Global Partners - Partner Agent Application

International Agent Introductory Information

Please answer these questions as completely as possible. You may send this form online or by fax or mail. Our address and fax number are given below.

Partner Agent Information

Company Name

Date of Incorporation

Business Memberships

Contact Name & Title


What program(s) do you have an interest in? Check yes or no. You may answer yes to as many as you like
Academic Year or Semester Program (North America)	Yes No
Homestay/ESL Group Programs (North America - Short Term)	Yes No
How many students do you believe you could send annually to GPI's Programs?

How could you actively promote global Partners Program?
Are there any other programs for which you have a market that we are not currently offering? If yes, please advise
Are you presently working with another North American partner? If yes, please list them below.
Do you have any North American organisations that could act as a reference for you? If yes, please list the company name, contact name and telephone number below
Do you have any questions or comments?