Electronic Application Form

IMPORTANT

Please send the application form either electronically or by mail. DO NOT send multiple requests
If you are paying by check or money order, please use the Printable Application Form and send everything together BY MAIL ONLY (form, documents, and payment)

* Indicates a Required Field

Personal Information

Family/Last Name*

First Name*

Middle Initial

Other Names that Appear on Records

Applicant Email*

Phone*

Date of Birth*

Country of your Credentials*

Type of Service*

Purpose*

State you are applying to:*

Fees and Services*

When did CED previously do an evaluation for you?

(Please allow 1-2 business days for payment with money order or PayPal. RUSH services DO NOT apply to additional copies. )

Additional Services

Extra copy (when ordered at the same time). Indicate how many ($10 each)

Price: $10.00

Mailing Instructions*

Indicate how and where you wish to have to original evaluation report sent. Select "Mail to Me" to have an official evaluation report mailed back to you in a sealed envelope. The fee includes one original evaluation report (to the institution/address indicated below) and one copy for your records, as part of the service. You may request extra original reports for an additional fee.

Report Delivery Method*

Email