J:\Marketing\Agents\Agent Enquiry Letters MASTERS\AGENT QUESTIONNAIRE.docLAST UPDATED 04/12/2008

Phoenix Academy Partners are: Curtin University of Technology • Edith Cowan University • Murdoch University • Western Australia Department of Education • TAFE Western Australia •

Independent Boys and Girls High Schools • Australian School of Tourism Hospitality Management • Sound and Audio Engineering (SAE) • Bond University • La Trobe University • Monash University • Insearch UTS

QUESTIONNAIRE FOR REPRESENTATIVES APPLYING TO BECOME AN AGENT

COMPANY DETAILS

1. Business Name: _____________________________________________________________

2. Business Address: _____________________________________________________________

_____________________________________________________________

3. Contact Name: _____________________________________________________________

4. Telephone: __________________ Mobile: _____________________ Fax: ____________________

5. Email: _______________________________ Website (if applicable): _________________________

6. If you have a business in Australia, please supply us with your ABN number: ___________________

COMPANY BACKGROUND

1. Years in business as an education agent: _______________________________________________

2. Is your office involved with any other business? If yes, please outline: _________________________

__________________________________________________________________________________

3. Is your business a member of any professional or marketing organisation? Yes No

If yes, please list 1. _____________________________ 2. _____________________________

4. Does your office act as a subcontractor to another agency? Yes No

5. If yes, please name the agent: ________________________________________________________

6. Number of international students sent for study in Australia each year: ________________________

7. Number for ELICOS: _____________________ Number for Foundation Studies: _____________

Number for Secondary Education:___________ Number for TAFE/University: ________________

8. To which countries do you send most students for study? __________________________________

9. Which Australian institutions do you represent?

1. _________________________________ 2. ______________________________

3. _________________________________ 4. ______________________________

5. _________________________________ 6. ______________________________

7. _________________________________ 8. ______________________________

10. How much is your student service fee? ___________________________________________

Does this include the fee for an Australian student visa? Yes No If no, what

is the fee for obtaining the visa? ___________________________________

J:\Marketing\Agents\Agent Enquiry Letters MASTERS\AGENT QUESTIONNAIRE.docLAST UPDATED 04/12/2008

STAFF

1. Number of staff in your company: _________Counsellors: __________Administrative staff: ________

2. Have any of these staff studied/worked in Australia? Yes No

3. If yes, please provide details: _________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

4. Have you or any of your counsellors ever visited Perth? Yes No

5. If yes, when was the date of their last visit? ______________________________________________

COMPANY SERVICES

Please indicate the services your company provides:

Student counselling Follow up with parents

Collecting fees English Testing

Pre-departure briefing Visa application

Others Please specify: ___________________________

___________________________

___________________________

REFEREES

Please indicate two referees we can contact, including one from an Australian institution you represent. (Failure to complete this section will result in delays and/or the rejection of agent applications)

Referee Name: ______________________ Referee Name: _______________________

Company: ______________________ Company: _______________________

Email: ______________________ Email: _______________________

Fax & Phone: ____________________ Fax & Phone: _____________________

The information provided on this questionnaire is correct and up to date:

Name: ________________________ Signed: ________________________

Position: ________________________ Date: ________________________

If you are interested in becoming our agent, please complete this form and return via: Fax: International Marketing Officer

+618 9227 5540 Mail: International Marketing Officer PO Box 256 Leederville, Perth, Western Australia, 6903 Provided the Representative has enrolled a student in a Partner Institution through Phoenix Academy, the Academy will manage the application, enrolment and

the commission payable by that Partner Institution and will be responsible for the payment of all commissions to the Representative. Phoenix Academy Partners are:

Curtin University of Technology • Edith Cowan University • Murdoch University • Western Australia Department of Education • TAFE Western Australia • Independent Boys and Girls High Schools • Australian School of Tourism Hospitality Management • Sound and Audio Engineering

(SAE) • Bond University • La Trobe University • Monash University • Insearch UTS