AGENT REFERENCE CHECK Prospective Agent Name(Required) Prospective Agency name(Required) Referee DetailsReferee Name(Required) Referee Position(Required) Organization Name(Required) Phone(Required)Email(Required) Agent Background informationHow do you find the quality of applications being submitted by this agent?(Required) Excellent Good Fair Unsatisfied How long has this agent represented your institution?(Required) Less than 1 Year 1 to 3 Year 3+ Year Marketing and RecruitmentHow many students has the agent directed to your organization over the last year?(Required) None 1 to 10 11 to 25 26+ How do you find the quality of the documentation?(Required) Excellent Good Fair Unsatisfied How do you rate their performance so far?(Required) Excellent Good Fair Unsatisfied How cooperative and supportive is this agent with post enrolment issues & problems?(Required) Excellent Good Fair Unsatisfied How would you rate your satisfaction with this agent?(Required) Excellent Good Fair Unsatisfied What were you satisfied / unsatisfied with this agent? Do you have any further comments about this agent? Do you agree that the information provided is true and correct(Required) I consent that the all of the information provided are all accurate up to my knowledge.Signature(Required)Name(Required) Date(Required) DD slash MM slash YYYY PhoneThis field is for validation purposes and should be left unchanged.
