Application to become a QE Agent

If you would like to become a QE Agent please complete this form:

*must be completed Contact Details:
*First Name:
*Family Name:
*Job Title:
*Address:
Post Code:
*Town/City:
*Country:	-- select -- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Lucia Saint Vincent Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St. Helena Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
*Email: For correspondence with QE
*Email: For students contacting you
Telephone: (include all codes)
Fax:
Website URL:	Full URL, eg: http://www.mysite.com
Company Details:
*Company Name:
Type of Company and Ownership:
Year Established:
Number of Employees:
What agency associations are you a member of?
References: Please give details of the Quality English schools you work with and from whom QE can request a reference
Name of School:
Contact:
Email:
Telephone:
Name of School:
Contact:
Email:
Telephone:
Name of School:
Contact:
Email:
Telephone:
If you do not work with a QE school, please provide an alternative reference:
Name of Organisation:
Contact:
Email:
Telephone:
Your Business Activity:
How may 'student weeks' do you enrol at English language schools worldwide per annum?
In which countries are the schools?
How may 'student weeks' do you enrol at English language schools in the UK per annum?
How may 'student weeks' do you enrol at Quality English language schools per annum?
	We produce our own brochure
From which countries do you recruit students?
How can you promote Quality English?
What services do you provide to your clients?
	A fee is payable by the client for this service