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Company Name:
Contact 1:
Contact 2:
Address:
Website:
Phone:
Fax:
Email:
In which country/countries (and subregions) do you propose to work as an agent?
How long has your company been established as an educational agent?
Are you certified/licensed by your national government to work as an agent in your country?
Please list any relevant training and credentials held by you and your employees:
Number of Counsellors (All Offices):
Previous Contact with MUN representatives: 
Introduction and Reasons you Wish to Represent Grenfell Campus  
Do you have branch offices? (If yes, please provide office locations)
What services does your company offer to students?
Do you charge a fee to students for your services? (If yes, please describe the fee structure)
Do you subcontract student recruiting to other companies? (If yes, how many companies/provide details)
How many students do you send abroad each year?
To which countries do you send your students?
What are the main subject areas your students seek at the undergraduate level?
With which Canadian institutions (universities, colleges, other schools) do you work?
Have you (or your staff) visited Canada in the past?
Provide contact info for 4 references, preferably from the Canadian institutions you have listed above:
REFERENCE 1:
Name:
Title:
Institution:
Address:
Phone:
Fax:
Email:
REFERENCE 2:
Name:
Title:
Institiution:
Address:
Phone:
Fax:
Email:
REFERENCE 3:
Name: 
Title: 
Institution:  
Address:  
Phone:  
Fax:  
Email:
REFERENCE 4:
  Name: 
Title: 
Institution: 
Address: 
Phone: 
Fax: 
Email: 
Please note that the following reponses will be taken into consideration to determine contract renewal:
How many undergraduate students do you propose to send per year?
How many ESL/IEBP-G students do you propose to send per year?
Please describe the activities you propose to undertake in the next year, in order to promote Grenfell:
Please add any further notes: