Educational Credential Assessment for General Use

Transcription

Educational Credential Assessment for General Use
UNIVERSITY OF TORONTO
Comparative
Education
Service (CES)
SCHOOL OF CONTINUING STUDIES
Application for an Educational Credential Assessment for
General Use: Employment, further education, and other
purposes
The Comparative Education Service (CES) provides internationally educated individuals with reports on the comparability of their
academic awards to those issued in Canada. CES uses well-established methodologies to authenticate and compare your educational
documents. CES assessments are used by employers, professional organizations, post-secondary institutions and professional
associations. We recommend that you first contact specific organizations to confirm their entry requirements.
Visit our website for more information at www.learn.utoronto.ca/ces.
Do not use this application for Canadian Immigration Programs.
Your application for a CES Educational Credential Assessment Report will require:
• A completed and signed CES application form
• A colour photocopy of your government-issued photo identification showing your date of birth
• A colour photocopy of both sides of the degree, diploma or certificate for each program of study in its original
language with an official English or French translation (if applicable)
• A colour photocopy of both sides of your academic records (transcripts/statement of marks) for each
program of study in their original language and official English or French translation (if applicable)
• Official academic records/transcripts/statements of marks mailed directly to CES in a sealed envelope from
each educational institution listed on your CES application form. Applicants with completed studies in the
People’s Republic of China (PRC) should refer to the Document Requirements at www.learn.utoronto.ca/
international-professionals/comparative- education-service-ces/country-list/china
• Full payment of applicable CES service fees
COMPARATIVE EDUCATION SERVICE (CES)
APPLICATION FOR EDUCATIONAL CREDENTIAL ASSESSMENT (ECA)
Office Use Only
File #
Regular
Rush
Send to 3rd Party
Dispatch by Mail
APPLICANT INFORMATION AND MAILING ADDRESS
Duplicates
By Courier
Pick Up
What is your primary purpose of assessment? (choose all that apply)
Employment
Education
Licensure/Certification
Immigration to Canada
(If this is your purpose, please visit www.learn.utoronto.ca/ces
for Canadian Immigration Programs.)
Other (Please Specify):
Mr.
Mrs.
Family Name/Surname
Ms.
(exactly as shown on your identification)
First/Given Name
Middle Name
Maiden/Former Name
Date of Birth MM/DD/YYYY
Apt/Unit
Street Number
Street
City/Town
Province/State
Country
Postal Code/Zip Code
Email
Phone Number
IMPORTANT: We communicate primarily by email. For confidentiality, please provide an email address used exclusively
by you.
If you wish to designate a third party as your representative to CES, visit www.learn.utoronto.ca/ces for the Authorization to Release Information, Designate
Representation Form.
How did you hear about our services?
Personal Referral
Regent Park, City of Toronto Initiative
School of Continuing Studies
Calendar
School of Continuing Studies Website
Employer
Community Agency
Government of Canada - Citizenship and
Immigration (CIC)
Government of Ontario
Canadian Information Centre for International
Credentials (CICIC)
Alliance of Credentials
Evaluation Services of Canada
(ACESC)
Other (Please Specify):
Would you like to receive updates from the University of Toronto School of Continuing Studies regarding professional
development courses, programs and events? You may unsubscribe at any time.
Yes
No
Visit our website for more information at www.learn.utoronto.ca/ces.
CES Applica ion Form
ECA for General Use
V.3 April 2015
Page 2 of 6
COMPARATIVE EDUCATION SERVICE (CES)
APPLICATION FOR AN EDUCATIONAL CREDENTIAL ASSESSMENT (ECA)
EDUCATION HISTORY
Please list and provide the required documents outlined on pages 1 and 6 for each Certificate, Diploma, Degree or Program
of Study. If the name of the institution has changed, please add its current name. CES MUST receive all official transcripts
mailed directly to CES in a sealed envelope from each institution listed on this application. CES will not be able to provide you
with an Assessment Report until we are satisfied that all the required official documents are received. If you need more
space, please attach another Education History page. Please list credentials in chronological order (i.e. oldest first).
