Credential Evaluation Application
 
Contact Information
First Name:
Middle Name:
Last Name:
Full Name:
Place of Birth:
Date of Birth:
Telephone:
Fax:
e-mail:
   
Shipping Information
PO Box or Address:
Postal Code:
Country:
City:
State/Province:
Detailed Description of Address
   
Purpose of Evaluation
Immegration Specify Visa/Position:
Education Specify Degree:
Employment Specify Field:
Licensing Specify Field:
Teaching Specify Degree:
   
Education 1
School / College / University Name:
Degree (BA/BS/MA/MS/MBA etc):
Major of Concentration (Psychology / business / liberal arts etc):
Date Conferred:
Country Conferred:
 
Education 2
School / College / University Name:
Degree (BA/BS/MA/MS/MBA etc):
Major of Concentration (Psychology / business / liberal arts etc):
Date Conferred:
Country Conferred:
 
Education 3
School / College / University Name:
Degree (BA/BS/MA/MS/MBA etc):
Major of Concentration (Psychology / business / liberal arts etc):
Date Conferred:
Country Conferred:
 
Education 4
School / College / University Name:
Degree (BA/BS/MA/MS/MBA etc):
Major of Concentration (Psychology / business / liberal arts etc):
Date Conferred:
Country Conferred:
 
Affirmations
I certify that I am at least 18 years of age. (If applicant is under 18 years old, the application must be completed and signed by a parent/guardian of age.) I certify that the information submitted on behalf of the evaluation is true and correct. I certify that I have read the instructions and conditions and agree to the terms stated herein. I understand that evaluation reports prepared by the APPROVAL DEGREES OSSOCIATION, are advisory in nature and are not binding upon any agency or institution. I release (ADA), from any liability and all liability for damages resulting from the use to which I or any agency or institution puts the evaluation report. I agree to reimburse (ADA) for any and all costs (including legal expenses) which it may incur as a result of any claim that I (or anyone having any interest in my earnings or services) may make based on the evaluation report or translation.
 
Service Requested
$150 Education Evaluation
$350 Work Experience (Or Combination of Education/Experience)
$500 Course By Course Evaluation (Required for Education/VSC/TN-1)
$400 Licensure
$50 per Additional Report
 
Delivery
$0 Normal Delivery, 2 to 4 weeks, Free of Charge
$150 Express Delivery, 1-4 Days

I Affirm the Above Statement. REQUIRED