AGENT APPLICATION FORM - CAMDEN COLLEGE - Start Your Career With Camden

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RTO: 41492 | CRICOS: 03911C

Agent Application Form

1Agent Details

2Agent Information

3Referees

4Required Documentation

5Assurances

Contact Person Name *

Trading / Company Name

Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Website Address

Phone *

Email *

When was your company established?

Average number of students recruited each year for Australian Educational Institutions?

Main nationality of your students?

How did you hear about us?

List of countries you are currently servicing

Educational Referee Name

Position

Organisation

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email

I am able to supply the following documents:

Business/agency registration certificate (or other evidence)
Copy of student Complaints/Appeals policy
Copy of student Refund policy
Sample marketing collateral displaying your registration number or other identifier
Copy of a written agreement (including payment details) with student
Proof of approved and current association memberships or education agent certificates/training courses
Proof of any other relevant partnerships, affiliations and agreements

Business Registration *

MARA Registration *

Upload Docs.

Upload Docs.

Upload Docs.

Check any assurances below you warrant:

The Agent does not have any conflicts of interest (eg accept fees from both students and RTO for the same service) internal processes they have in place to avoid any such conflicts and ensure transparency in the agents’ operations.
The Agent assures that they will act honestly and in good faith and always in the student’s best interests.
The Agent assures that they do not have any past, pending, threatened or potential litigation, arbitration or administrative actions or other disputes against the agency, CEO or other relevant business associate.
The Agent assures that they do not offer any incentives to any party that may influence the student’s decisions.
The Agent assures that they provide appropriate, fair and considered counselling of students including assessing the student’s willingness and ability to complete the courses, their understanding of course and provider requirements and awareness of realistic employment and pathway outcomes.
The Agent refrains from claiming a direct government endorsement or privileged relationship with a public official or member of the government where one does not exist; including for example the misuse of national brand logos.
The Agent maintains strict confidentially of personal information and ensures this information is not shared with a third party unless consent is given.
The Agent has disclosed all relevant partnerships, affiliations and agreements including any sub-agent representation agreements.

If unable to provide assurances for any of the above, briefly describe reason/s:

Agent's Signature *

Name of agent or representative (please print)

If your application is approved, Camden College will:

- Send you the Education Agent Agreement for your signature

- Request the signed Agreement to be returned for processing

Once the signed Agreement is returned, a Certificate of Representation will be forwarded to you as evidence of registration.

Australian-Qualifications-Framework

NATIONAL RTO CODE: 41492

CRICOS Provider Code: 03911C

Nationally Recognised Training.

Australian Qualifications Framework.

Innovative Teaching & Delivery Methods.

Get Industry Ready, Job Ready and Trade Ready.

ABN 32 603 489 685

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[email protected]
(07) 3172 2811
11 Darnick St, Underwood QLD 4119

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