Managed Campus - International Agent Application

Please complete the following Agent Application form to express interest in becoming a registered Cambridge Education Group Managed Campus – International (currently University of Hull London and Aston University London) agent. The form must be completed in English using English characters only.

Company Details

Please provide the registered company name (as stated in the business certificate)

Trading Name (if different from registered company name)

Website URL/link

Company main email address (e.g. [email protected])

Company main telephone number

Head office address line 1 (cannot exceed 35 characters)

Head office address line 2 (cannot exceed 35 characters)

Head office address line 3 (cannot exceed 35 characters)

City

State/Province

Postcode

Country

Company Director Details (for contract purposes)

Title

First name

Last name

Telephone number

Email address

Job title

Key Contact (for Account Management)

Title

First name

Last name

Telephone number

Email address

Job title

Finance Contact Details (for finance/commission-related communication purposes)

Title

First name

Last name

Telephone number

Email address

Job title

Partner Portal Admin Details

Partner Portal is the tool our partners use for managing student applications. Portal Admin is the person in your organisation responsible for Partner Portal and can grant access to others within your organisation.

Title

First name

Last name

Telephone number

Email address

Job title

Company Overview

Students sent to the UK per year

Countries where organisation recruits students from (hold ctrl to select multiple)

Year established

Branches/offices in other locations

Does or has worked as a sub-agent of a CEG Agent

Are you an existing agent of CEG? If yes, please provide your EMP number

Name your key university partners in the UK

Counsellors employed

How did you hear about Cambridge Education Group?

Why do you want to work with Cambridge Education Group?

Referees

First referee name

First referee job title

First referee company name

First referee email

First referee telephone number

Second referee name

Second referee job title

Second referee company name

Second referee email

Second referee telephone number

Managed Campus - International Agent Application

Company Details

Company Director Details (for contract purposes)

Key Contact (for Account Management)

Finance Contact Details (for finance/commission-related communication purposes)

Partner Portal Admin Details

Company Overview

Referees

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