New Agency Application Form

Please note that if you have previously applied, do not complete this form and contact your regional manager. If you are receiving an error, please contact international@niagaracollege.ca including a screenshot of your error message.

Agency Information

Agency Name

Principal/Owner

First Name

Last Name

Position

Phone Country Code

North America enter +1

Phone

Is your Primary Contact person different than your Principal/Owner?

YesNo

Primary Contact (if different)

First Name

Last Name

Position

Phone Country Code

North America enter +1

Phone

Billing Address

Note:

You can search for country codes using this link: COUNTRY CODES

Street Address 1

Street Address 2

City

Country

Country Code

Please type in the first letter of your country code then select option displayed. If your billing country is Canada, enter CA.

Zip/Postal Code

Phone Country Code

North America enter +1

Phone

Mobile Country Code

North America enter +1

Mobile Phone

Fax Country Code

North America enter +1

Fax

Agency E-mail Address

Agency Website

How many years has your Agency been established?

Which countries and regions do you recruit students from?

What city(s) is your main office located in?

What countries do you send students to?

Which country is your top market?

We are not looking for agencies from India at this time.

OK.

Notice:

We are not actively looking for Agencies that recruit from India at this time.

We are not looking for agencies from Jordan at this time.

OK.

Notice:

We are not actively looking for Agencies that recruit from Jordan at this time.

What types of institutions do you send students to?

College, University, Language School Partner, Private Institution etc.

How many students did you send abroad in last 12 months?

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

How did you hear about Niagara College?

Why do you want to promote Niagara College?

What would be your Niagara College student target for the next 12 months?

What is your agency's strength?

Why should Niagara College select your agency?

Programs to promote (select all that apply)

Questions or Comments

Reference 1

Institution Name

Contact Name

Contact Position

Phone Country Code

North America enter +1

Phone

Extension

Reference 2

Institution Name

Contact Name

Contact Position

Contact Email

Phone Country Code

North America enter +1

Phone

Extension

Reference 3

Institution Name

Contact Name

Contact Position

Contact Email

Phone Country Code

North America enter +1

Phone

Extension

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You may withdraw your consent and unsubscribe from Niagara College International’s Agency distribution list at any time by contacting international@niagaracollege.ca.

I Consent

Optional: Please upload any relevant documents (Business Certificate, reference letters, etc.)

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Contact Information
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