Expression of Interest to Act as a UNSW Global Education Representative

Note: * denotes a mandatory field.

Business Details

Chief Executive Officer / Director Details:

Correspondence Details:

Interests / Plans

Please attach a list of your branch network, with full address and contact details, indicating which is your head office. (Please note if the branch office is a separate legal identity, it will need to apply in its own right.)

Education Institutions

Which Australian education institutions do you currently represent?

Which education institutions do you represent outside Australia?

Other Information

If appointed as a UNSW Global Education Representative, we will agree and establish recruitment targets. Please indicate the number of students you aim to recruit in the first year for the programs below:


Please provide the name of three referees who may be contacted if your company is selected. Please include at least two Australian referees.

Referee 1

Referee 2

Referee 3

I confirm that the information provided is true and accurate to the best of my knowledge and I authorise UNSW Global Pty Limited to approach my referees. *