Agent Form

Thank you for inquiring about representing Heartland International English School. Heartland is happy to pay a commision to quality representatives to recruit students. If you are interested in establishing a relationship with our school, please fill out and submit the representative questionnaire. Once we receive your completed questionnaire, we will notify you of what you can do for us.

Email Address
Contact Name
Contact's Title: (Manager, etc.)
Company Name
Address
Suite Number
City
Province/Prefecture/ District etc.
Postal Code
Country
Telephone
Fax
Other Phone
Web Site

Please answer the questions as completely as possible.

What is the most important consideration that your organization looks for when choosing a language school?

What are the distinctive features/strengths of your organization?

How many branch offices do you have, if any? Is there an office in Canada?

What kind of language school do you prefer working with and why?

What means do you use to find students?

How long do your students typically want to study here in Canada?

How many other language schools in Canada have an agreement with your organization?

What type of students can you send to Heartland?

	High School Students
	High School Graduates
	University or College Graduates
	ages 20 -30
	ages: 30+

How many students could you send to Heartland on average per year?

How many students could you send to Heartland within the next three months?

How much commission do you normally ask of a language school?

What do you expect of Heartland?

Is there any additional information that you would like to know about Heartland?

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Agent Form

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