.GOV.AU)
    YesNo
    HAVE YOU READ THE NATIONAL CODE OF PRACTICE FOR REGISTRATION AUTHORITIES AND PROVIDERS OF EDUCATION AND TRAINING TO OVERSEAS STUDENTS?*
    YesNo
    DO YOU ENSURE THAT STUDENTS COMING TO AUSTRALIA ON A STUDENT VISA HAVE A PRIMARY PURPOSE OF STUDYING AND NOTIFY THEM THAT THEY MUST STUDY FULL TIME?*
    YesNo
    DO YOU UNDERSTAND THAT YOU MUST NOT MAKE ANY GUARANTEES ABOUT ACHIEVING RESIDENTIAL STATUS IN AUSTRALIA, AND THAT YOU CAN REFER STUDENTS TO THE DIBP FOR FURTHER INFORMATION ON THIS ISSUE?*
    YesNo
    ARE YOU PREPARED TO COMPLY WITH ALL REQUIREMENTS OF High Gate, WITH RELATION TO ADVERTISING AND COURSE MATERIAL, APPLICATION PROCEDURES AND PROVIDING INFORMATION TO STUDENTS?*
    YesNo
    ARE YOU PREPARED TO ONLY USE MATERIAL SUPPLIED BY High Gate TO DESCRIBE High Gate AND ITS COURSES?*
    YesNo

    5. Description of potential markets

    WHAT IS THE MOST SUITABLE TIME OF THE YEAR TO CONDUCT A MARKETING TRIP TO YOUR REGION, OR A VISIT TO YOUR OFFICE FOR THE PURPOSE OF RECRUITING STUDENTS?
    PLEASE USE THE SPACE PROVIDED BELOW TO INCLUDE ANY OTHER INFORMATION YOU CONSIDER TO BE OF IMPORTANCE TO THIS APPLICATION.
    PLEASE INDICATE HOW YOU ADVERTISE THE SERVICES YOU OFFER (E.G. WHAT MEDIUM, HOW OFTEN, ETC).
    FROM WHICH GEOGRAPHICAL AREA WILL YOUR POTENTIAL MARKET COME? PLEASE DESCRIBE ANY STRENGTHS YOU HAVE IN THESE REGIONS TO JUSTIFY YOUR CHOICE.

    6. Bank Details

    DOES THIS BANK ACCEPT AUSTRALIAN DOLLARS?
    YesNo
    COUNTRY*

    7. Support Documents

    PLEASE ATTACH THE FOLLOWING DOCUMENTS:

    REFERENCE CONTACT DETAILS FOR OTHER REGISTERED TRAINING ORGANISATIONS/HIGHER EDUCATION INSTITUTES
    BUSINESS REGISTRATION CERTIFICATES
    RELEVANT TRAINING CERTIFICATES E.G. PIER ONLINE
    CERTIFICATES OF MEMBERSHIP OF PROFESSIONAL ASSOCIATIONS E.G. AAEIR IN INDIA
    BUSINESS PROPOSAL

    8. Referees

    PLEASE PROVIDE THE NAMES AND CONTACT DETAILS OF AT LEAST 2 REFEREES FROM THE EDUCATION INDUSTRY REFEREE

    Referee 1
    Referee 2
    Referee 3
    AS OUR AUTHORIZED AGENT WE ARE RESPONSIBLE FOR YOUR ACTIONS IN MARKETING OUR COURSES AND THEREFORE WE EXPECT YOU TO MARKET THEM WITH INTEGRITY AND ACCURACY AS OUTLINED IN THE NATIONAL CODE. PLEASE CONFIRM THAT YOU HAVE READ AND UNDERSTOOD THIS ACT.