Agency Application Form

Application Form for AIRC Certification and Re-certification

AIRC Certification is intended for organizations located both inside and outside of the United States which recruit international students to colleges, universities and other postsecondary educational institutions accredited by institutional accreditors recognized by the U.S. Department of Education. This includes both institutions located within the U.S. and those with such accreditation that are located outside of the U.S. To be eligible for AIRC Certification an organization must have been either recruiting international students for at least two (2) years as of the date of submission of an application for AIRC Certification, or have been in the business of providing related marketing, programmatic or related services to U.S. post-secondary educational institutions for a period of ten (10) years prior to such date.

Representatives of organizations considering applying for AIRC certification should first review the AIRC Certification Process and Standards Manual. This can be downloaded here. In addition to completing the application organizations are required to submit a signed letter of intent from its chief executive officer setting forth the reasons for the organization’s interest in AIRC certification and stating that he or she has read and understands the AIRC standards and requirements for certification.

Please note that AIRC Certification is a requirement for AIRC membership. Applicants should anticipate that the certification process will take six to nine months to complete.

A non-refundable APPLICATION fee of US $2,000.00 is due upon submission of an application for certification. Upon receipt of the application materials and fee The AIRC Board of Directors will review the application materials and vote on whether the organization should be accepted as a candidate for certification.

The AIRC Board of Directors bases its decision to advance an applicant to candidacy on an initial review of the financial stability and ethical reputation of the organization. The review is based on the information provided in the application and additional information secured from the public record and such additional background checks into prior business practice and ethical behavior as the Board deems appropriate and are conducted in accordance with AIRC requirements. he review will include the applicant’s principal officers and persons or entities with a 20% or greater ownership interest. The decision to permit an applicant to become a Candidate for Certification only allows the Certification Process to begin and does not in any way suggest that an agency will successfully be certified. An organization that has been granted candidacy for certification is not permitted to publicize such status in any manner.

Once an organization is approved to become a candidate for certification it will be required to pay a non-refundable Certification fee based on the fee schedule here.

Upon advancing to candidacy the application materials are passed to the Director of Certification who operates independently of the AIRC Board of Directors. The Director of Certification will guide the candidate organization through a self study, arrange for an on-site review, and convene the Certification Board which votes on the Certification based on the assembled materials. This process is described in detail in the AIRC Certification Process and Standards Manual referred to above. All communications between the candidate and the Director of Certification remain confidential within the confines of the Certification Process.

The on-site review will be conducted at a headquarter's office during which time the AIRC reviewer will meet with the organization's leadership. In addition to headquarters staff, the agency is asked to provide at least one person from each branch office if the agency has 2-4 offices; or 25% of the branch offices represented with a minimum of 5 representatives if the agency has 5 or more offices. During the on-site external review, one or more AIRC external reviewers will be asked to carry out a review which will take place over the course of 3 days: Day 1: Arrival; Day 2: the External Review; and Day 3: Report Writing. The agency is expected to pay the costs of travel and accomodation for the designated AIRC external reviewer.

AIRC will also post a notice on its website announcing the organization’s candidacy for certification and inviting comments from the public regarding the organization’s compliance with the AIRC standards. The comments received remain confidential within the Certification Process.

Assuming successful Certification the organization will become an agency member of AIRC. In order to maintain active Certification status agency members are required to pay the annual membership fee listed on the fee schedule referred to above.

Read all instructions carefully. We recommend that this application form be printed out, and all relevant information be collected prior to completing it online. Please attach the letter of intent, and any supplemental documents, using the upload feature at the end of this form.

* Required

Corporate, CEO, and Applicant Information

Primary Corporate Name of Applicant Agency: *
Business License Number (if any)
Website URL *
Corporate Headquarters Address of Applicant Agency
Mailing Address *
City *
State *
Zipcode/Postcode *
Country *
Phone Number *
Fax Number

NAME OF CHIEF EXECUTIVE OFFICER
(This individual will be subject to due diligence background check)

Given Name *
Family Name *
Title or Position *
DOB (Date of Birth) *
Birthplace *

A separate signed letter of intent from the CEO is required to accompany this application. This letter should state the rationale for the agency’s interest in AIRC certification, and document that s/he has read the standards, acknowledges the standards, and agrees to the terms and conditions below. You can upload this letter using the file attachment option at the end of this form or fax to +1 (513) 297-7251.

Please indicate Applicant’s acceptance of these Terms and Conditions (below) by signing your name in the first box (by typing your name preceded and followed by the forward slash symbol – i.e., /your name/) and selecting "yes" below.

