Prospective Agency Form

General Information

First Name

Last Name

Title

Name of Agency

Email

Website

Phone
Please add your country index in front of your phone number

Address (# and Street)

City

State/Province

Postal Code

Country

About your Organization

How many years have you been in operation?

How did you hear about Edmonds College?

Please select the clientele you serve
You may select more than one by clicking with the Ctrl key (Windows) or Cmd key (Mac)
University bound students (interested in Associate degree programs) Gap year students High School Completion students Technical certificate or degree students (interested in non-transfer degrees, job preparation programs) Other

If you chose "Other" to the former question, please elaborate

Please select the countries you serve
You may select more than one by clicking with the Ctrl key (Windows) or Cmd key (Mac)
Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Republic of the) Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czechia (Czech Republic) Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia [9] Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United of Republic of Tanzania United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe

Have you or are you currently working with U.S. institutions? Community colleges? Please name some of the U.S. institutions with whom you are currently working:

How many students have you successfully enrolled (physically or virtually) at a U.S. institution in the last 12 months?

In your opinion, what are the benefits of community colleges in the U.S.?

If you become an official partner of Edmonds College, how would you plan to promote the college programs and services?

Please demonstrate how you will provide these services below to future Edmonds College students:
As an official agency representing Edmonds College overseas, you are expected to provide students with the following support: provide advice about study options at Edmonds College, provide support during the admissions process and student visa process, inform students about the housing options available at Edmonds College, and help with necessary housing application forms including airport pick up.

Are you a member (certified) of AIRC- American International Recruitment Council?
Yes

If yes, when would your certification expire?

First Reference

Two references are required to form an agency partnership with Edmonds College. If you cannot provide two references, please write N/A in the fields below and our staff will contact you about next steps.

First Name

Last Name

Name of Institution

Country of Institution

Email

Phone Number

Second Reference

First Name

Last Name

Name of Institution

Country of Institution

Email

Phone Number

Agreement

Please read the following statement below and select that you understand and agree:
As a representative of Edmonds College, I will recruit students whose intention is to enroll at the campus, pay tuition, and attend classes as a full time student for a minimum of one quarter. I understand that I should not encourage or support students to enter the USA with the Edmonds College I-20 if they do not intend to enroll or plan to change schools within the first 30 days of their arrival. As an official agency representing Edmonds College overseas, I am expected to provide students with the following support: provide advice about study options at Edmonds College, provide support during the admissions process and student visa process, inform students about the housing options available at Edmonds College, and help with necessary housing application forms including airport pick up.
Yes, I understand and agree.