ACADEMIC EVALUATION APPLICATION

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SECTION A. PERSONAL INFORMATION
First Name*
First
Middle Name
First
Last/Family Name*
Last
Male/Female*
- Male
- Female
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Birth Date*
Country of Birth*
Have you ever applied to ACEI?*
- Yes
- No
If yes, when? (Date)
ACEI REFERENCE #
Who referred you to ACEI?
SECTION B. ACADEMIC HISTORY
List ALL educational institutions attended and now attending beginning with High School. This section MUST be completed.*
Name of Institution City/Country Dates of Attendance Certificate/Diploma/Degree
SECTION C. PRIMARY PURPOSE FOR EVALUATION
(SELECT ALL THAT APPLY)
*
- Further Education
- Employment
- Immigration
- Professional Licensure
- Laboratory Field Services/CDPH
- CA Commission on Teaching Credentialing
- Other
Please specify name of institution*
State and Profession*
Please describe purpose*
SECTION D. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES
(YOU MUST CHOOSE AN OPTION)
D1. Evaluation Report

BASIC REPORT (General)
[Suitable for employment/immigration/military enlistment/further education]
You may choose single or multiple credentials (Select "None" if you are not choosing Basic HIGH SCHOOL Report):*
- High School/Secondary Education (Only)- $95.00
- None
Number*
You may choose single or multiple credentials (Select "None" if you are not choosing either 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
- None
Number*
Number*
COMPREHENSIVE REPORT (Course-by-Course with Grades & G.P.A.)

[Suitable for further education/continuation of studies, teacher certification, professional certification]
Choose "None" if you are not choosing Comprehensive Report)
*
- High School/Secondary Education $165.00
- College/University studies leading to 1st degree/credentials $185.00
- None
- Additional Credentials $95.00 each
Number*
Number*
Please specify quantity of additional credentials*
Please enter a number greater than or equal to 0.
D2. RUSH SERVICE (optional, check only one)
Payments for RUSH Service evaluations are in addition to the Evaluation Report fee in section D1.
- No Rush Service
- One (1) Business Day(Completed within 1 full business day from receipt of documents) - $200.00
- Three (3) Business Days(Completed within 3 full business days from receipt of documents) - $150.00
Number
Number
D3. DELIVERY OF EVALUATION REPORT
UNOFFICIAL APPLICANT COPY (ONLY)*
- E-Mail (Unofficial Evaluation Copy to Applicant) $10.00
- I Decline My Unofficial Copy
Number
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 (ENTER RECIPIENT INFORMATION BELOW)
- Hold Official Evaluation Report $10.00
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Institution/Organization Contact Name Department Telephone Email
Additional Official Evaluation Report to College/University/Employer etc.*
- E-Mail (Official Evaluation to Third Party) $45.00
- None
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Institution/Organization Contact Name Department Telephone Email
- Hold Official Evaluation Report
Number
Additional Official Evaluation Report to College/University/Employer etc.*
- E-Mail (Official Evaluation to Third Party) $45.00
- None
- Hold Official Evaluation Report
Number
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Institution/Organization Contact Name Department Telephone Email
Additional Official Evaluation Report to College/University/Employer etc.*
- E-Mail (Official Evaluation to Third Party) $45.00
- None
- Hold Official Evaluation Report
Number
UNIVERSITY / COLLEGE/ EMPLOYER/ CERTIFICATION BOARD/ OTHER
Institution/Organization Contact Name Department Telephone Email
SECTION E. CERTIFICATION BY APPLICANT/AGENT REPRESENTING APPLICANT and TERMS and 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
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.
First and Last Name*
Signature (Please use mouse pointer to E-Sign)*
Date*
Date Format: MM slash DD slash YYYY
Comments
Upload Document
Drop files here or

Accepted file types: pdf.
For initial review. You will be notified of any missing/required documentation. PDF Documents only. SCAN FRONT AND BACK OF CREDENTIAL, IF ANY INFORMATION IS PROVIDED ON BACK.
Total Amount Due*
Price: $0.00
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. Mailing fees may be charged for the return of original documents. NOTE: NO REFUNDS WILL BE ISSUED ONCE PAYMENT HAS BEEN SUBMITTED AND PROCESSED
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The Academic Credentials Evaluation Institute (ACEI) was incorporated in the State of California in 1994.

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Name of Institution	City/Country	Dates of Attendance	Certificate/Diploma/Degree

ACADEMIC EVALUATION APPLICATION

This application will not process unless VPN or Privacy Browsers are turned off to successfully make payment for services requested.

SECTION A. PERSONAL INFORMATION

SECTION B. ACADEMIC HISTORY

SECTION C. PRIMARY PURPOSE FOR EVALUATION

SECTION D. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES

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