HSU Agent Questionnaire

Thank you for your interest in representing Humboldt State University. We are seeking qualified and reputable representatives in countries who may represent our university internationally. We are committed to providing timely communication and assistance to our partner representatives.

We would like to get to know your organization by asking a few questions so that we may be able to determine if your services are compatible with our mission. Thank you in advance for your time in filling out this questionnaire.

Business information
Include street address, city, state/province, country, and postal code.
If different from mailing address.
Owner/Manager Information
e.g. Owner, Director, Manager
Include street address, city, state/province, country, and postal code.
Primary Contact for HSU
If different than above.
Agency History
References
Please provide us with information for three U.S. institutions, with names and contact information of individuals that we may contact for reference. If US references are not available, please provide contacts for Australia and/or Canada and/or the UK.