Partnership

Partnership Application Form

Agency Information
Agency Name*
Name
First Last
Agency Website*
Email*
Establishment Date (EX:1993-06-20)*
DD dash MM dash YYYY
Business License No.*
Phone Number*
Address*
Postal Code*
Province*
City*
Agency Profile
Programs Primarily Represented*
- Schools ( Grade 1 to 8 )
- Schools ( Grade 9 to 12 )
- Post Secondary Programs
List of Countries Representing
Where did you here about Canadian High School ?*
How would you promote Canadian High School programs ?
How many students did you send to Canada last year ? and for which educational institute ?*
User Registration
Username*
Password*
Enter Password Confirm Password
Agency Representative Contact Information
Name*
Position Title*
Phone Number*
Email*
First Language*
Second Language*
Nationality*
Comments*
By submitting this form you acknowledge that :
I accept that :*
All information provided above is true.
I accept that :*
Canadian High School is authorized to use the confidential information provided by your agency for the purposes of this agreement or any legal concerns.
Comments
This field is for validation purposes and should be left unchanged.

Agency Information