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GLOBE LANGUAGE SERVICES,
INC. EVALUATION SERVICE 319 BROADWAY, (212)
227-1994 FAX: (212) 693-1489 e-mail:
info@globelanguage.com www.globelanguage.com |
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PLEASE FILL OUT ALL
INFORMATION
(See instructions below BEFORE filling out this form.)
1. Name
(Family Name) (First Name) (Middle Name)
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2.
Address
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Telephone Contact No: (
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Fax No. (
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E-mail
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5.
If you want this evaluation mailed to an agency or another person, please
give name and address below:
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6. Date of Birth
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Social Security # (Required for NYC
[DCAS] Jobs)
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(Month) (Day) (Year)
7. Male Female 8. Citizenship............................. Country of Studies.....................................
9. EDUCATION: Please list the last two schools
you have attended. Give exact dates and diplomas
Institution Name |
Country |
Dates (from and to) |
Name of Diploma |
Graduation date |
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10. Name of institution(s) where this evaluation will be used--must be filled in to qualify for Globes guarantee of acceptance by the receive institution
PURPOSE OF EVALUATIONPlease check Matching Box(es) FURTHER
EDUCATION TRANSFER CREDIT EMPLOYMENT PROFESSIONAL LICENSE/ |
MAILING SERVICEPlease Note: Original
Diplomas and Transcripts will only be returned by Express Mail. INTERNATIONAL
($10.00) PRIORITY STAMPED
ENVELOPE ENCLOSED |
TYPE OF E
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Diploma/Degree Evaluation |
($90.00) 10 Business Days |
1-Day ($175.00) |
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Course-by-Course Evaluation |
($160.00) 10 Business Days |
3-Day ($100.00) |
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Include GPA in Course-by-Course free |
(Included if needed) |
5-Day ($50.00) |
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Calculation of GPA for High School Diploma Evaluation |
(Additional
for High School Diploma Evaluation $40.00) |
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Consolidation of credit hours if these appear on separate documents |
(Additional $50.00) |
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No. of Duplicates____ ($20.00 with this request.) Each duplicate
requested at a later date will cost $40.00 |
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● Globe will also officially translate, certify, and notarize your
documents for a moderate fee. Check translation prices at www.globelanguage.com
CREDIT
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Payment must be made by US
Money Order or Credit Card. (No Personal Checks/No Debit Cards). (No 3rd Party Credit Cards Accepted) |
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AUTHORIZED AMOUNT $___________ |
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TYPE
OF CARD: Visa / MasterCard / Discover /
American Express
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BILLING
ADDRESS __________________________________________________________________ |
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CARDHOLDER
NAME ______________________ CARDHOLDER SIGNATURE _____________________ |
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CREDIT
(3 number
located on back of card or 4 numbers on AMEX on the front of the card) |
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I hereby affirm that: a) the information provided by me is correct; b) I agree to the terms herein stated; c) I understand this report is advisory and is not binding on anyone who uses it; d) I release Globe Language Services, Inc. from any liability for damages resulting from the use to which I or any agency or institution puts the evaluation report.
Globe Language Services, Inc. reserves the right to request additional information, including original documents, and to verify documents with issuing institutions.
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(Signature) (Name,
Printed) (Date)
Return
the completed application to Globe Language Services, Inc. with the following:
a)
ALL ORIGINAL ACADEMIC RECORDS IN ORIGINAL LANGUAGE (See instructions
below for details).
b)
c)
STAMPED, SELF-ADDRESSED POST
1.
Diploma/Degree Equivalent
This
report gives an equivalent for each diploma or certificate and indicates dates
of attendance. Used for: employment; immigration; licensing in some fields;
education when transfer credit is not expected.
2.
Course-by-Course
This
report provides the same information as the diploma/degree report and also
includes a breakdown of credits for all study after secondary school. Grade
equivalents are given for transfer credit or further education. Used for:
transfer credit; professional certification/licensing; employment. (Log on to http://www.globelanguage.com/,
if you need more information.)
Original degree(s),
diploma(s), transcript(s)/mark sheet(s) AND a set of photocopies of all
these documents- must be brought to Globe Language Services, Inc.
Globe Language Services
representative will review your documents and verify that the photocopies are
true copies of the original documents.
Certified and notarized
professional English translations of all documents -AND a set of
photocopies of all these translations - is required. (Globe
Language Services, Inc. will also translate, certify and notarize your
documents for a fee. Please check prices here: Prices to English or Prices from English)
You need to complete an
application form and submit it together with verified photocopies of your
documents and certified English translations to Globe Language Services,
Inc.
Results of Globe Language Services Evaluation will be mailed to you/another person within 2 to 4 weeks. (Evaluation report may be picked up at the office.)
If you should submit your
application by mail, please mail the completed application to Globe Language,
Inc together with:
Original degree(s),
diploma(s), transcript(s)/mark sheet(s) AND a set of photocopies of all
these documents- must be sent to Globe Language Services, Inc.
A set of photocopies of
certified translations
A money order or credit
card payment
We recommend sending Original Documents by FEDEX or Express Mail to ensure they arrive safely. Please also include a prepaid FEDEX or Express Mail envelope so we can return the documents to you.
1.
Extra Copies - One original report is included in the evaluation fee.
Additional original duplicate copies requested with the initial application
cost $20.00 each. Each duplicate requested at
a later date will cost $40.00
2.
Re-evaluation - Re-evaluations based on documents not submitted with the
original request are considered new evaluations, and a second payment of the
basic fee is required. When an applicant requests that a diploma/degree
equivalent report be changed to a course-by-course, the fee of $160.00 is
required.
3.
Reassessment of Educational Equivalencies - Evaluations are based upon the best
information and resources currently available to professional evaluators in the
4.
From Course-by-Course to Diploma/Degree Equivalent Report - If Globe Language
Services, Inc. determines that a course-by-course evaluation report cannot be
prepared, a Diploma/Degree Equivalent Report will be issued.
5.
Verifications - Globe Language Services, Inc. reserves the right to verify
documents with issuing institution(s) and/or request that a credential be
issued in English if the issuing institution prepares English language
credentials. Additional cost for verification will be borne by the applicant
with his/her prior permission.
6.
Forged and Altered Documents - When it has been determined that any document
submitted has been forged or altered in any way, the application will be
canceled and no evaluation report will be prepared. The documents become the
property of Globe Language Services, Inc. All recipients indicated on the
application form will be notified. No refund will be issued.
7.
Refunds - Refunds are only issued if there has been an overpayment. No refunds
will be issued after the application has been received.
8.
Globe Language Services, Inc. reserves the right not to accept an application
for evaluation.
THE EVALUATION STANDARDS FOLLOWED
ARE THOSE APPROVED BY THE NATIONAL COUNCIL ON THE EVALUATION OF FOREIGN
EDUCATIONAL CREDENTIALS.
(George R. Fletcher, Ed.D., Director. Member, ATA, NAFSA, EAIE)
Globe Language Services,
Inc. is a Charter Member of the Association of International Credential
Evaluators (AICE)
In the preparation of evaluation reports, every effort is made to consult appropriate resources in order to provide the most accurate evaluations possible in relation to the applicant's request. Reference works consulted are listed on the evaluation.