Thank you for your interest in representing Cal Poly Humboldt. 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 us. Thank you in advance for your time in filling out this questionnaire. Business information Business name * Mailing address * Include street address, city, state/province, country, and postal code. Physical address If different from mailing address. Phone number * Email address * Website * Owner/Manager Information Name (last/first) * Official title * e.g. Owner, Director, Manager Will this person be signing the contract/agreement? * Yes No Owner/Manager mailing address * Include street address, city, state/province, country, and postal code. Primary Contact for Cal Poly HumboldtIf different than above. Contact name (last, first) * Contact email * Agency History When was the student recruitment division of your organization founded? * Please list the cities and countries where your organization has student recruitment offices. * What type of US Institutions do you currently represent? * How many schools does your organization represent in the United States? * If possible, please provide us with a list of the US Institutions you currently represent. * How many students does your agency send to: Intensive English language programs in the United States each year? * Undergraduate programs? * Graduate programs? * How does your agency match the student to the school? * How do you promote your services? Print ads (publications, frequency, circulation): * School visits (frequency and approximate number of schools visited) * Other (Facebook, Twitter, Instagram) * What type of services do you provide to your student clients? Please be as specific as possible. * Does your agency charge students a service fee? * Yes No How many staff does your organization employ for student recruitment activities? * What type of training/experience and qualifications do your advisors have? * How does your agency collect commission and/or agency fees? * What is your preferred method of payment for commissions/fees? * ReferencesPlease 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. Reference 1 * Name (Last, First) of University Representative: Name of University: Email: Reference 2 * Name (Last, First) of University Representative: Name of University: Email: Reference 3 * Name (Last, First) of University Representative: Name of University: Email: CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.