Applywave Agent Form

Email Address *

Agency Name *

Agency Address *

Main Contact Person *

Email * (Include the company email and the main contact's direct email)

Office Phone *

Whatsapp Contact

Reference #1 * (Name of Institution, Contact Person, Email & Phone Number)

Reference #2 * (Name of Institution, Contact Person, Email & Phone Number)

Reference #3 * (Name of Institution, Contact Person, Email & Phone Number)

Main countries you recruit from *

Number of years operating * Less than 5 years 5-10 years More than 10 years Other

Number of current institutional partners * Less than 25 25-50 partners More than 50 partners Other

Study Level placements *

Top destination placements *

Are you a member of any professional organizations/accreditation organizations?

What (if any) student fees do you charge? * We don’t chare any fees from students Less than $50 USD $50-$200 USD $200-$500 USD More than $500 USD