Name of Organization:

Contact Person and Title:

Mailing Address:

City:

Postal Code:

Country:

Telephone Number:

Fax Number:

Email:

Website:

How long has your agency been providing education and/or travel services?

Provide the information of 2 schools that we may contact for references.  Please provide contact names, email addresses, and phone numbers:

What types of clients to you advise?  Mark all that apply:

university students       travelers

teachers                         professionals (specify):

other (please specify):

What types of programs are most of your clients interested in?  Mark all that apply:

intensive academic preparation          conversation and culture (4-16 weeks)

language travel (2-4 weeks)                 university semester abroad

professional English                             teaching English as a Foreign Language

other (please specify):

What factors do your counselors consider when helping students select a language program?

How do you advertise your services?

Do you interview clients on their return to your country?    Yes    No

    If yes, do you ask clients to evaluate the programs they attended?    Yes    No

    If yes, do you share this information with the program?    Yes    No

Do you charge clients for your services?  Yes    No

    If yes, what services do you provide and what do you charge?

List professional associations you are members of:

Additional information about your agency: