Agent Reference Check Report

Please note that this form can be filled and saved (and sent back to us once filled).


PLEASE FORWARD THE COMPLETED APPLICATION TO: info@leaders.edu.au
7 6 Park Road, Woolloongabba Brisbane,
Queensland, 4102, Australia
Phone: +61(07) 3161 5566

FOR OFFICE USE ONLY

               


Checked by

Date


AGENT'S DETAILS


REFEREE'S DETAILS


IS THE AGENT REGISTERED WITH YOUR INSTITUTE?


HOW LONG HAS YOUR INSTITUTION BEEN WORKING WITH THIS AGENT?


HOW DO YOU FIND THE QUALITY OF APPLICATIONS BEING SUBMITTED BY THIS AGENT?


PLEASE RATE THE AGENT IN RESPECT TO PAYMENT AND ADMINISTRATION REQUIREMENT


NO OF STUDENTS BEING REFERRED BY THIS AGENT


HOW COOPERATIVE AND SUPPORTIVE IS THIS AGENT WITH POST ENROLMENT ISSUES AND PROBLEMS?


COMMUNICATION AND PROFESSIONAL SKILLS OF THE AGENT


WOULD YOU RECOMMEND THIS AGENT?


ANY ADDITIONAL COMMENTS


DECLARATION

I DECLARE THAT THE INFORMATION PROVIDED ABOVE IS CORRECT

Should this document be returned by email in types format, with all information given it will be deemed as being signed by the applicant