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    Microsoft Word – Agent Reference Form


    AGENT REFERENCE CHECK


    As part of our agent quality assurance process, we require prospective agent to provide Referee to support their application to be the representative of Melbourne College of Business and Technology. The following Agent has listed you as a Referee. All information provided by you is private and confidential. Thank you very much for taking your time to complete this form.


    Please select one of the following.

    Staff Name:              Date:   


    Please fill in all blank sections below.

    Basic Information

    Agent’s Company Name:

    Agent’s Principal Counsellor:

    Name of Your Institution:

    Your Name:

    Your Position:

    Questions

    1. How long have you been working with this Agent?

    2. Are you willing to provide reference for above Agent?

    3. Is the Agent an authorised representative for your institution?

    4. Has this Agent submitted successful student applications within the past 12 months?

    5. Has this Agent ever conducted unethical behaviour for the duration of your cooperation?

    Please provide rating on the following performance perspective. Rating and Rating: 1 = Extremely Poor; 2 = Dissatisfactory; 3 = Average; 4 = Satisfactory; 5 = Excellent

    6. 6. Quality of applications

    7. Professionalism when submitting application documents

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    5 ☐

    8. Speed of communication

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    5 ☐

    9. Students are made aware of all College information that are

    required by National Code 2018

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    5 ☐

    10. Agent’s market knowledge

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    5 ☐

    11. Agent’s support when dealing with student’s issue

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    4 ☐

    5 ☐

    Additional Comments:


    Declaration

    I confirm that all information provided above are true and accurate.


    Print Name: Date:


    Signature:


    Melbourne College of Business and Technology

    RTO Code: 45217 CRICOS Provider Code: 03631M

    Unit 101, 102/991 Whitehorse Road, Box hill VIC 3128, Australia

    +61 3 9018 5699 Enquiry@mcbt.vic.edu.au

    www.mcbt.vic.edu.au

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