Application for Foreign Credential Evaluation Service

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International Education Evaluators, LLC Please read all pages before completing the application form. Send the application form (page 1 and 2 only) along with required documentation (see page 4) and payment to one of the following addresses: Postal address (USPS): International Education Evaluators, LLC, P.O. Box 545863, Surfside, FL 33154. Courier address (UPS, DHL, FedEx, etc.): International Education Evaluators, LLC, 250 95th St., #545863, Surfside, FL 33154 Make your check or money order payable, in U.S. dollars, to International Education Evaluators, LLC. Date: 1. CLIENT INFORMATION Gender: Male Female Date of Birth: Name: Application for Foreign Credential Evaluation Service Last First Middle Name as it appears on academic credentials: Mailing Address: City State Zip/Postal Code Country Telephone: Fax: Email: Country of Birth: Country of Study: Have you had an evaluation completed by IEE before? If yes, indicate file number. If no, how did you learn about IEE? 2. PURPOSE OF EVALUATION REPORT Immigration Employment Professional Licensing/Certification Education (high school, college, university) 3. SERVICES AND FEES Educational Evaluation (document by document) Course by Course Evaluation 10 business days ($50) 10 business days ($140) 5 business days ($75) 5 business days ($170) 3 business days ($100) 3 business days ($200) 24-hour ($125) Same day ($150) Professional Work Experience Evaluation Additional Services 10 business days ($200) Translation Fee Estimate (FREE) 5 business days ($250) Equivalent Grade Point Average ($30) 3 business days ($300) Upper/Lower Division Course Identification ($50) 24-hour ($350) Verification of Authenticity ($75) Same day ($400) Notarization Service ($10 per document) (How many?) Additional Copies ($20 per copy if requested at the time of application) (How many?) Additional Copies ($35 per copy if requested after the evaluation report has been issued (How many?) Unofficial Faxed Copy of Evaluation Report ($5) Unofficial Scanned (Electronic) Copy of Evaluation Report ($5) Sealed Envelope ($5 per envelope) (How many?) INDIVIDUAL APPLICANTS MUST SUBMIT DOCUMENTS (ORIGINALS OR CERTIFIED COPIES) BY MAIL WITH APPLICATION FORM AND PAYMENT. Occasionally, processing time may take longer if more than a normal amount of research is required. For 24-hour service, the application form and all required documents must be received by 4:00PM EST. For same day service, the application form and all required documents must be received by 10:00 AM EST.

4. ACADEMIC HISTORY Beginning with secondary education, please list the name and location of each educational institution attended, dates of attendance and each certificate, diploma, or degree earned as it appears on your documents (use a separate sheet, if necessary). Name of Institution Location (city, country) Entry Date (month/year) Exit Date (month/year) Degree, Diploma or Certificate Awarded (in the original language) Date of Graduation (MM/DD/YYYY) 5. DOCUMENTS DELIVERY OPTIONS If you would like to receive your evaluation report by means other than regular mail (U.S. only), please select from the following options and include corresponding charges along with your payment. Priority Delivery (U.S. only): $10 Priority Delivery (International): $40 Express Delivery (U.S. only): $30 Express Delivery (International): $70 6. MAILING (Regular Mail) Please mail the evaluation report and additional copies to me at the address listed above. Please mail the evaluation report to me at the address listed above and the additional copies to the following address(es): 7. CERTIFICATION I certify that the information provided in this application is true. I understand that the evaluation prepared by International Education Evaluators (IEE) is advisory in nature and are not binding upon any agency or institution. I have read the section on Policies and Procedures and agree with the terms and conditions stated therein. I release IEE from any liability for damages resulting from the use of the evaluation report by any party. I release IEE from any liability for damages resulting from the loss of original documents that may be requested by IEE in associated with this application. Name Signature Date P.O. Box 545863, Surfside, FL 33154, USA Tel: 305.503.9063 Fax: 305.993.5550 www.iee-usa.com E-mail: info@iee-usa.com Thank you for choosing IEE!

