Become an IIA Agent

Application to become an IIA education agent

IIA values its education agents and supports quality performance. If you would like to apply to become an agent for IIA, please complete the details below and click the Submit button. We will contact you to discuss your application further.

In appointing agents, IIA reserves the right to ensure that all agents' rights are protected.


Please complete all fields.

Please complete all fields marked * so we can reply to your message.
Name: *
Company:
Street Address:
Suburb/City:
State/Province:
Country:
Postal Code:
Email Address: *
Telephone:
Fax:
   
Postal address (if different)
Address:
Suburb/City:
State/Province:
Country:
Postal Code:
   
Your assistance in completing the information below is appreciated.
How long has the business been operating as an educational agent?
How many students have you placed in overseas schools over the last twelve months?
   
Which countries have you placed students in and how many per country?
Country 1 Number
Country 2 Number
Country 3 Number
Country 4 Number
   
Do you know about the Australian student visa and visitor visa requirements? Yes No
Are you aware of the Australian National code governing education providers and their ethics in Australia? See National Code of Practice Yes No
   
Please provide the names and contact details of two referees we can contact
Referee 1  
Name
Company
Telephone
Email
   
Referee 2  
Name
Company
Telephone
Email
   
Does your company have a representative office in Australia? Yes No
If so, please provide the details below:
Name
Company
City
Telephone
Email