a.
b.For more than 2 degrees or institutions attended, add $60.00
(to the standard fee) for each additional degree or institution attended.
3-5 days
(U.S. $90.00 *plus express mailing charges)
| (Please type or print legibly) |
| Full Name: | ________________________________________________________________________________________ |
| Mr. or Ms. | Last (Family) | First | Middle or Maiden |
| (Full name will be used in the evaluation report.) | |||
| Mailing Address: | _____________________________________________________________________________ |
| _______________________________________________________________________________________ | _______________________________________________________________________________________ |
| Telephone Numbers: | ________________________________________________________________________________ |
| Home Number | Work Number |
| E-mail address: | ____________________________________________________________________________ |
| Date and place or birth:______________________________________________________________________________________ |
| Month | Day | Year | City | Country |
| Country of Citizenship: ___________________________ | Visa Type or Status: _____________________ |
Type of service and fee schedule. Circle the service(s) requested. Attach the fee(s). |
| A. | General Evaluation (Credits are not included.) | (U.S. $95.00) | ||
| B. | Itemized Evaluation (course-by-course & credits) | (U.S. $145.00)* | ||
|
a. | With grades calculation, add $80.00 | |||
|
b. | For up to 2 degrees or institutions, $145.00* For more than 2 degrees or institutions attended, add $60.00 (to the standard fee) for each additional degree or institution attended. |
|||
| C. | Credential Reconstruction | (U.S. $235.00) | ||
| D. | Education/Job Equivalency Evaluation | (U.S. $310.00) | ||
| E. | Ph.D. Equivalency Evaluation | (U.S. $370.00) | F. | Rush Service | 1-2 days 3-5 days |
(U.S. $120.00
*plus express mailing charges) (U.S. $90.00 *plus express mailing charges) |
| G. | Extra Copies | (U.S. $20.00
*per copy) |
| Expect a 2-week delay if paying by personal check. Checks need to clear the bank before service can be rendered. Money order is the recommended form of payment. Credit card payments are not accepted. |
| Go To Page 2 |