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Wilkes University Agency Questionnaire
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Email *
Organization Name *
Main Office Mailing Address *
Main Office Phone Number *
Main Office Email Address *
Skype Address
Company Website *
Director / President / CEO Name *
Director / President / CEO Email *
Main Contact who will work with Wilkes University, Name, Title *
Main Contact Email *
Staff / Counselors / Advisers who will work with applications
Counselor Name / Title *
Counselor Email Address *
Number of Full Time Employees *
Number of Part Time Employees *
Number of Office Locations *
How long has your organization been in operation? *
How do you promote the partner universities and programs that you currently represent? *
Required
Are you AIRC Certified? *
Are you a candidate for AIRC certification?
Clear selection
Are you considering AIRC membership?
Clear selection
What other professional memberships or associations does your organization belong to, if any? *
Do you have a fee structure and refund policy available for prospective students? Please provide us with a copy of this policy. *
Who are your major agency competitors? *
What differentiates your organization from your competitors? *
Do you currently work with U.S. colleges / universities? *
If yes, please provide 1-3 references including school names, email addresses and persons to contact.
Do you currently work with U.S. colleges / universities? *
If yes, please provide 3 references including school names, email addresses and persons to contact.
What other services or activities does your organization provide for students? *
How many applications and enrolled students do you send each year to study in U.S.A? Please include applications and enrolled numbers for Undergraduate, Graduate, and ESL Programs. *
Where do most of your applications originate from? *
What other countries do you send students to besides U.S.A? *
What are the top three academic programs of study your students are interested in? *
Will all applications originate directly from your agency or will some be processed from a secondary company? Please explain:
What can Wilkes University do to assist you and students interested in the U.S. and our university? *
Please feel free to provide any other information about your organization.
Signature of Authentication: We certify that all information provided within this questionnaire is accurate and up to date. We also certify that our work is conducted by knowledgeable staff and reflect the best interests and needs of our students. Our recruitment programs reflect high professional and ethical standards and we take responsibility that the academic documents submitted to the Wilkes University will be authentic, legitimate and reflect each students own work. Please Sign. *
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