Wufoo
International Student Agent Agreement
Please complete to begin an agent agreement with Leamington School. Once an an application has has been submitted, Leamington School will reply confirming the outcome of the applicatoin.
Name of Agency
*
Name of Agent
*
First
Last
Email
*
Referees
Please supply the contact details of referees we can contact to verify your credibility as an agent for Leamington School.
Referee 2
*
First
Last
Referee 1 Phone Number
*
Referee 1 Email
*
Referee 1
*
First
Last
Referee 2 Phone Number
*
Referee 2 Email
*
Upload a copy of signed Agent Agreement
A description of the section goes here.
Please upload a scanned copy of the completed Leamington School Agent Agreement
*
I confirm that I have read and understood the Leamington School Agent Agreement and will perform my duties it describes as contained within.
*
I confirm I have read the conditions and will fulfil my responsibilities
Signed (Type name)
*
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