Agent Application

Thank you for your interest in working with Lakehead University. This application is for agencies seeking to represent Lakehead University for the following programs:

Undergraduate Programs (Bachelor)
Graduate Programs (Masters & Doctoral)
Academic English Program (AEP)

Please COMPLETE all the sections and questions below. By completing this application, you are declaring that the information provided is true, complete, and accurate. Submitting a completed application does not guarantee approval. Applications are reviewed and considered based on strategic targets and needs for representation in selected markets around the world.

Section 1: Contact Details

Company Legal Name: *

Company Website Address : *

Street Address: *

Town/City: *

State/Province: *

Country: *

Postal Code/Zip Code: *

Owner: *

Email: *

Phone Number: *

Section 2: Company Details

Year Founded: *

Number of Offices *

Total number of full-time employees: *

Do you work with sub-agents? *

Do you assist students in applying for a Canadian study permit/visa? *

Yes

If so, what is your success rate for Canadian study permit/visas? *

Do any of your staff members have Immigration Consultants of Canada Regulatory Council (ICCRC) accreditation? *

Yes

If so, please list the staff on your team who are accredited: *

Section 3: Past Performance

Please list the other educational institutions in Canada that you work with: *

How many students do you recruit to Canada annually?

University – Undergraduate (Bachelor’s degree): *

Please enter the number of students your company sends to each type of program

English Language Programs: *

University - Postgraduate (Masters, PhD): *

Other:

How many students do you recruit annually overall?

Please enter the number of students your company sends to each type of program.

University – Undergraduate (Bachelor’s degree): *

English Language Programs: *

University - Postgraduate (Masters, PhD): *

Other:

Please list any associations, affiliations, training certificates or awards your company has received with relevant organizations: *

Section 4: Recruitment Regions

Please indicate a list of regions you are recruiting from: *

Please indicate the regions you are recruiting to: *

Section 5: Marketing & Promotion

What media do you use for advertising? Please provide detailed information on how you generate leads through marketing: *

online, fairs, schools etc.

Section 6: Interest in Representing Lakehead University:

Why are you interested in Representing Lakehead University? *

How does Lakehead University’s portfolio of programs enhance and/or compete with your current partners? *

Section 7: Institutional References

Please submit 3 references from public academic institution, including one Canadian partner and from authorized staff that Lakehead University may contact: *

Please upload a copy of your Company Registration in .pdf, doc. or docx. format. This refers to the constituting document that identifies whether the company operates as a sole proprietorship, partnership or corporation. *

Files must be less than 10 MB.
Allowed file types: pdf doc docx.

Please indicate your current business structure: *

Sole proprietorship

Partnership

Corporation

Declaration:

By submitting this application, you are declaring that the information provided is accurate and that any false or misleading information may result in an automatic rejection of your application. Please note, submitting a completed application does not guarantee approval.