University of KansasInternational Admissions

Official Agency Name

Agency Website

Agency Social Media Links

Postal Address:

Country

Street

City

Region

Postal Code

Is this your Main Office or a Branch Location?

Primary Contact

First Name

Last Name

Title

Email

Phone with Country Code

Information about your agency

What year was your agency established?

How many people work on your team?

From which countries do you recruit students?

To which countries do you send students?

What additional services does your agency offer?

How many students at each level have you sent to the US last year?

ESL

Undergraduate

Graduate

Has your agency sent students to the University of Kansas in the past?

Yes

No

Do you have subcontractors that recruit for your agency?

Yes

No

How many subcontractors?

How do you select and review subcontractors?

Do you charge a fee for helping students?

Yes

No

If so, how much do you charge?

What services do you provide for this charge?

Name three Institutional References you have worked with and placed students in regularly.

Contact 1

Name of contact

Title of contact

Name of University or Institution

Email of contact

Phone number of contact

Contact 2

Name of contact

Title of contact

Name of University or Institution

Email of contact

Phone number of contact

Contact 3

Name of contact

Title of contact

Name of University or Institution

Email of contact

Phone number of contact

Please identify any memberships/certifications your agency has achieved.

Upload

Please review the AIRC certification standards (link below).

https://static1.squarespace.com/static/5d1cea1f24c080000113b415/t/60ddeacaff93c4637e7fa48b/1625156299111/AIRC+Standards+2021+font.pdf

If you have read and agree to the AIRC certification standards, sign below.

Name of person electronically agreeing to the statement

Name of Agency agreeing to the statement

Date electronically signed

Have you carefully read our Guidelines for Agents to get information about our expectations for agents and compensation?

In order to become an approved agent, you must agree to the following: "I have read the University of Kansas’ Guidelines for Agents. I acknowledge that the Guidelines are specifically part of this application. I agree to abide by the Agent Code of Conduct and understand that the University of Kansas may terminate its relationship with any agent or agency that the University determines, in its sole and complete discretion, has violated the code of conduct. I have also read and understand the conditions under which I or my agency would be paid for its services.

Do you agree to the above statement?

Signature

Name of person electronically agreeing to the above signature.

Name of Agency agreeing to above signature.

Date electronically signed

For any questions, contact us at i ntlagents@ku.edu

Application to become an Agent for the University of Kansas

University of KansasInternational Admissions