ACEI Application Form

NOTE: Applications received on or after 3pm Pacific Standard Time will be processed the following business day. Applications submitted over the weekend will be processed on the next business day as the office is closed on weekends and national holidays.
SECTION A. PERSONAL INFORMATION
A1. Full Name
First Name*
Middle Name
Last Name*
A2. Male/Female*

MaleFemale
A3. Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
A4. Telephone*

Country CodeArea CodePhone Number
A5. Email*
example@example.com
A6. Birth Date*

MonthDayYear
A7. Country of Birth:*
A8. Have you ever applied to ACEI:

Yes
If YES, Please provide your ACEI REFERENCE #
If YES, Please provide Date for when you initially applied to ACEI
No, I have not applied previously to ACEI
A9. PRIMARY PURPOSE FOR EVALUATION (Select all that apply)*

FURTHER EDUCATIONEMPLOYMENTIMMIGRATIONPROFESSIONAL LICENSURELABORATORY FIELD SERVICES/CDPHCA COMMISSION ON TEACHER CREDENTIALINGTEXAS EDUCATION AGENCY (TEA)
OTHER: (please specify)
SECTION B. ACADEMIC HISTORY
This section MUST be completed

List ALL educational institutions attended and now attending starting with Secondary/High school

Failure to provide a complete Academic History as requested and completing this section in its entirety will result in the delay of your application's processing for evaluation.
B1. HIGH SCHOOL/SECONDARY SCHOOL (This section must be completed)
Name of Institution*
City*
Country*
Secondary/High School Start Date*
Secondary/High School End Date*
Name of Credential Earned*
B2. UNIVERSITY/COLLEGE LEVEL EDUCATION (1) (Enter "NONE" if not applicable)
Name of Institution*
City*
Country*
University/College Start Date*
University/College End Date*
Name of Credential Earned (Certificate/Diploma/Degree)*
B3. UNIVERSITY/COLLEGE LEVEL EDUCATION (2) (Enter "NONE" if not applicable)
Name of Institution
City
Country
University/College Start Date
University/College End Date
Name of Credential Earned (Certificate/Diploma/Degree)
B4. UNIVERSITY/COLLEGE LEVEL EDUCATION (3) (Enter "NONE" if not applicable)
Name of Institution
City
Country
University/College Start Date
University/College End Date
Name of Credential Earned (Certificate/Diploma/Degree)
B5. UNIVERSITY/COLLEGE LEVEL EDUCATION (4) (Enter "NONE" if not applicable)
Name of Institution
City
Country
University/College Start Date
University/College End Date
Name of Credential Earned (Certificate/Diploma/Degree)
B6. UNIVERSITY/COLLEGE LEVEL EDUCATION (5) (Enter "NONE" if not applicable)
Name of Institution
City
Country
University/College Start Date
University/College End Date
Name of Credential Earned (Certificate/Diploma/Degree)
B7. UPLOAD CREDENTIALS/DOCUMENTS (pdf. only) For Initial Review Only. *

UPLOAD

Cancelof
Upload high-quality color PDF scans of both sides of the official original certificate(s), diploma(s) or degree(s) with transcripts/mark sheets (courses and grades), certified English translations (if applicable), and proof of name change (if applicable). DO NOT USE YOUR PHONE OR ANY APP TO SUBMIT IMAGES/PICTURES CONVERTED TO A PDF FILE.

Documents uploaded are for an initial review, you will be notified of any missing or required documentation. Click here and refer to “Required Documents,” “Country Requirements,” “Electronic Documents,” and “Verification” for detailed instructions, requirements, and options for academic document submission.
SECTION C. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES
Please make your selections below
C1. BASIC Evaluation Report (General Report-Suitable for employment/immigration/military enlistment/further education).
Basic Report Fee High School (Select "NONE" if you are not choosing Basic High School Report) - $ 115.00None
Basic Report Fee University One/Single Credential (Select "NONE" if you are not choosing any of the choices below) - $ 115.00None
Basic Report Fee University Multi Credentials (more than one document/credential) - $165.00None
C2. COMPREHENSIVE Evaluation Report (Course-by-Course with Grades & G.P.A.-Suitable for further education/continuation of studies, teacher certification, professional certification).
Comprehensive Report High School (Select "NONE" if you are not choosing comprehensive high school report) - $175.00None
Comprehensive Report College/University studies leading to 1st degree/credential- One (1) Credential - $205.00None
C3. COMPREHENSIVE Evaluation Report Additional Credentials (College/University Studies) -$105.00 for each Additional Credential

