Online Agent Application Page 1 Page 2 Page 3 Page 4 Email Agent name * Business trading name Business registration number Business registration authority Business address * Postcode Country * Same postal address * Yes No Phone (1) Fax Phone (2) Email Major business activities Membership of professional associations Specific international recruitment training undertaken Years in operation * Number of staff Students referred to high schools in the last 3 years Students referred to TAFE in the last 3 years Students referred to university postgraduate in the last 3 years Students referred to ELICOS in the last 3 years Students referred to university undergraduate in the last 3 years Students referred to RTOs in the last 3 years Director name * Position Background, qualifications and previous experience * Key staff name (1) Key staff position (1) Background, qualifications and previous experience (1) Key staff name (2) Key staff position (2) Background, qualifications and previous experience (2) Other educational institutions you have represented Do you regularly monitor the Australian Government Department of Immigration website? * Yes No Referee (1) Telephone (1) Company (1) Email (1) Referee (2) Telephone (2) Company (2) Email (2) Referee (3) Telephone (3) Company (3) Email (3) Please upload your business documents and accreditation Add Files I wish to enter an agreement with Skills Institute Australia * Date * Position *