1. Name of Post-Secondary
Institution:
City/Town
Country
Name of Degree/Diploma/
Certificate
Normal length of
program (in years)
I have contacted my institution to
request Official Transcripts
Major/Specialization
Dates
Attended
From (numerals
only MM/YYYY)
To (numerals
only MM/YYYY)
Graduated
Yes
Yes
No
Date Awarded
No
(numerals only MM/YYYY)
2. Name of Post-Secondary
Institution:
City/Town
Country
Name of Degree/Diploma/
Certificate
Normal length of
program (in years)
I have contacted my institution to
request Official Transcripts
Major/Specialization
Dates
Attended
From (numerals
only MM/YYYY)
To (numerals
only MM/YYYY)
Graduated
Yes
Yes
No
Date Awarded
No
(numerals only MM/YYYY)
3. Name of Post-Secondary
Institution:
City/Town
Country
Name of Degree/Diploma/
Certificate
Normal length of
program (in years)
I have contacted my institution to
request Official Transcripts
Major/Specialization
Dates
Attended
From (numerals
only MM/YYYY)
To (numerals
only MM/YYYY)
Graduated
Yes
Yes
No
Date Awarded
No
(numerals only MM/YYYY)
If you would like to have your secondary school credentials assessed, please complete this section. Including secondarylevel studies is optional.
4. Name of Secondary Institution:
City/Town
Country
Name of Diploma/Certificate
Dates
Attended
From (numerals
only MM/YYYY)
Normal length of
program (in years)
To (numerals
only MM/YYYY)
Graduated
I have contacted my institution to
request Official Transcripts
Yes
No
Yes
No
Date Awarded
(numerals only)
CES Applica ion Form
ECA for General Use
V.3 April 2015
Page 3 of 6
COMPARATIVE EDUCATION SERVICE (CES)
INFORMED APPLICANT’S AGREEMENT AND CONSENT
I hereby request an assessment of the enclosed documents. I certify that all statements and materials filed in support are true and
genuine. I understand that in some cases, CES may ask to review my original documents. In addition, I acknowledge that documents
submitted will not be returned to me and that all fees are final and non-refundable. I will notify CES in writing of any change to my
personal information or to my decision to designate a third party to represent me during the CES application process.
I hereby authorize the Comparative Education Service of the University of Toronto School of Continuing Studies to contact the
institution(s) that issued my academic documents for the purposes of:
- verification of document authenticity
- requesting information to assist in the assessment.
I furthermore authorize and direct the said institution(s) to release to CES any information contained in their respective files concerning
my educational records and any other information that may be relevant to my application for an educational credential assessment. I
agree that I will be responsible for any applicable fees or verification costs required by my former institution(s).
I understand that my personal information is being collected for the purpose of obtaining an Educational Credential Assessment Report. I
agree that CES may retain my personal non-financial information for ten years from the date of my application, and that it may retain this
information indefinitely if CES determines that my documents are not authentic. I understand that measures will be taken in the event
that my documents are determined to be false, including the nullification of any assessment reports already issued and notification to
other credential assessment agencies and related government officials. I authorize that my date of birth (DOB) be used for identification
purposes on my Educational Credential Assessment Report.
I hereby release the University of Toronto, its agents, and any person or entity that provides information in accordance with this consent,
from any and all actions, claims and demands for damages, loss, expense or injury, howsoever arising, which may hereafter be sustained
by me as a result of the provision, collection, use or disclosure of information as set out above.
IMPORTANT: This application form must be signed by the person whose name appears on the academic documents.
Applicant Name (please print)
Applicant
Signature
Date (MM/DD/YYYY)
The University of Toronto respects your privacy. Personal information you provide to the University is collected pursuant to section 2(14) of
the University of Toronto Act, 1971. The information you provide on this form will be used in assessing your request. At all times it will be
protected in accordance with the Freedom of Information and Protection of Privacy Act. If you have any questions about CES privacy
measures, please contact [email protected].
Visit our website for more information at www.learn.utoronto.ca/ces.
CES Application Form
ECA for General Use
V.3 April 2015
Page 4 of 6
COMPARATIVE EDUCATION SERVICE (CES)
SERVICE OPTIONS AND PAYMENT METHODS
Full payment must accompany this application form. All fees are in Canadian dollars. We do not accept other currencies. Fees are subject
to change without notice. All fees are final and non-refundable. Please indicate the service options you require.
REGULAR SERVICE: $226
Regular Service processing time varies, depending on our volume of applications. Visit www.learn.utoronto.ca/ces for current processing times.
PLEASE INDICATE THE REQUIRED NUMBER OF DUPLICATE COPIES OF
ASSESSMENT REPORTS $33.90 ($30.00 + 13% HST) per set
Number of duplicate copies requested:
0
DELIVERY OPTIONS - Please note that processing time does not include delivery.
