Gravity Form1

APPLICATION GUIDELINES :

Please read the following information carefully before completing this application to become an authorised agent of Southern Cross Institute (‘the Institute’ or ‘SCI’).

SCI requires all agents, who represent the Institute, to sign a formal agency agreement for them to recruit appropriately qualified and genuine students into its programs.

This application form must be completed by education agents who have:

Never been contracted as an agent representative of SCI; or Previously been an agent/representative of SCI but have not had an active agency agreement with SCI in the past 12 months.

Potential agent/representatives must be familiar with the Education Service for Overseas Student Act (2000) and its amendments, and the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2018 (the National Code). Potential agent representatives should also take note of the publicly available information on SCI's website.

ORGANISATION PROFILE

1.What is the registered business name and address (head office) of your agency?

Note: this is the name that will appear on your agreement.

2.What is the registered trading name of your agency (if different from the registered business name)?

3) Have any other names been used in previous applications to SCI? If yes, please provide details

Yes

Please provide details below:

4) Is your company registered in Australia? If yes, please provide your ABN and ACN

Yes

Please provide details below

5) What is the full name(s) of the principal shareholders or owners of your agency (if applicable)?

Name

Name 1

Designation 1

Designation

Qualification / Experience

Qualification / Experience 1

6) What is the full name and designation of the person authorized to sign this contract?

Name

Designation

7) In which countries is your agency seeking to be covered by this contract?

Note: Your application to represent SCI will be assessed separately for each country you nominate. It is therefore possible that your application to represent SCI may not be successful for each country you nominate.

8) Does your agency have multiple branch offices? If yes, please provide full details in a separate document listing the address, phone number and email details of all branches in operation and indicate how applications are managed (head office or decentralized to branch offices). If your agency operates in multiple countries, please provide full details of same. Note: If a branch office is a separate legal entity, it must complete a separate agent appointment application form for consideration.

Yes

If YES, please provide details below:

Country

No of branch offices

Country

No of branch offices

Country

No of branch offices

Country

No of branch offices

9) In which year was your agency established?

10) What is your agency’s primary service? For example, student recruitment, migration, travel advice, or assistance with working visa applications

11) Does your agency work with sub-agencies? If yes, please provide details on the sub-agents you work with and the due diligence you undertake to recruit these sub-agents. If the space provided below is insufficient, please submit the details of all your sub-agents in a separate document.

Yes

If YES, please provide details below:

12) Have you or any of your principal officers even been convicted of an indictable offence, been bankrupt or applied to take advantage of bankruptcy laws, been disqualified from managing a corporation, or been found to have breached in any way the ESOS Act (2000) and its relevant amendments.

Yes

If YES, please provide details below:

11) PRIMARY CONTACT DETAILS

Principal Officer

Note: this person will be the primary recipient of all crucial communication relating to the agreement. Please provide the personal email of the Principal Officer rather than a generic office email address.

Name

Designation

Phone

12) Contact Officer (Admissions)

Note: this person will be the primary recipient of communication regarding student applications.

Name

Designation

Phone

Skype Id

MARKETING AND RECRUITMENT

13) How does your agency plan to differentiate SCI from other Australian institutions? Please provide details, and attach a separate plan as required.

14) How does your office location position you to attract the business of potential applicants for Undergraduate studies?

15) Does your agency undertake promotional activities? If yes, what support services do you require from SCI in order to effectively promote SCI? Please provide details including expected costs of any promotional activities.

Yes

If YES, please provide details below:

16) Does your agency charge any fees for services offered to prospective students? If yes, please advise the approximate charges in AU$ and the services for which the charge applies.

Yes

If YES, please provide details below:

17) Does your agency have any links in its country(s) of operation (e.g., Government, Ministry, Schools, Universities, Businesses etc.) which may benefit SCI? If yes, please list below:

18) Does your agency represent other institutions? If yes, please list in a separate document all educational institutions with which the agency has current student recruitment agreements.

Yes

If YES, please provide details below:

19) How many genuine students do you believe your agency could expect to recruit in the first year for SCI? Provide a breakdown of levels of study if possible

COMPLIANCE

20) How does your organisation ensure it complies with the ESOS Act (2000) and its relevant amendments, and other applicable legislation and regulations at all times?

21) What procedures does your agency have in place to assess that students meet international student visa regulations of the Department of Home Affairs (DoHA)?

22-i) Have you or any of your key staff completed and/or experienced Professional International Education Resources (PIER) Education Agent Training Course (EATC)

Yes

22-ii) Have you or any of your key staff completed and/or experienced Australian Education International (AEI) or Austrade in- country training courses

Yes

22-iii) Have you or any of your key staff completed and/or experienced Tertiary qualifications studied in Australia

Yes

23.Please provide SCI with your agency student visa history (including details of visa refusals for Australia and/or other countries where applicable.

REFERENCES

24) Please provide details of two (2) education referees from other institutions to support this application. It is preferable that at least one (1) of the referees is from an Australian institution. Please contact your referees prior to submitting your application to advise SCI may approach them as part of this application process.

Referee 1

Referee 2

Name

Designation

Institution

Telephone

CHECKLIST

Please ensure you have answered all questions and attached relevant documentation where required. Mandatory documents:

Proof of business registration and licensing

Full list of all branch offices in all countries of operation

Organisation chart

Marketing and/or business strategy specific to SCI

List of institutions with which a formal agreement to recruit students exists

Written consent for SCI to access SCI visa data

Contact details for 3 referees

Examples of marketing materials produced by your agency

DECLARATION

Consent

I agree to the below terms.

SCI reserves the right, before entering into any agreement, to make enquiries regarding your agency operations as they pertain to this application with the Department of Home Affairs, other institutions and any relevant Government licensing bodies in your country.
In submitting this application your agency is bound by your statements. False or misleading responses will result in immediate disqualification of your application, and subsequent termination of an agreement where issued.
Please return the completed and signed application form together with the required documents to SCI.
We thank you for your interest in SCI and will be in touch to advise of an outcome shortly

Education Agent Application Form

ORGANISATION PROFILE

11) PRIMARY CONTACT DETAILS

Principal Officer

12) Contact Officer (Admissions)

MARKETING AND RECRUITMENT

COMPLIANCE

REFERENCES

CHECKLIST

DECLARATION