AGENTS QUESTIONNAIRE

Agency/Business Name*
Main Point of Contact Name*
Owner of Company Name
Complete Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email Address*
Enter Email Confirm Email
Website
Number of Years in Business*
Country (ies) City (ies) represented*
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Number of Staff*
What can you tell us about your market in general? What makes your market unique?*
Have you and or your staff been through any formal training (workshops/seminars/conferences) related to working as an agent?*
Please specify here*
Does your Agency represent other institutions/organizations in Canada?*
Please specify here*
Please list the services your company currently provides.*
Do you have any affiliations with regulatory bodies?*
Which ones and in which countries?*
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Regulatory body name Country
Which of our services are you most intrested in?*
You can pick one or more services.
- Immigration services
- Investor services
- Student services
- Employment services
How did you hear about us?*

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