Agents

Company Name:

Main Contact Name:

Mr.Mrs.Ms.Miss.Dr.Other

Main Contact's Position (Manager, etc.):

Email Address:

Other Contacts:

Street Address:

Room Number:

City:

Province/Prefecture/State etc.:

Postal Code:

Country:
Choose...AfghanistanAlbaniaAndorraArgentinaAustraliaAustriaBelgiumBermudaBrazilCameroonCanadaChileChinaColumbiaCosta RicaCroatiaCzech RepublicDenmarkEquadorEstoniaFinlandFranceGeorgiaGermanyGreeceHong KongHungaryIcelandIndiaIranIrelandIsraelItalyJapanKazakhstanKoreaKuwaitLatviaLebanonLithuaniaLuxembourgMalaysiaMexicoNetherlandsNew ZealandNorwayPeruPhilippinesPolandPortugalRomaniaRussiaSaudiArabiaSingaporeSloveniaSlovakRepublicSouthAfricaSpainSwedenSwitzerlandTaiwanTurkeyUkrainianUnited ArabEmiratesUnited KingdomUnited StatesUruguayVenezuelaVietnamZimbabwe

Telephone (please include Country code):

Fax:

Mobile Phone (please include Country code):

Web Site:

Other Social Media:

Do you have Offices in Canada?
YesNo

If Yes, please list where:

How did you hear about Heartland?

Please answer the questions as completely as possible.

What is the most important consideration that your organization looks for when choosing a language school? Please Check all that apply:
Length of StudyCost of TuitionLocationQuality of TeachingTradition of the School

Please describe what services you offer to your students:

What Countries do you recruit students from?

What means do you use to recruit students?

Education FairsTVRadioPrint AdvertisementsFlyersSchool Visits/PresentationsWord-of-MouthNewslettersSocial Media (Facebook, Twitter, Youtube, etc)

Please provide two references of Canadian schools you currently work with:
School Name 1:
Contact First and Last Name:
Contact Email:

School Name 2:
Contact First and Last Name:
Contact Email:

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?

How can we help you to recruit students?

Attend Education FairsSend Promotional MaterialsYearly Training and Visits

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