Teaching Credential Evaluation Request Form

Teaching Credential Evaluation Request Form
Use this form to request evaluation of teaching credentials, submit education and teaching background, and provide supporting documents needed for review.
Applicant Information
Full Name
First NameMiddle NameLast Name
Preferred Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Contact Method
Credential Evaluation Details
Purpose of Evaluation
Destination Institution or Agency
Destination Country, State, or Region
Requested Evaluation Type / Service Level
Deadline or Target Completion Date
MonthDayYear
Date
Education and Teaching Background
Institution/School Name
Degree or Credential Earned
Field of Study
Attendance Start Date
MonthDayYear
Date
Attendance End Date
MonthDayYear
Date
Graduation/Completion Date
MonthDayYear
Date
Country of Institution
Current Position
Years of Teaching Experience
Grade Levels or Subjects Taught
Certification Status
Supporting Documents
Please upload clear, legible copies of the following documents. Do not include sensitive ID numbers.
Official transcripts
Cancelof
Diplomas or degree certificates
Cancelof
Teaching certificates or licenses
Cancelof
Course descriptions or syllabi, if available
Cancelof
Supporting documents for name changes or any additional documents for review
Cancelof
Special Instructions and Submission Details
Special instructions
Prior evaluation reference number
Preferred mailing or delivery notes
I confirm that the information provided is accurate and that all required supporting documents are included
Should be Empty:

Teaching Credential Evaluation Request Form

Applicant Information

Credential Evaluation Details

Education and Teaching Background

Supporting Documents

Special Instructions and Submission Details