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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


Phoenix Academy Agent Questionnaire