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Agents - Application Form
Name of Agency:
Contact Person Title:
Address:
Phone (Canada): Overseas:
Fax (Canada): Overseas:
E-Mail:
Website:
Year in business as an educational agency/consultant:

Geographic Area(s) of recruitment activity:

(Please tell all cities or regions your company is currently recruiting students)

Number of Intl. Students sent for study each year to Canada: Other:
To which countries do you send most students to study:
How much is your student service fee:
Number of offices in your country:

Office (or) Representative in Canada:

Please provide full contact information

Number of staff in your company: Counsellors: Administrative:
Company profile/background - (Please attach a brief - approximately one page - description of your agency's history and current operations).
References from one or two other Canadian institutions: Please supply name(s) and contact information.
Where did you hear about Algonquin College: