Wisconsin Registry Evaluation Request Form

As you complete this evaluation request form, please carefully read and follow the specific instructions for each section. A detailed application instruction guide and answers to frequently asked questions are linked here (you can download the instructions in English or Spanish):

Application Instructions

After all required information is entered, you will submit the completed form online and then submit your academic credentials. If you have any questions, please contact Hello@OneEarthEvaluations.org or call 1.608.205.8189.

This form is only for individuals seeking preschool/daycare licensure through the WI Registry - if you are applying for a different purpose (i.e. further education), please fill out our regular evaluation request form here: www.oneearthevaluations.org/apply/

Registry ID*

Full Name*

First (Given) Name(s)Last (Family) Name(s)

If your name is different than it appears on your academic credentials (i.e. your name has changed due to marriage), please explain in the box provided below and e-mail us a copy of your proof of name change (i.e. marriage certificate).

Upload a PDF copy of your proof of name change (i.e. marriage certificate).

You can also email documents to Documents@OneEarthEvaluations.org. Please attach the document as a PDF and include your full name in the subject line.

Date of Birth*

Please choose the day, month, and year of your birth. This must match the date of birth on your legal identification and academic credentials.

Upload a photo of your passport or legal state ID. *

This is used to verify your legal name and date of birth.

Gender

This question is optional and is not required to proceed with your evaluation request.

Email*

Please take care to type your e-mail address carefully, completely, and correctly – this is the primary way we will be communicating with you throughout the evaluation process.

Phone Number*

Country CodeArea CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Please take care to provide us with a complete and correct postal address. This should include any and all house numbers, street names, apartment or unit numbers, city, state/province/region, postal code, and country. Any academic credentials you need returned will be sent to the postal address you indicate here.

Country of Education*

Level of Education*

Please indicate whether you require an evaluation of only secondary credentials, only post-secondary credentials, or both secondary and post-secondary credentials.

Name of Institution*

Start Date*

End Date*

Credential Status*

CompleteIncompleteIn Progress

Name of the credential (qualification/degree) you received as it appears on your credentials (i.e. Bachillerato, Licence, Magister, etc.) OR Name of the credential (qualification/degree) you expect to receive*

If you attended more than one institution or have more than one credential, please enter them below. Click "Add Row" to save each entry.

How should we expect your credentials to arrive?*

My credentials will be sent directly to One Earth from my degree-granting institution, Ministry of Education or Exam Board. I understand that these will become the property of One Earth and cannot be returned.I will be submitting stamped and sealed official copies of my academic credentials to One Earth’s postal address. I understand that these will become the property of One Earth and cannot be returned.My credentials can be verified directly with my degree-granting institution, Ministry of Education or Exam Board; I will be e-mailing a PDF of my credentials with all necessary information required to verify the scans.I will be submitting my original credentials to One Earth’s postal address or in person; please return my original credentials to me

Upload a PDF of your credentials, or email them to Documents@OneEarthEvaluations.org

Please share any information we will need in order to verify the PDF uploaded above with your degree-granting institution.

Remember – submission of your academic credentials is your responsibility! We cannot request your credentials on your behalf. Please be sure to review our documents required by country before submitting your application to ensure you understand and can comply with our documentation requirements and are ready to request/send the necessary documents.

By submitting this application, you are confirming that the information you have provided is true and correct and that you have understood our terms and conditions. It is important that you read the terms and conditions carefully and understand them completely. If you have any questions or concerns, please reach out to us by email or phone:

Hello@OneEarthEvaluations.org

1-608-205-8189

Evaluation Request Form

Personal Information

Academic History

Evaluation Details