World Education Services : Application
for Evaluation of Foreign Educational Credentials
Printing instructions
| Name | ____________________________ | ____________________________ | ____________________________ |
| Last/Family | First/Given | Social Security # | |
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Date of Birth:____________________ (Mo/Day/Yr)
Country of Birth:_______________________________M/F ______ |
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| Mailing Address: No./St. __________________________________________ |
Apt./Flat Number __________ |
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City: ____________________
State/Province: ___________ Country: _________________
Zip/Postal: ____________ |
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| Day Telephone: ______________________ | Fax: _______________________ | E-mail: __________________ |
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Have you ever submitted an application to WES? __No __Yes
If yes, date: _____________ Ref.# _________________ |
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| Purpose of Evaluation: | __Education | __Employment | __Immigration | __Licensing/Certification |
Please list all Educational Institutions attended: Secondary School to Current Institution.
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| If you would like a copy of the report sent to a third party, please indicate exact name(s) and address(es) below. | ||||
| Caldwell College_____________________________________________________ | ||||
| Adult Undergraduate Admissions________________________________________ | ||||
| 120 Bloomfield Avenue_____________________________________________________ | ||||
| Caldwell, New Jersey 07006-6195________________________________________ | ||||
| I certify that: All of the information provided in the application is correct; that I have read the instructions and conditions provided with this application and agree to the terms stated therein; that the report is advisory and not binding upon any agency or institution that uses it. Finally, I release World Education Services from any liability for damages resulting from the use to which I or any agency or institution puts the evaluation report. | ||||
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| Name (printed) Signature Date |
| FEES: Check/Tick all that apply. | Subtotals | |||
| BASIC FEES | __Document-by-Document $80 | __Course-by-Course $125 | $ | |
| RUSH SERVICES | __ 10-day + $50 | __ 3-day + $100 | __ Same-day + $195 | |
| MAILING OPTIONS | __Overnight Courier (USA) + $15 | __Overnight Courier (Int'l) + $50 | __Priority Mail + $5 | |
| EXTRA COPIES | Number requested _____ x $10 each | |||
| TOTAL | $ | |||
| for CREDIT CARD PAYMENT | ___Visa ___MasterCard ___Am. Express | |
| Credit Card #: | Expiration Date: | |
| Name on Card: | Signature: | |
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Return the completed application to World Education Services with:
- Photocopies of all academic records with certified literal English translations, - Payment by Credit Card or Check payable to World Education Services. |
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2. Print out this application: a. Select File from the menu bar at the top of the screen b. Select Print 3. Send page 1 with payment and credentials. If you do not have print capability, you may request an application by e-mail: info@wes.org. Be sure to include your full name, street address, country and postal code. Or write or fax WES for a copy of this application.
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