POLICIES AND PROCEDURES: All evaluation reports prepared by IEE are based upon the most current information and research available. IEE uses all practical resources, placement recommendations and guidelines to form a basis for its interpretation and judgments. IEE does not guarantee that the applicant will agree with the evaluation report. IEE will not be liable for damages resulting from the loss or physical damage to the original documentation that may be requested by IEE. No evaluation report will be prepared if documents are suspected to be tampered or forged. Additionally, the documents become property of IEE. No refund will be issued and concerned parties will be notified. If documentation not included in the original application is submitted for evaluation to IEE, it is considered a new evaluation and payment of the evaluation fee is required. If an applicant requests to change a document by document evaluation report to a course by course evaluation report, the appropriate fee for the course by course report is required. IEE reserves the right to revise its reports as new information is issued and can not guarantee that the applicant will agree with the evaluation report issued. All evaluation reports prepared by IEE are advisory in nature and are not binding upon any agency or institution. IEE reserves the right to refuse service to anyone. IEE accepts no liability regarding the loss or damage of documents. IEE will keep applications and accompanying documents submitted for evaluation and/or translation on file for one year. No refunds are issued once the application has been submitted, or when the necessary documentation is not provided. There will be no refund after a written evaluation report has been prepared. IEE conducts business via mail. IEE reserves the right to verify academic documentation submitted for evaluation with the issuing institution(s). IEE reserves the right to request original document(s) to be sent directly from the issuing institution(s). Any dispute that may occur between IEE and the applicant shall be governed by Florida law and subjected to the jurisdiction of the Miami-Dade County court system. We do not accept credit cards. All fees are payable in advance. All payments are payable in U.S. dollars by money order or personal check. If the money order or check is issued by a bank outside the U.S., it must have the printed name of the affiliated U.S. bank. For personal checks, please allow up to 10 business days to clear. IEE will not release any evaluation report or translation until proper payment has been received. Prices are effective as of October 23, 2017 and are subject to change at the discretion of IEE. Attorney/corporate clients with regular account activity will be billed on a monthly basis. All fees will be due upon receipt of the invoice. If there is no prior account balance, clients are allowed a grace period of 15 days from the date of the invoice to send their payment. Accounts that are late 30 days will be subject to account administration fee of $15 per month. IEE reserves the right not to service an account that is late 60 days. Evaluation reports and documents are delivered to clients by regular mail service (U.S. only). The following delivery options are available at an additional cost. Priority Delivery (U.S. only): $10 Priority Delivery (International): $40 Express Delivery (U.S. only): $30 Express Delivery (International): $70 If you disagree with the outcome of your evaluation, you have 60 days from the date of issue of the evaluation report within which to raise any questions concerning its content (thereafter, the file will be closed). If you would like to have your file reviewed, please put your request in writing. Your request may be sent by regular mail or email (info@iee-usa.com). Please be sure to include your name and file number on all correspondence. Allow a minimum of 10 business days for your case to be reviewed. You will receive a reply in writing thereafter. Please understand there is no guarantee that any changes will be made to the existing evaluation report.

DOCUMENTATION REQUIREMENTS: Submit certified English translations of all documentation issued in a foreign language for evaluation. Education Evaluation (document by document) Completed and signed IEE application form. Certified copies of all original academic documentation diplomas, certificates and/or transcript (indicating graduation date and major) with photocopies of English translations. All copies of academic documentation submitted for evaluation become the property of IEE. Certified copies of school transcripts (mark sheets) showing subjects studied, grades and credit hours earned for each course of study with photocopies of English translations. All copies of academic documentation submitted for evaluation become the property of IEE. Course by Course Evaluation Submit all documentation required above for education evaluation. Submit all available information such as a course catalog regarding program structure, course syllabus, grading scheme, and admission graduation requirements. (Do not send this with your application. If it is needed, IEE will request it.) Professional Work Experience Evaluation Submit all documentation required above for education evaluation. (Academic documents are only necessary if you have post-secondary education. Professional work experience evaluations can be performed without the educational evaluation based on the USCIS three-for-one rule.) Submit a detailed resume indicating each position held, listed chronologically, with a description of your job duties and responsibilities, including tools and skills used, start date and end date of each position and project, and employer s name and geographical location. Submit letter of employment from each employer, indicating job title, start date, end date, and job descriptions. Please contact IEE before submitting a work experience case in order to ensure that we have an expert available in the area in which the degree equivalency is sought. Indicate on the application form the type of field in which degree equivalency is sought. Request for additional documentation may be needed. IEE may request original documents to verify authenticity, which may be returned to the applicant if a self-addressed stamped envelope is included or if an appropriate U.S. postage fee is paid. An evaluation report cannot be prepared until all requested information and documentation has been submitted. If required documentation or information is missing from an application, the applicant will be notified in writing. The evaluation will only be completed after all required material is submitted to IEE.