Do you agree to the terms and conditions?
(Click here to review, you cannot submit this form unless you agree and sign in the box below) *

Yes No

Signature *

Terms and Conditions

By submitting an application form, the applicant (“Applicant”) hereby agrees to the following:

Applicant will provide all information requested by AIRC for purposes of determining whether the application for certification will be accepted and the Applicant allowed to undergo the certification process; assuming acceptance, Applicant will provide all information required for the conduct of its self-evaluation and external review.
All information submitted to AIRC by Applicant will be accurate and complete.
AIRC may share all information provided by Applicant with AIRC’s employees, officers, directors and any person or entity that assists AIRC with conducting its certification process. Except as otherwise provided in the prior sentence, AIRC will not share with any third party any non-public information (marked “confidential” or “proprietary”) submitted by Applicant to AIRC during the certification process.
Applicant will comply with the terms of the AIRC Certification Manual, which AIRC will provide to Applicant and which AIRC may modify from time to time.
If Applicant is certified by AIRC, Applicant will comply with all ethical standards and best practices guidelines provided by AIRC regarding the recruitment of international students for American educational institutions.
AIRC may terminate Applicant’s certification upon written notice (which may be sent via email) if AIRC’s certification board decides that Applicant is in egregious non-compliance with AIRC’s standards.
If AIRC terminates Applicant’s certification, then Applicant will immediately cease (a) representing itself as having AIRC certification; and (b) using any trademark, service mark or logo of AIRC.
Applicant will indemnify, defend and hold AIRC, and its directors, members, officers and agents, harmless from and against any claims, losses, damages, liabilities, costs and expenses (including, but not limited to, attorney’s fees) arising out of (a) Applicant’s breach of these Terms and Conditions; and/or (b) AIRC’s efforts to enforce the terms of these Terms and Conditions.
Applicant acknowledges that its $2,000 application fee is non-refundable. If Applicant’s application is accepted by AIRC, Applicant will pay AIRC’s standard certification fee to cover AIRC’s certification process. Such certification fee is due upon AIRC’s acceptance of Applicant’s application, and is non-refundable. If AIRC grants certification to Applicant, Applicant will pay AIRC’s standard annual fee, which is due upon certification and annually thereafter. For a schedule of AIRC’s current fee amounts, please click here. All payments made to AIRC will be in U.S. dollars, and will be made by check drawn on a U.S. bank, or by wire transfer in accordance with wire instructions provided by AIRC.
If Applicant is certified by AIRC, but fails to pay the annual membership fees for any period of certification following notification of non-payment by AIRC, then Applicant will immediately cease (a) representing itself as having AIRC certification; and (b) using any trademark, service mark or logo of AIRC.
These Terms and Conditions will be governed exclusively by the laws of the District of Columbia, United States of America, without reference to the District of Columbia’s choice of law rules. Any suit, action or proceeding seeking to enforce any provision of, or based on any right arising out of, these Terms and Conditions must be brought against either of the parties in the courts of the District of Columbia and each of the parties consents to the jurisdiction of such courts (and of the appropriate appellate courts) in any such suit, action or proceeding and waives any objection to jurisdiction or venue laid therein.

NAME AND ADDRESS OF INDIVIDUAL WHO WILL MANAGE THE CERTIFICATION PROCESS ON BEHALF OF YOUR AGENCY. THIS INDIVIDUAL WILL BE CONSIDERED THE APPLICANT AND WILL BE IN RECEIPT OF ALL CORRESPONDENCE FROM AIRC IN REGARDS TO THE CERTIFICATION PROCESS. IT IS IMPORTANT THAT THIS INDIVIDUAL:

Is a senior staff member
Is intimately familiar with the nature of the organization
Is available to the Certification process, and subsequent AIRC activity, for its duration

Title
Given Name *
Middle Name
Family Name *
Title or Position *
Email Address *
Mailing Address *
City *
State *
Zipcode/Postcode *
Country *
Phone Number *
Fax Number
Cell Phone Number *
DOB (Date of Birth)
If an individual OTHER than the CEO or Certification Manager listed above completed this application please complete the following section.
Given Name of Person Completing Form
Family Name of Person Completing Form
Position or Title of Person Completing Form
Email of Person Completing Form
Cell of Person Completing Form *

Organizational Structure

Please list all offices owned by your company, as well as branded franchisees or other entities which operate with the intended appearance of being part of your organization, and check ALL boxes which describe the purpose of these offices. Please note that only offices listed here as offering student recruitment can be included in the scope of certification.

If your organization has more than ten offices please attach documentation listing all offices and containing the additional information requested here.

