DAY TRANSLATIONS, INC. EVALUATION SERVICES

14164 Monterey Pines Dr. Unit 201 •Tampa, Florida 33613

Phone (800) 969-6853 • Fax (800) 856-2759

APPLICATION FOR EVALUATION OF FOREIGN EDUCATIONAL CREDENTIALS

PLEASE PRINT OR TYPE ALL INFORMATION

Note:Person whose education credentials are to be evaluated please read, fill, and sign. Clear copies of all educational documents must accompany this application.

PERSONAL PROFILE

Legal Name: Date of Birth:

(First)(Middle)(Last) (Mon) (Day) (Year)

Gender:

Name appearing on foreign education document:Male

If the same as above check this box

Female

(Last)(First)(Middle)

Current mailing address:

(Street Number)(Apt #)(City)(State)(Zip/Postal Code)(Country)

Telephone Number:Fax Number:E-mail:

Country of Birth:Country of Citizenship:

Purpose of this evaluation:

Explain any special needs/requests below:

EDUCATIONAL PROFILE

Please list ALL educational institutions you have attended:

Date of Year of

Name of Institution CountryAttendance GraduationDegree

Please list ALL Institutions you are applying to:

Date of Year of

Name of Institution CountryAttendance GraduationDegree

Explain any lapses in education:

CERTIFICATION

I certify that I have read the instructions and that I agree to the conditions and terms therein stated; and that all of the information provided is accurate to the best of my knowledge.

SignatureName (Printed)

FEES PER APPLIACTION

Basic Fees

$Document Report (1 Degree)

$Document Report (more than 1 degree)

$Course by Course Evaluation (1 Degree)

FREEElectronic Copy

FREEFirst Mailed Copy

$Additional Copy

$Additional Copy

Additional Fees (Added to Basic Fees)

$Same Day Service

$Rush Service (1-2 days)

$FedEx

$UPS

TERMS OF EXECUTION / Day Translations is responsible for the translation and confidentiality of your document. Full and accurate translation and confidentiality of your document is guaranteed.
i) Payment for the translation is due before commencement of the translation. If Day Translations, llc. fails to translate your document, your payment will be completely refunded.
ii)After execution of the translation has begun, purchaser may not cancel the agreement.
iii)If purchaser is not satisfied, purchaser may contact customer support to express any concerns and refunds are at the discretion of Day Commerce.
iv)Translation will be executed and charged at the above expressed fee and time period. If Day Translations, llc. fails to complete the translation within the expressed time period, a refund of 5% of the agreed upon fee per day over the time limit will be awarded to the purchaser.

We are grateful for your decision to utilize our services and are confident that you will be satisfied. Should you have questions please contact me at 1-813-300-1932 or e-mail at

Sincerely,

Sean Patrick Hopwood

Sean Patrick Hopwood, M.B.A., President