Consultancy on International Education
P.O. Box 2792
Champaign, IL 61825-2792
217-359-9602

APPLICATION FOR THE CIE EDUCATIONAL ADVISORY SERVICE

Go To Page 2
(Please type or print legibly)


Full Name: ____________________________________________________________________________________
Mr. or Ms. Last (Family) First Middle or Maiden


Mailing Address: _____________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________


Telephone Numbers: __________________________________________________________________
Home Number Work Number


E-mail address: _______________________________________________________________________


Date and place or birth:______________________________________________________________________________________
Month Day Year City Country



Country of Citizenship:   ___________________________ Visa Type or Status:   _____________________



Type of service and fee schedule. Circle the service(s) requested. Attach the fee(s).


A. General Evaluation (Credits are not included.) (U.S. $75.00)
B. Itemized Evaluation (U.S. $125.00)*
a. With grades calculation, add $60.00
b. For up to 2 degrees or institutions, $125.00*
For more than 2 degrees or institutions attended, add $50.00
(to the standard fee) for each additional degree or institution attended.
C. Credential Reconstruction (U.S. $230.00)
D. Education/Job Equivalency Evaluation   (U.S. $270.00)
E. Ph.D. Equivalency Evaluation   (U.S. $300.00)
F. Rush Service 1-2 days
3-5 days		 (U.S. $110.00 *plus express mailing charges)
(U.S. $85.00 *plus express mailing charges)
G. Extra Copies   (U.S. $12.00 *per copy)
Expect a 2-week delay if paying by personal check. Checks need to clear the bank before service can be rendered.
Money order is the acceptable form of payment.


Go To Page 2