Day Translations, Inc.



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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 Country Attendance Graduation Degree

Please list ALL Institutions you are applying to:

Date of Year of

Name of Institution Country Attendance Graduation Degree

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.

Signature Name (Printed)

FEES PER APPLIACTION

Basic Fees

$ Document Report (1 Degree)

$ Document Report (more than 1 degree)

$ Course by Course Evaluation (1 Degree)

FREE Electronic Copy

FREE First 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. |

| | | |

| | |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. |

| | |After execution of the translation has begun, purchaser may not cancel the agreement. |

| | |If purchaser is not satisfied, purchaser may contact customer support to express any concerns and refunds are at the discretion |

| | |of Day Commerce. |

| | |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 Shopwood@

 

Sincerely,

Sean Patrick Hopwood

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

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