Education Agent (EOI & Recruitment) – Application Form

Company Background

1. Organisation Details


Other Offices

2. Other Offices: Please provide all other office locations (if operating more than one); addresses, details for each staff member and key contact person for each location

Education & Bussiness

3. List all Australian education providers your company represents*

4. Description of core business and whether recruitment of students is the main component of your business? *

5. Number of years in business as a Student Education Agent

6. List the countries (including any overseas locations) where you have contacts/operate and are interested in representing/sourcing students i.e. recruit potential students to VIT*

7. Total number of students referred to Australian education institutions and the type of course admissions over the last three years*
University/ InstitutionCourse Type/ NameTotal No. of Students
8. It is mandatory that one of your staff is a Qualified Education Agent Counsellor i.e., has a PIER certificate, please attach certificate*

Any Judgement

9. Are there any judgments, orders or proceedings against your company, application for its winding up, dissolution, liquidation or cessation of its business?


Courses Category

10. Which of the following categories of courses do you want to recruit students for VIT ?*
S NoCategoryYesNo
1VET CoursesYesNo
2Higher Education CoursesYesNo

Director's Details

11. Details of Business Owner / Director(s) background, qualifications and previous experience*


12. Please list the names of two (2) relevant and independent referees (preferably
established education providers) who can confirmyour track record and your company’s financial
Referee 1Referee 2

Other Information

13. Please use the space provided below to include any other information you consider to be of importance to this application. Information must include a brief business plan outlining proposed student recruitment activities and target number of students you are planning to recruit for VIT. To support your application, any supplementary documents should be included with this Application Form*


14. Please ensure the following supporting documents have been attached – Business Profile and
Copy of Business Registration Certificate (ABN/ACN) as issued by the relevant government
department in your country. Failure to supply these two required documents will result in delay of
the application being processed Supporting document attachments (maximum size 10MB) should
be in any one of these formats:.doc; .docx; .pdf; .jpeg; .png; .rtf; .txt; .gif

Certified copy of Business Registration*

Company Profile/Business Plan including annual marketing initiatives*

Qualified QEAC counsellor if applicable(Certificate of Attainment/s)

Any Additional Comments/Attachments

Bank Account Details

15. Bank Account Details

Agent Account Officer

16. Agent Account Officer (key contact person)


17. Name of VIT Representative or Account Manager with whom you have exchanged
communication or been in contact *

Proposed Agreement & Declaration

18. I acknowledge that approval of this application is conditional upon my company entering into an agreement with VIT in accordance with the National Code 2007 and ESOS Act 2000. I confirm that the answers and details provided are true and accurate to the best of my knowledge. I authorize VIT to contact the referees to collect any information as required from time to time.


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