Step 1 of 5 20% 1. Contact DetailsAgency Name(Required) Name CEO Name(Required) Name Last Name of Primary Contact(Required) Name Last Your Email Address(Required) Email Address Confirm Email Address Office Phone Number(Required)Business mobile/cell phone(Required)General Enquiry Email(Required) Email Address Confirm Email Address Agency WebsiteYour Address Street Address Address Line 2 City ZIP Code Postal Address (if different to street address) Postal Address Address Line 2 City ZIP Code Do you have any additional locations? If yes, which cities/countries?(Required) 2. Company DetailsPlease provide details about your company.When was the agency founded?Are you a registered agent? Yes No If yes, what is your registration number?What city and country is your agency registered in?Have you operated under another agency name in the past ten years? Yes No If yes, what was the name of your previous agency? 3. AccreditationPlease provide details about your accreditations.Have any members of the agency completed the British Council's UK certified counsellor training?Does your agency have any professional associations or qualifications in-country? Yes No If yes, please list here: 4. Student RecruitmentHow many applications did your agency send to independent schools in the following countries in the past academic year?Australia:United Kingdom:USA:Switzerland:Other:How many students did your agency enrol at independent schools in the following countries in the past academic year?Australia:United Kingdom:USA:Switzerland:Other:How many students did your agency enrol at independent schools in the following countries in the past academic year?Boarding schools:Day schools:How many pre-prep/nursery students do you enrol a year?How many prep school students do you enrol per year?How many senior school students do you enrol per year?How many students do you send abroad on English language and/or summer school programmes per year?Does your agency organise any in-market recruitment events, i.e. exhibitions?Do you charge students upon application? If yes, how much?Do you charge students upon admission to their chosen institution? If yes, how much?Do you provide assistance with visas? Yes No Do you provide assistance with travel plans? Yes No Would you like to represent Cognita’s 29 UK schools?Which UK or other international independent schools do you currently represent?Would you like to represent Cognita’s international schools in Dubai (UAE), Italy, Spain and Switzerland? Yes No 6. Further InformationPlease provide contact details for references from UK independent schools – if this isn’t possible, please provide contact details for other types of education institutions in the UK or independent schools in countries other than the UK. Referee 1 NameInstitution nameInstitution addressEmail addressPhoneReferee 1 NameInstitution nameInstitution addressEmail addressPhoneReferee 1 NameInstitution nameInstitution addressEmail addressPhone6. Further informationIs there any further information you would like to add in support of your application?