AGENCY INFORMATION Agency Name *Contact Name*Contact Position *Email*TelephoneMailing Address*Countries you recruit from*Language(s) spoken by students you recruit* How did you hear about Appleby Summer Programs?*Which program(s) are you interested in promoting?* Summer Enrichment Camp ESL Camp Kandalore Canadian Experience Camp (CEC) Are you an approved Agent of Appleby College (year-round):*Note that these are separate agreements YesNoAre you currently promoting other organizations' ESL or Summer Camp programs in Canada?*YesNoIf you ARE currently promoting ESL or Summer Camp Programs in Canada, please specify wherePlease list which schools you currently work with and/or destinations you promote What ages do you recruit?*Note that our programs are for ages 10 to 17 at Appleby College, and from 8 to 15 at Camp Kandalore Do you recruit individuals?*YesNoDo you recruit Groups?*YesNoIf you recruit groups, do you typically send Group Leaders/Chaperones?*Please share with us why you would like to offer Appleby Summer Programs and/or Camp Kandalore*Do you intend on travelling to campus see the programs firsthand?*Do you belong to any professional associations?* ALTO IECA ICEF Other If you select "other" in previous question, please indicate what professional associations you belong toAdditional Comments (if any)Please provide us your reference 1.(Name, Title, Company, Phone number , Email)*Please provide us your reference 2.(Name, Title, Company, Phone number , Email)* Submit
