Agent Application Form Company Legal Name 1 Doing Business As 2 GST # WorkSafeBC # (BC only) 1 Company Legal Name should match your bank account beneficiary name. 2 Indicate a business name if you are conducting business under a name other than your company legal name. * Please, note that we are unable to process commission payments to personal bank accounts. Key Contact Information Address City Country Province Postal Code Telephone 3 Company Web Site 3 Please, include Country and City code. Signing Officer Name Title Email Main Contact Name Title E-mail 1 What is the purpose of your company? Agent Questionnaire
2 How long have you been an agent for overseas educational institutions? 3 What other recruiting agencies, companies or partners do you work with? 4 Which schools do you currently have contracts with? Centennial College College of the Rockies Columbia College Conestoga College Coquitlam College Douglas College Durham College Fanshawe College Fraser International College (FIC) George Brown College Georgian College Humber College Kwantlen Polytechnic University Mohawk College Mount Alison University Mount Royal University Mount Saint Vincent University North Island College Okanagan College Queens University Seneca College Sheridan College Simon Fraser University (SFU) Thompson Rivers University (TRU) Trinity Western University (TWU) University of Alberta University of Calgary University of Manitoba University of New Brunswick University of Northern British Columbia (UNBC) University of Saskatchewan University of the Fraser Valley (UFV) University of Victoria (UVic) University of Western Ontario University of Windsor Vancouver Community College (VCC) Vancouver Island University (VIU) York University Other universities or colleges in BC: Other universities or colleges in Canada:
5 What nationalities do you recruit and place in schools? 6 What are the criteria you use when selecting schools to work with? 7 How many students did you send overseas last year? Please specify number of students and the countries you sent them to with the percentage of each. Country # of Students Percentage (%) 8 What programs did you send your students to? Please specify the percentage of students in each level of education. Level of Education # of Students Percentage (%) K-12 Language School (ESL) Vocational / Trade Undergraduate Post-graduate 9 How many staff members does your company employ in total?
10 Have you or any of your staff members had any education in Canada? If so, please indicate which program, location and how long for. 11 What services does your office offer to students who come in to your office? 12 Do you charge students a fee for your services? If so, how much? 13 What services do you offer to schools in Canada for whom you recruit students? 14 What types of programs are your students looking for? 15 How do you advertise/promote your company s services to students? 16 What types of programs do you believe would sell best? 17 What obstacles do you find students have in choosing to study in Canada?
F + 1 604 327 9210 18 Do you have any branch offices? If yes, where are they located? 19 How can our institution support your efforts to recruit students on our behalf? 20 Please provide references with whom you have worked. We prefer references from Canadian public colleges. By providing references, you give Langara permission to contact them. 1. School Name: Contact Name: Position: Email: Phone: 2. School Name: Contact Name: Position: Email: Phone: Please return the completed survey to Department at Langara College: 100 West 49 th Avenue Vancouver, B.C. Canada V5Y 2Z6 Telephone: 604-323-5023 Fax: 604-327-9210 Email: international@langara.ca Completed by: Date: IMPORTANT: Please include a photocopy or scanned copy of your business license, your GST licence number, and your WorkSafeBC registration number.