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
Principal/Owner
North America enter +1
Primary Contact (if different)
Please leave this section blank if no additional contact information.
North America enter +1
Head Office Address

Note: 

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

Please type in the first letter of your country code then select option displayed
North America enter +1
North America enter +1
North America enter +1
College, University, Language School Partner, Private Institution etc.
Reference 1
North America enter +1
Reference 2
North America enter +1
Reference 3
North America enter +1

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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.