Application - ALPS Agency Representative

ALPS Agency Application

Agency Information
Registered Business Name*
Year Established*
Number of Employees*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address for sending marketing materials and updates (if different)
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website

Social media sites (include links)

Associated Companies (Parent/Child/Sister Companies)
Owner / Director Information
Job Title*
Name*
First Last
Name as Written on Registration Documents (if different)
First Last
Email*
Phone*
Primary Administrative Contact (if different than Owner / Director)
Job Title
Name
First Last
Email
Phone
WhatsApp/Line/KakaoTalk contact information
Contact Person for Processing Commission Payments (if different than Owner/Director)
Job Title
Name
First Last
Email
Phone
Company Background
Are you a single location?*
- Yes
- No
Are you the headquarters?*
- Yes
- No
How many branch offices do you have?*
Has your agency or company used other names previously?*
- Yes
- No
Provide any names that your agency used previously.*
Does your organization belong to any professional associations or have any special accreditations (ICEF, AIRC, etc.)?*
What cities or countries does your organization recruit students from?*
What services do your counselors provide students?*
What are some typical fees that you charge to prospective students?*
Approximately how many students does your agency send abroad each year?*
Approximately how many students does your agency send to the US each year?*
Approximately how many students do you anticipate referring to ALPS each year?*
Student Profile
What types of students does your agency represent? Please check all that apply.*
- Professional English - students with F-1 visas looking to improve their English for professional purposes
- Academic English - students with F-1 visas looking to prepare for degree programs at colleges and universities
- General English - students with F-1 visas looking to study abroad for personal enrichment
- Change of Status - students currently in the United States looking to change their visa status to F-1
- Vacation English - students with B1/B2 visas or ESTAs looking to study part-time during a visit to the US
- 35+ English - students looking to improve their English as part of a career change or life change
- Other
What percentage of your students want Professional English?*
Please enter a number less than or equal to 100.
What percentage of your students want Academic English?*
Please enter a number less than or equal to 100.
What percentage of your students want General English?*
Please enter a number less than or equal to 100.
What percentage of your students want to do change of status?*
Please enter a number less than or equal to 100.
What percentage of your students want Vacation English?*
Please enter a number less than or equal to 100.
What percentage of your students are age 35+?*
Please enter a number less than or equal to 100.
Please describe the types of students that your agency represents.*
What percentage of your students fit this profile?*
Please enter a number less than or equal to 100.
How long is the average study program for your students?*
What steps do you plan to take to promote ALPS in the first 60 days of our partnership (website, social media, events, etc.)?
Is there any additional information you would like to provide?
References
Please list three professional references for other programs where you have sent students. We prefer references in the United States from schools whose primary focus is English language instruction. If you are not able to provide references, please indicate that below. Please note that references are required if you plan to collect tuition and fees on ALPS's behalf and submit ALPS the net amount (gross and net invoices).
Providing references?
- I am listing references below
- I am not able to provide references
Reference 1
Institution Name*
City*
Country*
Contact Name*
Contact Email*
Contact Phone*
Reference 2
Institution Name*
City*
Country*
Contact Name*
Contact Email*
Contact Phone*
Reference 3
Institution Name*
City*
Country*
Contact Name*
Contact Email*
Contact Phone*
Partnership with City University of Seattle
If you are also interested in becoming a partner agency with City University of Seattle, please check the box below. By checking the box, you consent to ALPS sharing the information contained in this form with City University. You will be contacted by a representative from City University of Seattle about becoming a City University agency partner.
Consent
I would like to have the information in this application form shared with City University.
Disclaimer and E-Signature
I certify the answers and information I provided above are to the best of my knowledge truthful and correct. I understand that ALPS Language School reserves the right to terminate ALPS's relationship with an agency or representative if ALPS discovers, or has a reasonable belief, that any answer or information provided in the application is false. I have read and understood the ALPS Language School Agency Procedures Manual and the cancellation and refund policy.
Consent*
I hereby apply to become an agency representative of ALPS Language School.
First and Last Names*
Position*
Today's Date*
MM slash DD slash YYYY
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Application – ALPS Agency Representative

ALPS Agency Application

Agency Information

Owner / Director Information

Primary Administrative Contact (if different than Owner / Director)

Contact Person for Processing Commission Payments (if different than Owner/Director)

Company Background

Student Profile

References

Reference 1

Reference 2

Reference 3

Partnership with City University of Seattle

Disclaimer and E-Signature

Are you ready to join?

Questions?

ALPS Language School