Applicant Agent Cover Letter

Applicant Agent Cover Letter

Please note that in order to process commission payments, the agent must be indicated at the time of application, either on the application form or by submission of this document.

Applicant Information

First Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Application Term:

Conditional Admission?

YES

Application Type:

Agent Information

Agent Name:

Agent Code:

Agent Email:

Applicant Signature authorizing agent to work with the University at Albany on their behalf.