Agent Interest Form

Agencies interested in partnering with Montclair State University for international student recruitment should submit this agent interest form.

IMPORTANT: Montclair State University uses a bidding process to contract new agency partners. This process is done by geographic region and done only every few months. As such, we will retain your information from this application and will contact you when the next bidding process opens. Thank you for your patience and your interest in working with us!

General Agency Information

Agency Name*

Agency Mailing Address

City

State/Province

Zip/Postal

Country

Agency Phone Number*

Agency Email*

Agency Website*

Partnership Contact Information

Contact Person for Signing Agreements*

Contact Person's Title*

Contact Person's Email Address*

Agency Information

Year of Agency Establishment*

Countries Represented by Agent*

Agency Owners' Names*

Total Number of Agent Offices*

Countries Where Offices are Located*

Cities Where Offices are Located

Total Number of Employees*

Agency Certifications

American International Recruitment Council (AIRC)

ICEF Agent Training Course (IATC)

Education Agent Training Course (EATC)

British Council Training Program

List any professional affiliations/memberships (NAFSA, etc ...)

Does your agency work with sub-agents?*

Yes

No

Agency Service Information

Does the agency use a testing center?*

Yes

No

Please specify which exams

List the services that your agency provides to students (counseling, document preparation, visa counseling, travel arrangements, etc.): *

Agency Student Data

What is the average number of students that the agency works with, including all countries and office locations, on an annual basis: *

Three most popular countries of placement for your students*

Average number of students who apply to universities in the United States*

Average number of students who enroll in universities in the United States*

Please name the three largest partner universities where students enroll*

Do you have a partnership with any other universities in New Jersey? If so, please specify

Student Information

Estimate percentage of students for the following:

Undergraduate and Bachelor’s Programs*

Master’s Degree Programs*

PhD Programs*

ESL-only Programs*

Percentage of your students seeking “conditional” admission for English language training prior to enrollment into the academic program*

Three most popular majors your students are seeking

Montclair State University Information

Have you ever sent applications to Montclair State University*

Yes

No

How did you hear about Montclair State University?*

How many students do you estimate would apply to and enroll in Montclair State University on an annual basis?*

Please explain why you believe your agency would be a good fit for Montclair State University*

Other

Is there anything else you would like to share about your agency that sets it apart from others?

References

Please provide two references from a U.S. university with whom you have an agreement:

University #1 Name*

University #1 Contact Name*

University #1 Contact Email*

University #2 Name*

University #2 Contact Name*

University #2 Contact Email*

Confirmations

Do you declare that the information in this application is true and correct:*

Yes

Do you agree to abide by NAFSA’s Statement of Ethical Principals;*

Yes

Name of Person Completing the Application*

Applicant's Title*