CESL Agent Request for Contract

We take pride in our reputation and will be careful to have only the best consultants represent our interest and consequently our students' interests. Therefore, we ask you to respond to the following questions; our decision will be based on compatibility of values.
* Required

NAME





CONTACT INFORMATION

4. Please complete the following information about your company.














ABOUT YOUR AGENCY












ABOUT YOUR SERVICES






ADMISSION AND ENROLLMENT






ABOUT YOUR STUDENTS






FEES

29. Indicate the amount (in U.S. Dollars) of fees charged to the prospective students:











MANDATORY REFERENCES (U.S.- BASED)

Please list the name, email address, institution, and telephone of 3 individuals at academic institutes, preferably U.S.-based, who have received students from you in the past year. We will contact them on your behalf for a performance recommendation. This information is required to process your application. To facilitate faster processing of your application, be sure that the referees that you provide are able to quickly respond and have indeed received students from you recently.










SUBMISSION AND CONFIRMATION






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