Global Partners & Education Agents

Company Name *

Contact Name *

Owners Name *

Mailing Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Fax

Email Address *

Website

Establishment Year of Agency *

Does your agency also assist families in the immigration process? *YesNo

Is your agency a member of The Immigration Consultants of Canada Regulatory Council (ICCRC)? *YesNo

Is your agency accredited and/or registered as part of any other organization or regulatory body for education agents either in Canada or in the area of operation? *YesNo

If yes, which organization(s)

Number of offices *

If more than one office where are the other offices located? *

Is your agency affiliated, partnered or associated with any other education agency or immigration consultant? *YesNo

If yes, please list the other education agency or immigration consultant?

Have you/your representatives completed any education agent training or courses? Please list any training that your representatives/staff receive or is required *

Total number of students sent abroad each year *

Total number of students sent to Canada each year *

Total number of students expected to send to Luther in one year: *

Where do you recruit students from? *

Other

How did you hear about Luther College High School? *

What makes Luther attractive to you and the potential students that you recruit? *

Other

Please provide a Canadian school reference who can verify your agency’s work and reputation

Name of School *

School representative name, phone number and email address *

If you have questions, please contact the Director of Admissions at admissions@luthercollege.edu or call +1-306-791-9174. For additional general information please visit www.luthercollege.edu/highschool.