Agency Profile

Agency / Company Name:*

Company Address:

General Company Email Address:*
General Company Website:*
General Company Website URL (other if applicable):
Agency Telephone:*

Representative Details:

First Name:*
Last Name:*
Job Title:*
Job Title (Other):
Agent Telephone*
Agent Email*

Secondary contact details (Optional):

Additional Contact First Name
Additional Contact Last Name
Additional Contact Job Titile:
Additional Contact Email:
Additional Contact Office Phone:
Additional Contact Mobile Phone:
Additional Contact Emergency Phone:

About Your Organization:

Type of Organization?*
Years in business?*
Are you a member of any agent’s associations?*
If so, which one/ones?
Do you work with any other Language School/ College/ University in Canada?*
What markets do you recruit from?*

Which programs are you and your clients more interested in?

Agriculture, Animal & Related Practices
Arts & Culture
Business & Finance Programs
Career & Preparation
Computers & Telecommunications
Culinary, Hospitality, Recreation & Tourism
Education, Community & Social Services
Energy, Environmental & Natural Resources
Engineering & Technology
Fire, Justice & Security
Health, Food & Medical
Trade Skills
Transportation & Logistics

Please choose the following brands / colleges that interest you most?

Flagship Institutions:

Matrix College of Management Technology and Healthcare Inc.
Academy of Learning - Lawrence & Markham
Aviron Quebec College

Exclusive Public Private Partnerships with Matrix College Institutions:

Cégep de la Gaspésie et des Îles - Montréal Campus
Cégep Marie-Victorin
All the above

Terms Of Business

What commission do other colleges give you?*
How do you expect commission to be paid?*
Please provide other relevant details about your organization.*

New agents are expected to provide at least two references.


Name of institute:*
Contact name:*
Contact details:*
Contact Email*
Contact Telephone*

Reference #2:

Name of institute:
Contact name:
Contact details:
Contact Email:
Contact Telephone
By submitting this form, I agree that one of the Hermes Colleges Network representatives may call, text, and/or email me about their educational services*