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Prospective Agent Application Form

We are currently reviewing our Agent Network.

All new applications, are being considered during this review period.

Only successful prospective agents will be contacted, within 3 weeks of receiving their applications.

Thank you for your interest in representing Southern Cross University. In order that we are able to assess the suitability of the agents we enter into agreements with please respond, as fully as possible, to the following requests.

Your application will be kept on file for six months, unless you advise us to destroy it.

Fields marked with an (*) are mandatory.

      

                  

Please answer the questions below. Any attachments can be added at the END of the form.

Business Practice:

1.

2.

3.

4.

Training and Development:

5.

Affiliations and Professional Memberships:

6.

7.

Marketing and Recruitment Strategies:

8.

9.

10.

11.

12.

Current Agreements with Australian Institutions:

13.

14.

15.

Attachments:

Please attach relevant documents, with this application before submitting.

NOTE: We request that all information that is sent electronically should be in the following format and size: WORD, PDF or JPG and less than 5MB.

Please provide any further information, which may assist in determining a positive assessment to become an agent of Southern Cross University ie: how an agreement with your organisation would benefit Southern Cross University.

If you have any questions regarding your application please contact our Agent Officer.

Once we acknowledge receipt of your application please allow 2-3 weeks for a decision to be made on your application.

Updated: 27 March 2012