International Agency Consultancy Agreement Reference Form Agency name * How long have you worked with this agency? * Less than one year 1-2 years 3-4 years 5+ years N/A How many students on average does this agency send to you each year? * 0-3 students 4-6 students 7-9 students 10+ students N/A Do you have an active partnership with this agency? * Yes No N/A Have you experienced any problems or difficulties working with this agent? * Yes No N/A Does this agency supply all the information requested on time? * Yes No N/A Do they always work in an ethical and professional manner? * Yes No N/A Would you recommend working with this agent? * Yes No N/A Visas and sponsored students If this agency have sent you pupils sponsored on a student visa, please answer the following questions. Have any of the students that have been sent to your organisation by this agency had their visas refused? Yes No N/A Have any of these refusals been on the grounds of student credibility, false documentation or deception? Yes No N/A Have any students sent to your organisation by this agency absconded or failed to enrol having travelled to the UK? Yes No N/A Have any students sent to your organisation by this agency left their school early without providing details and evidence of having moved to a new sponsor or left the country? Yes No N/A Any additional comments? Referee details Name * First Name Last Name School/organisation name * Email * Phone * (###) ### #### Agreement * I hereby declare that the information provided is true and correct. I also understand that any wilful dishonesty may render refusal of the said agent application. Thank you!