ERAU 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

MonthDayYear
Date
No, I have not applied previously to ACEI
Please choose one or more of the following campuses for which the evaluation report is intended for: *

ERAU Florida CampusERAU Arizona CampusERAU Worldwide, Online Campus
SECTION B. ACADEMIC HISTORY
List ALL educational institutions attended and now attending starting with Secondary/High school

This section MUST be completed

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.

You must complete the secondary/high school section below in its entirety
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*
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)*
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)
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)
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)
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)
DOCUMENT UPLOAD
Have you already submitted documents to ACEI?*

YES. ACEI has already received my documents, please retrieve them and attach to my application (*Please let us know in the "Comments" section of the file/reference number if the document came from an outside entity*). I understand and agree that it is my responsibility to review the REQUIRED DOCUMENTS page of the website and provide documents in accordance with the information provided on the website, and as required/requested in accordance with all Terms and Conditions.NO. I will be attaching scans for review and, if necessary, have my documents verified/sent direct to ACEI at acei@acei-global.org by my institution(s). I understand and agree that it is my responsibility to review the REQUIRED DOCUMENTS page of the website and provide documents in accordance with the information provided on the website, and as required/requested in accordance with all Terms and Conditions. I understand and agree that delays may occur if I fail to attach pdf scans for initial review.
What is the exact name that is written on your credentials?*
UPLOAD CREDENTIALS/DOCUMENTS (pdf. only) For Initial Review Only.

UPLOAD

Cancelof
SECTION C. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES

PLEASE CHOOSE FROM ONE OF THE REPORT TYPES BELOW
YOU MUST CHOOSE A REPORT OPTION, OTHERWISE YOUR APPLICATION FORM WILL NOT BE PROCESSED.
C1. COMPREHENSIVE Evaluation Report (Course-by-Course with Grades & G.P.A.)-Select one or more of the following:
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
C2. Comprehensive Report Additional Credentials (College/University Studies) -$105.00 for each Additional Credential *CHOOSE A SINGLE CREDENTIAL FIRST BEFORE ADDING ANY ADDITIONAL CREDENTIAL FEES. This fee is for any additional documents to be evaluated. This is not the Evaluation Fee.
Please Enter the Quantity of additional credentials (Choose "NONE" if you do not have any additional credentials*
C3. RUSH SERVICE (optional, check only one) Payments for RUSH Service evaluations are in addition to the Evaluation Report fee in section C1/C2
One (1) Business Days (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
C4. 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 ERAU) $15.00
NAME OF INSTITUTION*
CONTACT NAME*
DEPARTMENT*
PHONE NUMBER*
EMAIL*
C5. DELIVERY OF ADDITIONAL OFFICIAL EVALUATION REPORT TO COLLEGE/UNIVERSITY/EMPLOYER ETC.

(NOTE: IF YOU CHOOSE THIS OPTION, YOU MUST PROVIDE THE EMAIL ADDRESS OF THE RECIPIENT. FAILURE TO DO SO WILL RESULT IN THE DELAY OF THE PROCESS. YOU MUST DO SO FOR EVERY ADDITIONAL OFFICIAL OPTION YOU CHOOSE)
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. CONTRACT FOR SERVICE
Declaration Regarding Document Authenticity & Submission Method

By submitting my application and academic/official documents to Academic Credentials Evaluation Institute, Inc. (ACEI), I hereby declare and acknowledge the following:

1. I understand that the ACEI Application for Credential Evaluation serves as my contract for service and certify that I have read and agree to the TERMS & CONDITIONS outlined for the Credential Evaluation Service.I declare that all documents I am submitting are authentic, original, and unaltered records issued by the appropriate institution or authority.

2. I understand and agree that ACEI reserves the right to verify the authenticity of any document with the issuing institution or relevant authority at any time or request official documentation from the source institution at anytime.

3. I acknowledge that submission of altered, falsified, or fraudulent documents will result in Immediate cancellation of my evaluation;
Forfeiture of all fees paid; Notification to any institution, agency, or third-party recipient involved; Possible reporting to appropriate authorities.

4. I understand that evaluations based on uploaded documents may not be accepted by institutions that require official records sent directly.

5. I confirm that all information provided in my application is true, accurate, and complete to the best of my knowledge. By signing below, I affirm that I have read, understood, and agree to the above declarations and accept full responsibility for the documents I have submitted.
First and Last Name Signature*

First NameLast Name
Please use mouse pointer to E-Sign*

Clear
Date
Comments
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
HOW DID YOU HEAR ABOUT US?*

GOOGLEYELPFACEBOOKINTERNET ADLINKEDININSTAGRAMOTHER
REFERRAL
NAME OF REFERRAL
Total Amount
Total Due

prevnext( X )
USDDescription

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

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

DOCUMENT UPLOAD

SECTION C. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES

SECTION D. CONTRACT FOR SERVICE