Education Agent Application Form

"*" indicates required fields

1STEP 1

2STEP 2

3STEP 3

4STEP 4

Business Background
How many Australian education providers do you currently represent?*

1-5

5-10

10-15

15-20

20-25

30+
How many international students have you recruited for Australia in the past 1 year and student visa percentage?*

1-25

26-50

51-75

76-100

101-150

151+
Please list the number of students referred to Australian education providers in the following areas in the past 2 years:
ELICOS Courses
Vocational Courses

Undergraduate Courses
Postgraduate Courses
Study tours
Other programs
In the past 12 months, which Australian states and territories have you promoted the most? Please rank each using 1-7, where 7 is the highest and 1 is the lowest.
VIC
NSW
QLD
WA
TAS
ACT
ACT
What nationalities do you mainly deal with?
Nationality 1
Nationality 2
Nationality 3
What support services do you provide to students? Tick all that apply and provide details of the fees charged*
Migration (Provide fees detail)
Education (Provide fees detail)
Migration & Education (Provide fees detail)
OSHC (Provide fees detail)
Accommodation (Provide fees detail)
Employment Service (Provide fees detail)
Please list the top 3 institutions (by volume) you currently represent in Australia?
Please provide any other information you consider to be of importance to this application and to marketing to students.

Marketing and Recruitment
Describe your plan in recruiting students for Leaders institute. What do you think is the most effective marketing strategy to use in your market?
Which student segments or recruitment sources do you expect to work with Leaders Institute in the next 12 months? Please tick all that apply.*

ELICOS

VET

Higher Education

Other (specify)
Compliance Requirements
Please provide a brief explanation on how you and your organisation fulfill your responsibilities as agents with reference to the implied responsibilities of education agents as set out in National Code 2018 Standard 4. Provide extra details on a separate sheet if required.
I confirm that I understand the responsibilities of education agents under the Education Services for Overseas Students Act 2000 (ESOS Act), the National Code 2018, and any successor legislation, regulations, or regulatory instruments that amend, replace, or supersede them.*

Yes

No
I confirm that I understand overseas students must maintain a genuine intention to study and comply with student visa conditions, including maintaining enrolment in a registered CRICOS course*

Yes

No
I confirm that I will recruit student ethically and responsibly and will not engage in misleading or deceptive practices.*

Yes

No
I confirm that I will only use Leaders Institute approved marketing materials and will remove outdated or superseded materials when requested.*

Yes

No
I confirm that I will provide students with accurate information about courses, fees, living in Australia and visa obligations.*

Yes

No
Does your organisation use sub-agents or subcontractors to recruit students?*

Yes

No
If Yes, confirm that you will:

1. Ensure sub-agents follow the ESOS Act and National Code requirements and any successor legislation, regulations, or regulatory instruments that amend, replace, or supersede them.

2. Monitor their conduct and performance

3. Accept responsibility for their actions when representing Leaders Institute
I confirm that I will cooperate with Leaders lnstitute's agent monitoring, training, and compliance requirements*

Yes

No
I confirm that I will notify Leaders Institute if there are any regulatory investigations, sanctions or compliance issues affecting my organisation.*

Yes

No
I confirm that:*

Yes

No
1. I have read and understood the Leaders Institute agent recruitment policy.

2. I agree to comply with the Education Services for Overseas Students Act 2000 (ESOS Act), the National Code 2018, and any successor legislation, regulations, or regulatory instruments that amend, replace, or supersede them and Leaders Institute policies.

3. I will act honestly, ethically, and in the best interests of prospective and enrolled students.

Reference Check
Please Provide the details of 2 referees:
Referee Trading Name:
Name*
Position*
Email*

Phone*
Referee Trading Name:
Name*
Position*
Email*

Phone*
Agent Checklist
Company/business registration certificate*
Max. file size: 1 GB.

Business Profile*
Max. file size: 1 GB.

Details of educational institutions currently represented*
Max. file size: 1 GB.

Other relevant materials*
Max. file size: 1 GB.

Send your completed application and documents to enrol@leaders.edu.au and you will be contacted within 10 business days regarding outcome of your application and further information will be provided thereafter
Privacy Policy
All personal information collected, used or disclosed by Leaders Institute is confidential and is protected by the Privacy Act 1988, the Information Privacy Act {QLD) and other relevant legislation. Information about Agents or students may be made available to Commonwealth and State agencies if requested.

Leaders Institute reserves the right not to proceed with providing an International Education Agreement for reasons it may deem fit to apply.
Declaration
I declare that I have read and understood the extract from the ESOS Act 2000 relating to the obligations of education agents. I confirm that the information provided in this application is true, complete and accurate to the best of my knowledge. I authorise Leaders Institute to contact my referees and obtain any information the Institute reasonably requires to assess this application. I understand and accept that I am responsible for the conduct of any Subcontractors I appoint, and that their actions or omissions will be treated as my own for the purposes of my engagement with Leaders Institute and applicable law.
Is there any known Conflict of Interest (eg: Ownership, Shareholding, High Managerial agent?*

Yes

No
Provide details:
Name of Applicant*
Position*
Signature*
Date*

Education Agent Application Form

Education Agent Application Form

Instructions to applicants

Company Details & Background

Ownership Details and Key Personnel

Business Background

Marketing and Recruitment

Compliance Requirements

Reference Check

Agent Checklist

Privacy Policy

Declaration

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