*Company Name:
*Company Email: (will be used for login)
Address Line1:
Address Line2:
Address Line3:
Address Line4:
City:
Province/State:
Postal Code/Area Code:
*Country:
Website:
Established:(year)
# of Staff:
# of Offices:
Notes:
Director Information
Director's Last Name:
Director's First Name:
Email:
Phone:
Fax:
 Contact Information
Title:
Prefix:
*Last Name:
*First Name:
*Phone:
*Primary country you recruit students in:
Other countries you recruit students in:
Number of students you sent overseas annually:
Number of full year high school students sent to Canada last year:
Number of student groups sent to Canada last year:
What fees do you charge students for your services? (your currency)
What Canadian school boards or schools do you currently represent?
How many students do you plan to recruit to our schools over the next year?
Please check all those that you offer:
Travel and medical insurance
Information and councelling for parents and students
Pre departure orientation
TOEFL preparation services
Airline Ticketing
Canadian Study Permit and Visa application assistance
Written translation of school entry and diploma requirements
School document translation e.g. report cards
Ongoing support services for students in Canada
Other:

Please list any memberships in industry related associations or organizations
Marketing and promotion
Local
National
International

Please check marketing methods your company uses:
Newpaper
Television
Internet
Study Abroad Guides
Radio
Company Brochures
Exhibitions and Fairs
Posters and Signs

What programs are you interested in promoting?
High School
Elementary School
Intensive English Study
Immersion Programs (4-8 weeks)
Summer Program