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Credential Evaluation Application Form

Are You the Credential Holder *YesNo

Credential Holder Information

Last Name of Credential Holder *

First Name of Credential Holder *

First Name of Credential Holder in Chinese (use N/A if not applicable) *

Last Name of Credential Holder in Chinese (use N/A if not applicable) *

Date of Birth of Credential Holder *

Phone *

Email Address *

WeChat ID

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Individual Placing the Order

First Name *

Last Name *

Phone *

Email Address *

WeChat ID

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Relationship to the Credential Holder *

Purpose of Evaluation (choose all that apply) *Further Education/AdmissionsImmigrationEmploymentOther

US Institution(s) You are Applying to: *

Choose the Type of Credential Evaluation You Would Like to Order *General (no GPA) $75General (with GPA) $95Course-by-Course (secondary) $140Course-by-Course (post-secondary) $140Course-by-Course (secondary+post-secondary) $180Catalog Match $275None (adding services to an existing order) $0

The Evaluation Should be Prepared Based on: *Electronic Credentials (Copies)Verified Credentials (will require CHESICC verifications)Please check with your US institution to confirm, if unsure

Evaluation Report Add-Ons

Additional Services

Rush Services *Regular Processing (5 Business Days) $03 Business Days $601 Business Day $110Same Day Processing (for orders submitted before 10 am CST) $160Regular processing takes 5 business days after submission of all required documents. Rush processing is available: 3 business days, 1 business day and same-day for orders submitted before 10 am CST.

Would You Like to Add a CHESICC Verification Report to an Existing Order?Yes +$50No

Do You Require Credential Verification with the Issuing Institutions *Yes +$50 per institutionNoIf you can not provide CDGDC/CHESICC verification reports, or if CDGDC/CHESICC do not provide verifications for your credentials.

How Many Chinese Institutions Do You Want to Verify with? *

How Would You Like Your Paper Reports to be Mailed? *Regular Mail, USAExpress Mail, USARegular Mail, InternationalExpress Mail, InternationalNo Paper Reports

How Many Addresses to Ship to by Regular Mail (USA)? *$5 per paper report + $10 per address for shipping

How Many Addresses to Ship to by Express Mail (USA)? *$5 per paper report + $40 per address for shipping

How Many Addresses to Ship to by Regular Mail (International)? *$5 per paper report + $40 per address for shipping

How Many Addresses to Ship to by Express Mail (International)? *$5 per paper report + $60 per address for shipping

Please Enter Shipping Addresses and Recipients, Type of Shipping and Number of Report Copies to be Mailed to Each Shipping Address:

Please Enter Names and Emails of Recipients of the Electronic Report Copies: *

Please Upload Files Here: *

Drag and Drop (or) Choose Files

Upload Clear Color Copies: Credentials in Chinese (Required), Translations (Required, except General Reports), Verification Reports (Required if Based on Authenticated Documents). Formats: PDF, JPG, BMP, PNG. Up to: 20 MB.

Today's Date: *

Please enter today's date in the YYYY/MM/DD format (all digits)

Please Confirm that You Agree with our Terms and Conditions: *

Yes, I am either the credential holder, or have credential holder's permission to evaluate their credentials, and I agree with terms and conditions.

Please Type in Your Name as an Electronic Signature *

Your Order Total:

Please Choose a Payment Method: *Credit/Debit CardPayPal

Credit / Debit Card *

Credential Upload Form

First Name of Credential Holder *

Last Name of Credential Holder *

First Name of Credential Holder in Chinese

Last Name of Credential Holder in Chinese

Email Address *

WeChat ID

Reference Number *

Comments, requests, notes:

Please Upload Files Here: *

Drag and Drop (or) Choose Files

Upload Clear Color Copies: Credentials in Chinese (Required), Translations (Required, except General Reports), Verification Reports (Required if Based on Authenticated Documents). Formats: PDF, JPG, BMP, PNG. Up to: 20 MB.

Today's Date: *

Please enter today's date in the YYYY/MM/DD format (all digits)

Please Confirm that You Agree with our Terms and Conditions: *

I hereby state that I am either the credential holder, or have the credential holder's permission to assess their credentials for the purposes of admissions, immigration or employment, and I agree with the terms and conditions.

Please Type in Your Name as an Electronic Signature *

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