YOU MUST SELECT COMPREHENSIVE REPORT COLLEGE/UNIVERSITY STUDIES LEADING TO 1ST DEGREE/CREDENTIAL - ONE (1) CREDENTIAL $205.00 IN SECTION C2. FIRST BEFORE ADDING ANY ADDITIONAL CREDENTIAL FEES.
Please Enter the Quantity of additional credentials (Choose "NONE" if you do not have any additional credentials *
C4. RUSH SERVICE (optional, select only one)
For rush service, ACEI requires official academic documents to be issued directly by or verified by the issuing institution(s).
One (1) Business Day (Completed within 1 full business day from receipt of ALL REQUIRED documents) - $ 250.00Three (3) Business Days (Completed within 3 full business days from receipt of ALL REQUIRED documents) - $ 200.00No RUSH Service
C5. DELIVERY of Official Evaluation Report and Copy (ACEI is a paperless service. All evaluation reports are issued DIGITALLY)
Email (Unofficial Evaluation Copy to Applicant) - $15.00I decline my Unofficial Report
Email (Official Evaluation Report to Third Party) - $15.00Hold Official Evaluation Report - $15.00
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 release at a later date.
NAME OF INSTITUTION (Put N/A if you do not have a recipient at this time)*
CONTACT NAME (Put N/A if you do not have a recipient at this time)*
DEPARTMENT (Put N/A if you do not have a recipient at this time)*
PHONE NUMBER (Put N/A if you do not have a recipient at this time)*
EMAIL (Put N/A if you do not have a recipient at this time)*
C6. DELIVERY of Additional Official Evaluation Report to College/University/Employer/State Board/etc.
Additional/Extra Official Report and Email Fee - $45.00None
NAME OF INSTITUTION
CONTACT NAME
DEPARTMENT
PHONE NUMBER
EMAIL
Additional/Extra Official Report and Email Fee - $45.00None
NAME OF INSTITUTION
CONTACT NAME
DEPARTMENT
PHONE NUMBER
EMAIL
Additional/Extra Official Report and Email Fee - $45.00None
NAME OF INSTITUTION
CONTACT NAME
DEPARTMENT
PHONE NUMBER
EMAIL
SECTION D. AUTHORIZATION FOR SERVICE AND ACKNOWLEDGMENTS BY APPLICANT/AGENT REPRESENTING APPLICANT
Would you like to designate a representative to check on the status of your application?*

Yes, (if yes, complete the section below)No
First NameLast Name
Email
example@example.com
STOP!

Read and Agree BEFORE You Click Submit and Pay
D1. Contract for Service:
I understand that the ACEI Application for Credential Evaluation serves as my contract for service.

D2. Agreement to Terms:
I certify that, I have read and agree to the TERMS & CONDITIONS outlined for the Credential Evaluation Service.

D3. Certification of Information:
I certify that, to the best of my knowledge, all the information provided in this form is true, complete, and correct, and that any academic documents (transcripts, certificates, diplomas, degrees) have not been altered, falsified, or tampered with.

D4. Advisory Nature of Evaluation:
I understand that the evaluation prepared by ACEI is advisory and not binding upon any individual, institution, or agency that uses it, and I release ACEI from any liability for damages resulting from the use of the evaluation report.

D5. Special Submissions:
I understand that evaluations intended for certain boards and institutions (e.g. Southern New Hampshire University, Washington Adventist University, professional state licensing exams, immigration and state/federal employment) require official transcripts and any diplomas/degrees or statements of graduation are to be sent directly/verified by the institution(s) to acei@acei-global.org.

D6. RUSH Service
I understand that a RUSH service goes into effect when all required academic documents, including translations, and fees are provided to ACEI. Additionally, all required official transcripts, and any diplomas/degrees or statements of graduation must be sent directly/verified by the institution(s) to acei@acei-global.org.

D7. Document Loss and Damage:
I understand that ACEI is NOT responsible for the loss or damage of any documents while in transit to/from their respective offices.

D8. No Cancellation and Non-Refundable Fees:
I understand that ACEI has a no cancellation policy and once this application is submitted, there are no cancellations and all fees are non-refundable.
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 and the above statements, including the policies on required documents, as well as the no-cancellation and no-refund policy
First and Last Name Signature*

First NameLast Name
Signature*
Date
Comments
HOW DID YOU HEAR ABOUT US?*

GOOGLEYELPFACEBOOKINTERNET ADLINKEDININSTAGRAMOTHER
REFERRAL
Name of Referral
Total Amount
Total Due

prevnext( X )
USDPlease Pay this amount

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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NOTE: Applications received on or after 3pm Pacific Standard Time will be processed the following business day. Applications submitted over the weekend will be processed on the next business day as the office is closed on weekends and national holidays.

SECTION A. PERSONAL INFORMATION

SECTION B. ACADEMIC HISTORY

SECTION C. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES

C4. RUSH SERVICE (optional, select only one)For rush service, ACEI requires official academic documents to be issued directly by or verified by the issuing institution(s).

SECTION D. AUTHORIZATION FOR SERVICE AND ACKNOWLEDGMENTS BY APPLICANT/AGENT REPRESENTING APPLICANT

C4. RUSH SERVICE (optional, select only one)
For rush service, ACEI requires official academic documents to be issued directly by or verified by the issuing institution(s).