How are the finances of your organization externally monitored? *

Click to add additional inputs (Offices 6 thru 10)

Click to add additional inputs (Offices 11 thru 15)

Click to add additional inputs (Offices 16 thru 20)

Click to add additional inputs (Offices 21 thru 25)

Click to add additional inputs (Offices 26 thru 30)

Please check the box to the left if you have more than 30 offices

Agency Alternate Names

If the agency is known by more than one name, list these separately and in what jurisdiction/country the name change takes place.

Alternate Agency Name(s) (if more required, please include as attachment)	Country Location

In what jurisdiction(s) does your agency have legal status?

Please state the name of each jurisdiction (municipality/canton/province/state, and/or country) and the nature of the legal status (e.g., incorporated, chartered, etc.). Please append a copy of relevant legal documents for each corporate entity in the order listed below. First line required

Jurisdiction	Nature of Legal Status






Does your agency appear on any other “recognized” list as a recruiter and/or are you a signatory member of any country-based Codes of Ethics? (Examples: UK Borders Trusted Partner Program, AAERI, BELTA, etc.) Please list all that apply.

Names and email addresses of individual owners (corporations and persons), with10 percent or more ownership if any. Percentages listed should equal 100%. Individual owners may be subject to due diligence background checks. Owners can be persons or corporations. Please type family names in CAPITAL letters and indicate percent ownership for each. First line required.

Given & Family Name	Email	Address	Percentage Ownership

RECRUITMENT HISTORY

Year the agency commenced recruiting activity *

Years agency has recruited students to postsecondary educational institutions in the United States?

- OR -

Year agency plans to commence recruiting students to the United States?

Use the boxes below to list all countries from which your agency targeted students for recruitment in the most recent year.

Country	Branch Manager	Phone	No. of Students Placed

If your agency currently recruits students for accredited American postsecondary institutions on a contractual basis (with a fee or commission paid by the institution) please list all of those U.S. clients and the additional contact information requested in the boxes below.

U.S. Educational Institution	Name of Primary Contact	Email	Phone

Aside from the United States, for what other post-secondary systems does your agency recruit students?

Check all that apply and list 3 institutional references per country.

United Kingdom Australia Canada Other (list)

United Kingdom	Institution 1 Institution 2 Institution 3
Australia	Institution 1 Institution 2 Institution 3
Canada	Institution 1 Institution 2 Institution 3
Other (Please list):
Institution 1
Institution 2
Institution 3
Attach File	(100Mb Limit, if you have multiple files to upload, use Zip to compress them first - click here to get the free WinZip software )

Comments/Enquiries
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CERTIFICATION FEES

* Required

First Name *

Last Name *

Email Address *

Company

Work Address

City

State

Zipcode/Postcode

Cheque

Certification Fee Schedule
One Office (US $3000)
2-5 Branches (US $4500)
6-10 Branches (US $6000)
11-15 Branches (US $7500)
16-25 Branches (US $10000)
More than 25 Branches (US $12500)

ANNUAL MEMBERSHIP FEES

* Required

First Name *

Last Name *

Email Address *

Company

Work Address

City

State

Zipcode/Postcode

Cheque

Certified Agency - Annual Membership Fee Schedule
One Office (US $1500)
2-5 Branches (US $3000)
6-10 Branches (US $4500)
11-15 Branches (US $6000)
16-25 Branches (US $8000)
More than 25 Branches (US $10000)

11.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
12.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
13.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
14.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
15.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee

16.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
17.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
18.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
19.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
20.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee

21.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
22.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
23.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
24.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
25.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee

26.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
27.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
28.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
29.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee
30.	Office	Conducts student recruitment and/or placement counseling Engages in ESL testing or training Engages in travel related services Administrative Other Please specify if other
	Address
	Phone
	Name of Senior Employee
	Email of Senior Employee


gold	bronze

AIRC Certification Application Fee

Agency Application Form

Application Form for AIRC Certification and Re-certification

Corporate, CEO, and Applicant Information

NAME OF CHIEF EXECUTIVE OFFICER (This individual will be subject to due diligence background check)

Terms and Conditions

Organizational Structure

Agency Alternate Names

In what jurisdiction(s) does your agency have legal status?

RECRUITMENT HISTORY

If your agency currently recruits students for accredited American postsecondary institutions on a contractual basis (with a fee or commission paid by the institution) please list all of those U.S. clients and the additional contact information requested in the boxes below.

Aside from the United States, for what other post-secondary systems does your agency recruit students?

CERTIFICATION FEES

ANNUAL MEMBERSHIP FEES

NAME OF CHIEF EXECUTIVE OFFICER
(This individual will be subject to due diligence background check)