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Candidature – Représentant de l’Agence ALPS

ALPS Agency Application

Agency Information
Company Name*
Director / President's Name*
Office Mailing Address*
Physical Address (if different from mailing address)
Primary Contact
Contact Name*
Email*
Téléphone*
Company Background
How long has your agency been in business?*
Are you a single location?*
- Oui
- Non
Are you the headquarters?*
- Oui
- Non
How many branch offices do you have?*
Has your agency or company used other names previously?*
- Oui
- Non
Provide any names that your agency used previously.*
Approximately how many students does your agency send abroad each year?*
Approximately how many students does your agency send to the US 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
- Autre
What percentage of your students want Professional English?*
Veuillez saisir un nombre inférieur ou égal à 100.
What percentage of your students want Academic English?*
Veuillez saisir un nombre inférieur ou égal à 100.
What percentage of your students want General English?*
Veuillez saisir un nombre inférieur ou égal à 100.
What percentage of your students want to do change of status?*
Veuillez saisir un nombre inférieur ou égal à 100.
What percentage of your students want Vacation English?*
Veuillez saisir un nombre inférieur ou égal à 100.
What percentage of your students are age 35+?*
Veuillez saisir un nombre inférieur ou égal à 100.
Please describe the types of students that your agency represents.*
What percentage of your students fit this profile?*
Veuillez saisir un nombre inférieur ou égal à 100.
How long is the average study program for your students?*
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 ALPS is only able to offer trial agreements to agencies that cannot provide references.
Providing references?
- I am listing references below
- I am not able to provide references
Reference 1
Institution Name*
Ville*
Pays*
Contact Name*
Contact Email*
Contact Phone*
Reference 2
Institution Name*
Ville*
Pays*
Contact Name*
Contact Email*
Contact Phone*
Reference 3
Institution Name*
Ville*
Pays*
Contact Name*
Contact Email*
Contact Phone*
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 politique d'annulation et de remboursement.
Consentement*
I hereby apply to become an agency representative of ALPS Language School.
Prénom et nom*
Position*
Aujourd'hui & #039; s Date*
MM slash JJ slash AAAA
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Téléphone : +01-206-720-6363
info@alps.edu
Whatsapp : +1-206-536-4152
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Identifiant KakaoTalk : alps.langue.school

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