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Prospective Representative Questionnaire Form
BUSINESS CONTACT INFORMATION
Full Contact Name:
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Position In Business:
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Full Legal Agency Name:
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Full Mailing Adress:
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Telephone:
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Fax:
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Email Address:
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Website http://
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Is your Company Officially Registered?:
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BUSINESS BACKGROUND AND INFRUSTRUCTURE
How Long Has Your Agency been operating as an educational consultant?:
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How many staff do you have?:
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How many have Degrees?:
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STUDENTS' INTERESTS
How many International Students do you send to a U.S. University yearly?: (Select One (1) Only)
10-50
51-100
101-150
151-200
201-250
251-300
301-350
351-400
401-450
451-500
500-ABOVE
Please select all Common Program Studies Applicants Inquire about:
Business Programs
Counseling Psychology
Criminal Justice Programs
Computer Programs
Education Programs
Engineering Programs
Environmental Studies
Health and Nutrition Programs
Language Programs
Interior Design Programs
Pre-Professional Programs
Sciences i.e. Biology & Chemistry
STUDENTS' PROFILE
Based on a scale of 100% please specify the percentage of:
Undergraduate Students:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Graduate Students:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
English Language (ESL) Students:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Short-term Certificate:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Combined ESL & Academic (Bridge) Applicants:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pre-Professional Programs Students:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Professional Programs Students:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
SERVICES AND MARKETING STRATEGIES:
Please list some of the services you provide to International Students:
1:
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2:
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3:
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PLEASE CHECK ALL THAT APPLY - Does your organization...
Seek admissions to a college on behalf of prospective international students?
Attract international students to a particular institution or program?
Advise/Counsel applicants and assist in decision making regarding an institution or program?
Organize and participate in Education Fairs?
Make travel arrangements for university accepted applicants?
Conduct school visits?
List Other Marketing Strategies:
1:
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2:
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3:
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CONFLICT OF INTEREST AND EFFORT DUPLICATION
To avoid duplication of recruitment efforts we require a list of all U.S. Universities you currently work with:
University 1:
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Reference or Contact Name:
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University 2:
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Reference or Contact Name:
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University 3:
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Reference or Contact Name:
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University 4:
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Reference or Contact Name:
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University 5:
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Reference or Contact Name:
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ACADEMIC RECORDS
One of the application requirement by U.S. Universities is for all transcripts and academic credentials to be in English Translation.
Please Explain briefly how your organization varifies authenticity of students' academic records:
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YOUR ACCOUNT INFORMATION
Upon Approval of your online submitted questionnaire Ideal Perspective International Inc. will create an i-consultant account for your organization to submit applications and conduct online consultations including conference chats.
Who Can We Contact with login/account information?:
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Email Address:
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Position in the company:
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Select the initial schools you wish to represent ( Additional schools can be later approved based on proven and satisfactory account activity with placement history)
California Baptist University (CA) - (ESL ONLY)
Chaminade University (HI)
Hawaii Pacific University (HI)
Lynn University (FL)- (ESL ONLY)
Missouri Tech (MO)
South Seattle Community College (WA)
University of Bridgeport (CT)
University of California -Riverside (CA) - (ESL ONLY)
University of Denver (CO)
University of New Haven (CT)
University of North Alabama (AL)
Western International University (AZ)
Expected number of students you can refer to IPI for University placement?:
5-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
101-ABOVE
Any Additional Comment
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Upload Any Copie/s of Accreditations or Certificates
Accreditation Copies or Certificates:
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Security code:
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