FEES: Educational Evaluation (document by document) US$50 Processing begins the day IEE receives all required documentation. All services are counted in business days. RUSH FEES 5 business days RUSH SERVICE US$75 - MONEY ORDER ONLY 3 business days RUSH SERVICE US$100 - MONEY ORDER ONLY 24-hour RUSH SERVICE US$125 - MONEY ORDER ONLY 24-hour service (documents must be received by 4PM EST) Same day RUSH SERVICE US$150 MONEY ORDER ONLY Same Day Service (documents must be received by 10AM EST) Course by Course Evaluation US$140 Processing begins the day IEE receives all required documentation. All services are counted in business days. RUSH FEES 5 business days RUSH SERVICE US$170 - MONEY ORDER ONLY 3 business days RUSH SERVICE US$200 - MONEY ORDER ONLY Professional Work Experience Evaluation US$200 Processing begins the day IEE receives all required documentation. All services are counted in business days. RUSH FEES 5 business days RUSH SERVICE US$250 - MONEY ORDER ONLY 3 business days RUSH SERVICE US$300 - MONEY ORDER ONLY 24-hour RUSH SERVICE US$350 - MONEY ORDER ONLY 24-hour service (documents must be received by 4PM EST) Same day RUSH SERVICE US$400 MONEY ORDER ONLY Same Day Service (documents must be received by 10AM EST) Additional Services Translation Fee Estimate FREE Grade Point Average Calculation US$30 Verification of Authenticity US$75 Upper/Lower Division Course Identification US$50 Notarization Service (US$10 per document) Unofficial Faxed Copy of Evaluation Report US$5 Unofficial Scanned (Electronic) Copy of Evaluation Report US$5 Sealed Envelope (US$5 per envelope) Additional Copies of Evaluation Report If requested at the time of application US$20 per copy If requested after the evaluation report has been issued US$35 per copy ALL FEES ARE NON-REFUNDABLE. FEES ARE SUBJECT TO REVISION BY IEE MANAGEMENT WITHOUT NOTICE.

TYPES OF EVALUATION REPORTS: Educational Evaluation (document by document) Document by document - This education evaluation report describes and lists the educational institution(s) attended and the education credential(s) earned in a foreign country and states their U.S. equivalence (e.g. Bachelor, Master, Doctorate, etc.) This type of evaluation is most common for use in employment and immigration matters and university admission when transfer credit is not expected. Course by Course Evaluation Course by course - This evaluation report includes the information provided in a document by document evaluation additionally with a description of courses, credit hours, grades and degrees, as well as overall academic performance in terms of the educational system in the U.S. This type of report is generally required for college admissions for determining transfer credits, as well as for professional licensing matters. Professional Work Experience Evaluation The work experience evaluation is provided for immigration purposes most commonly for those applying for H-1B visas. The report evaluates both an individual s professional work history (using the USCIS three for-one-rule ) and educational credentials in order to establish a Bachelor s degree equivalency. If you are unsure as to the type of evaluation that might be suitable for you, please contact us or mail your inquiry to info@iee-usa.com CONTACT INFORMATION: IEE P.O. Box 545863 Surfside, FL 33154 Tel: (305) 503-9063 Fax: (305) 993-5550 E-mail: info@iee-usa.com Website: www.iee-usa.com