RIT Agency Application Form

Agency Name

Display Name (hidden)

Default Agency Status to Pending (hidden)

Default to Hide from Public Autosuggest (hidden)

Primary Contact

First Name

Optional Preferred Name (if different)

Last Name

Address and Phone

Mailing Address

Country

Street

City

Region

Postal Code

Address Type 1 - Mailing (hidden)

Is your street address different than your mailing address?

Yes

Street Address

Country

Street

City

Region

Postal Code

Address Type 2 - Permanent (hidden)

Phone Type

Phone Number, e.g. +91 555-555-5555

Fax Number

Agency Information

In what year was your agency established?

Select region(s) in which you work with students to apply

Africa

Asia Pacific

Australia

Canada

Central and South America

Central and South Asia

Europe

Middle East

Please provide a list of countries of the students you submit applications on behalf of

What kind of training do you provide to educational advisors?

How do you advertise your services? Check all that apply:

Contact with schools or school officials

Internet/Website

Newspapers and/or Magazines

Paper or digital flyers

TV and/or Radio

Other

Other advertising

Web address

What services do you offer your clients? Check all that apply.

Application Assistance

Identifying Best University Options

Language Camps

Organizing Education Fairs

Pre-Departure Student Orientation

Scheduling Travel

Standardized Test Preparation

Student VISA Advisement

Other

Other services

Do you provide an agency emergency phone number for students?

Yes

Emergency Phone Number

What type of programs do most of your students seek?

Academic preparation

Intensive English

University - (Post) Graduate

University - Undergraduate

What fees in U.S. dollars do you charge students for these services?

How many students have you sent to schools in the U.S. in the last year?

0-10

11-50

51-100

101-500

501-1000

Over 1000

When do most of your students want to come to the U.S. to study?

Fall (August)

Spring (January)

Summer (June)

Any of the above

How do you become familiar with the schools you refer students to?

Do you charge schools a fee or expect to receive a commission?

Yes

How much do you expect to receive?

How many US institutions are you currently partnering with?

0-5

6-10

11-50

51-100

101-200

Over 200

Agents must either belong to a standards or accreditation body, such as those listed below, or, if not, the agent must provide a statement of ethics which complies with AIRC guidelines. Please select all that apply.

AIRC Member

FELCA Member

ICEF Member

IECA Member

None of the Above

AIRC Membership Date

FELCA Membership Date

ICEF Membership Date

IECA Membership Date

Please attach a statement of your code of ethics in compliance with AIRC guidelines.

Do you use your own promotional material (print/Internet) or require material provided by the university?

Use our own materials

Use material provided by the university

References

Please provide the names, addresses, phone numbers and e-mail addresses of two references at schools in the US that you work with.

DeleteReference _ID_
First Name Last Name School School Code (hidden) Phone Email Address Address Country Street City Region Postal Code

Add Reference

Please verify the information you entered above and then click Submit.