Regular Mail Service within Canada and International - No extra fee
Pick Up - No extra fee
Courier Service within Canada - $25
Courier Service to USA and International - $90
IMPORTANT: CES is not responsible for lost or misdirected mail. If your mailing address changes, notify CES immediately by email at
[email protected] with your full name, your previous address and your new address.
SEND YOUR ECA TO A THIRD PARTY
$33.90 ($30.00 + 13% HST) per set
I authorize CES to release a copy of my Educational Credential Assessment Report to the following Third Party:
Name of Organization:
Apt/Unit
Street Number
Street
City/Town
Province/State
Country
Postal Code/Zip Code
Email
Phone Number
PAYMENT METHODS
American Express
MasterCard
Visa
Certified Cheque
Credit Card Number
Name of Card Holder
Expiry
Date (MM/YY)
Total Fee
(Canadian $)
Money Order / Bank Draft
0.00
CES will accept bank certified cheques and money orders issued by Canadian banks and made payable to the University of
Toronto. Personal cheques, bank drafts, debit cards, and cash are NOT accepted.
Once the payment is processed by CES, this payment information will not be retained as part of the application package. If
paying by credit card please complete, sign and date.
I, (please print) _________________________________________, am the credit card holder. I authorize my credit card to be
charged the amount indicated above for the purposes of the preparation of an Educational Credential Assessment Report for
(Applicant’s full name)____________________________________________. I have read and agree to all of the CES Terms
and Conditions.
Credit Card Holder Signature: _______________________________________________ Date (MM/DD/YYYY): _________________
CES Application Form
ECA for General Use
V.3 April 2015
Page 5 of 6
COMPARATIVE EDUCATION SERVICE (CES)
REQUIRED DOCUMENT CHECKLIST
IMPORTANT: CES will not assess incomplete applications. If your file is deemed incomplete, it will be put on hold and/or closed if required
documents are not submitted. All fees are final and non-refundable once an application is submitted. Please include this checklist as part of your
application. Mark an “X” in the box of the items listed below:
A completed and signed CES application form.
A colour photocopy of your government-issued photo identification showing date of birth.
This information is required to identify you as the rightful owner of the documents. If your name has changed since your
studies, you must provide a photocopy of your marriage certificate or other official documentation of name change
showing both your former name and current name.
A completed and signed Authorization to Release Information, Designate Representation Form (if applicable).
A colour photocopy of both sides of the award for each program of study, degree, diploma or certificate in its original
language with official English or French translation (if applicable).
A colour photocopy of both sides of your academic records (transcripts/statement of marks) for each program of study
in their original language and official English or French translation (if applicable).
Arrange to have official academic records/transcripts/statements of marks mailed directly to CES from each educational
institution listed on this application form. CES will not be able to provide an ECA Report until we receive all the official
academic records/transcripts/statements of marks. If you require a form to facilitate this process, you can use the Request
Official Academic Records Form at www.learn.utoronto.ca/ces.
Full payment MUST accompany this application form.
CES Address
Official Transcripts Submission
Comparative Education Service (CES)
University of Toronto School of Continuing Studies
162 St. George Street
Toronto, ON
Canada
M5S 2E9
Official Transcripts from issuing institutions must be
signed, sealed and mailed to:
Comparative Education Service (CES)
University of Toronto School of Continuing Studies
c/o Research Department (General)
162 St. George Street Toronto, ON, Canada M5S 2E9
IMPORTANT: PLEASE READ BEFORE SUBMITTING YOUR APPLICATION PACKAGE.
· We accept colour photocopies only. Do NOT send original documents or black and white photocopies. If your
documents are not in English or French, you MUST ALSO submit a word-for-word official translation for each
document submitted.
· Please ensure that every page is colour photocopied in its entirety and that all text is readable. Photocopy
the back of the document as well, if it contains any information, signatures, numbers or stamps. Document size
can be reduced if necessary, but do ensure that everything is clear and legible and that nothing is cut off.
· For document requirements by country of education, please visit: http://learn.utoronto.ca/internationalprofessionals/comparative-education-service-ces/country-list. Please note this list is not yet complete. If you
have a credential from a country not on this list, and are not certain about what documents to include, please
inquire by emailing [email protected].
· All applicants with studies completed in the People’s Republic of China (PRC) should refer to the Document
Requirements at: www.learn.utoronto.ca/international-professionals/comparative-education-service-ces/
country-list/china.
CES Applica ion Form
ECA for General Use
V.3 April 2015
Page 6 of 6