INTERLINK Agent Partnership Information Form
Representative Information
First Name
Middle Name
Last Name
Position Title
Email
Secondary Email
Cell Phone
WhatsApp
Zalo
Organization Information
Organization
Website
Work Phone
Street
City
State/Province
Country
Student Placement Information
From which country or region do you primarily recruit students?
Number of students placed annually in US institutions
How much do you charge for your services? (in USD)
What services do you provide?
Academic Support
Application Processing
Cultural Training
Pre-departure Orientation
Test Preparation
Travel Arrangements
Visa Advising
Visa Interview Simulations
Other
Check all that apply
If other, please specify:
If available, please provide a document outlining your organization's offered services and charges
What percentage of your students are placed at 4-year universities and community colleges?
% students placed at 4-year institutions
% students placed at community colleges
