ACEI ACADEMIC CREDENTIALS EVALUATION APPLICATION with NEW NO MAILING OPTION-Creted 5-7-2020

APPLICATION FOR EVALUATION OF INTERNATIONAL EDUCATIONAL CREDENTIALS
SECTION A. PERSONAL INFORMATION
Despite the coronavirus pandemic, ACEI would like to reassure you that our customer support and our evaluation and translation services are working without any disruption. We are making every effort while maintaining the safety and security of our team to ensure evaluation reports are delivered in a timely manner to recipients.
A1. Full Name
First Name *
Middle Name
Last Name *
A2. Male/Female *

Male Female
A3. Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
A4. Telephone *

Country Code Area Code Phone Number
A5. Email *
example@example.com
A6. Birth Date *

Month Day Year
A7. Country of Birth *
A8. Have you ever applied to ACEI: *

Yes No
A9. If yes, when? (Date)
ACEI REFERENCE #
A10. Who referred you to ACEI? *
SECTION B. ACADEMIC HISTORY
List ALL Educational Institutions Attended and Now Attending. This Section MUST be Completed.

ENTER N/A IF NOT APPLICABLE FOR FIELDS REQUIRED AND NOT USED
HIGH SCHOOL / SECONDARY SCHOOL *
UNIVERSITY / COLLEGE EDUCATION (1) *
UNIVERSITY / COLLEGE EDUCATION (2)
UNIVERSITY / COLLEGE EDUCATION (3)
UNIVERSITY / COLLEGE EDUCATION (4)
UNIVERSITY / COLLEGE EDUCATION (5)
SECTION C. PRIMARY PURPOSE FOR EVALUATION (YOU MUST CHOOSE AN OPTION)
Further Education
Please specify name of institution:
Employment
Immigration
Professional Licensure
State / Profession
Laboratory Field Services/CDPH
CA Commission on Teaching Credentialing
Other
SECTION D. TYPES OF EVALUATION REPORTS and ADDITIONAL SERVICES (YOU MUST CHOOSE AN OPTION)
D1. Evaluation Report: (THIS SECTION MUST BE COMPLETED. YOU MUST CHOOSE AT LEAST ONE TYPE OF EVALUATION REPORT)

BASIC REPORT (General) [Suitable for employment/immigration/military enlistment/further education]
You may choose single or multiple credentials (Select N/A if you are not choosing Basic HIGH SCHOOL Report): *

High School/Secondary Education (Only)- $95.00 N/A
You may choose single or multiple credentials (Select N/A if you are not choosing any of the choices below): *

College/University Studies One (1) Credential- $95.00 College/University Studies Leading to 1st degree/Credentials (More than one credential FLAT FEE)- $145.00 N/A
COMPREHENSIVE REPORT (Course-by-Course with Grades & G.P.A.)

[Suitable for further education/continuation of studies, teacher certification, professional certification] Choose N/A if you are not choosing Comprehensive Report)
*

High School/Secondary Education $165.00 College/University studies leading to 1st degree/credentials $185.00 N/A
Additional Credentials (in addition to the above-choice)

$95.00
Please Specify Quantity of Additional Credentials (ENTER 0 IF NONE) *
CMR calc for addtl credentials
D3. RUSH SERVICE (optional)
Payments for RUSH Service evaluations is in addition to the Evaluation Report fee in section D1.

One (1) Business Day (Completed within 1 full business day from receipt of documents) $200.00 Three (3) Business Day (Completed within 3 full business day from receipt of documents) $150.00
D4. DELIVERY OF EVALUATION REPORT (REQUIRED)
UNOFFICIAL APPLICANT COPY (ONLY) *

E-Mail (Unofficial Evaluation Copy to Applicant) $10.00 USPS Priority Mailing of Original Academic Documents (Domestic Only incl. Tracking #) $30.00 USPS Priority Mailing of Original Academic Documents (International Only incl. Tracking #) $50.00 I Decline My Unofficial Copy
ACEI only releases your official evaluation digitally to a 3rd party. If you do not have a recipient at this time, ACEI will hold your official evaluation report for a period of 3 years.
Official Evaluation Report to College/University/Employer etc *

E-Mail (Official Evaluation to 3rd Party) $10.00 Hold Official Evaluation Report $10.00
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Additional Official Evaluation Report to College/University/Employer etc.

E-Mail (Official Evaluation to 3rd Party) $45.00 Hold Official Evaluation Report
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Additional Official Evaluation Report to College/University/Employer etc.

E-Mail (Official Evaluation to 3rd Party) $45.00 Hold Official Evaluation Report
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Additional Official Evaluation Report to College/University/Employer etc.

E-Mail (Official Evaluation to 3rd Party) $45.00 Hold Official Evaluation Report
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Mailing and delivery fees listed are the minimum fees for each type of mailing. Certain delivery locations/oversized/extra-large original documents will require additional fees for return mail. Applicants will be notified of any additional postage fee.
STOP! Please Read BEFORE You Click

Upload, Submit and Pay

If you have not read the Terms and Conditions, please do so now by clicking on the link. ACEI observes a NO REFUND or CANCELLATION policy. Once you click on the Submit and Pay button, the administrative, initial review, file creation/database and evaluation process begins and ACEI, as per the Terms and Conditions, will not refund or cancel any application submitted for evaluation. It is your prerogative to choose ACEI as your professional choice for the evaluation of your foreign academic credentials, therefore, you must submit all Required Documentation along with certified translations and fees to process an evaluation. You will be contacted via email for any additonal information necessary.
SECTION E. CERTIFICATION BY APPLICANT/AGENT REPRESENTING APPLICANT and TERMS and CONDITIONS
Do you attest that you have read, understand and agree to our Terms & Conditions? *

Yes, I have read, understand and agree to ACEI's Terms & Conditions.
E1. I certify that, to the best of my knowledge, all the information provided in this form is true, complete and correct and any academic documents (transcripts, certificates, diplomas, degrees) have not been altered, falsified or tampered with.

E2. I certify that I have read TERMS & CONDITIONS and agree to the terms stated herein.

E3. I understand that the evaluation prepared by ACEI is advisory and not binding upon any individual, institution or agency that uses it and release ACEI from any liability for damages resulting from the use of the evaluation report.

E4. I understand ACEI is NOT responsible for loss/damage of any documents while in transit to/from ACEI offices.

E5. I understand that, once this application is submitted, there are no cancellations and all fees are non-refundable
First and Last Name *
Signature (Please use mouse pointer to E-Sign) *

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APPLICATION FOR EVALUATION OF INTERNATIONAL EDUCATIONAL CREDENTIALS

SECTION A. PERSONAL INFORMATION

SECTION B. ACADEMIC HISTORY

SECTION C. PRIMARY PURPOSE FOR EVALUATION (YOU MUST CHOOSE AN OPTION)

SECTION D. TYPES OF EVALUATION REPORTS and ADDITIONAL SERVICES (YOU MUST CHOOSE AN OPTION)

SECTION E. CERTIFICATION BY APPLICANT/AGENT REPRESENTING APPLICANT and TERMS and CONDITIONS