Collab International
Information about Prospective Student

Referring Agent*

Please provide your agency's name.

Student's First name*

As on his/her passport.

Student's Last name*

As on his/her passport.

Student's Email*

Please make sure this is the student's e-mail not the agent's email.

Student's Date of birth*

As on his/her passport

Year-Month-Day

What country does the student currently live in?*

What is the student's citizenship?*

How many years of full-time education has the student completed (and passed or is expected to pass)?*

How many years of full-time work experience does the student have?*

What was/is the student's recent field of study?*

For example, Biology, Philosophy, Dance, Electrical Engineering, Finance, Business Administration

What is the student's current profession?*

For example, Electrician, Chef, Pilot, Student, Web developer, Actor, Businessman, Nurse, Teacher

How good is the student's English?*

How good is the student's French?*

How much bank balance can the student (or his/her parents) show for visa application?

What is the student's marital status?*

What country would the student like to study in?

Destination Country (1)*

Destination Country (2)

Destination Country (3)

In what field would the student like to pursue future education?

Intended Field of Study (1)*

Student's first preference

Intended Field of Study (2)

Student's second preference

Intended Field of Study (3)

Student's third preference

What are your remarks about the student as an agent?*

Authorization to contact and share information with educational institutions:

The student has authorized Collab International to contact educational institutions on his/her behalf and share his/her information with them.

The student has not authorized Collab International to contact prospective educational institutions on his/her behalf.

Collab InternationalInformation about Prospective Student