Agency Application Form - Abbey College in Malvern

Contact Details

Name of Agency *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have offices in other locations?

If yes, please give addresses and contact details, including phone/email if applicable.

Name *

First

Last

Email *

Website / URL

Position/Job Title *

Phone Number *

Skype ID / Other Social Media *

Skype, Facebook, Instagram etc...

References

Please nominate two schools or institutions (preferably in the UK) that you have previously worked with, to act as your referees.

Reference One

Company Name *

Contact Name *

First

Last

Job Title/Position *

Telephone *

Email Address *

Postal Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you been working with this company? *

Reference Two

Company Name *

Contact Name *

First

Last

Job Title/Position *

Telephone *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you been with this company? *

Procedures and Additional Information

Please indicate which of the following procedures you us to screen potential clients, in order to determine that they are serious students who intend to complete their full course of study overseas.

Please tick as appropriate:

Consider students' level of English and academic ability (if applicable) before accepting their applications.
Verify that any existing qualifications presented are genuine.
Request to see proof of the students' ability to support themselves financially during their course, e.g. bank statements.
Check visa/travel history as required for UK visa purposes.
Keep student and parent contact details on file after the student has started the course, and update parents as required during the course.

Additional Information/Comments to Support Your Application:

Bank Details and Signature

Bank Name *

Branch Name *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Account Name *

Account Number *

IBAN

Swift Code *

Contact Details

Agency Information

References

Reference One

Reference Two

Procedures and Additional Information

Bank Details and Signature