please scan and e-mail your application form and all documents to: apps@spantran-edu.

org; or fax your application form and all documents to: 713-789-6022

SPANTRAN EDUCATIONAL SERVICES, INC.

7211 Regency Square Blvd, Suite 205 Houston, Texas 77036-3197 TEL 713-266-8805 FAX 713-789-6022
For Office Use Only: SpanTran No. _________________ Cross Reference No. ___________

APPLICATION FORM (Please type or print legibly using ink, not pencil)
NAME (Last) DATE OF BIRTH month/day/year GENDER: Male_____Female______ NAME ON YOUR DOCUMENTS (Last) MAILING ADDRESS (First) (First)

______________________________________________________ (Middle) __________________________________

COUNTRY OF STUDIES

(Middle)

PHONE NUMBERS:

Work: ( Cell: (

))-

Home: ( Fax: (

))-

E-MAIL PREVIOUS SPANTRAN NUMBER (If Applicable)________

(NOTE: all correspondence will be sent to this e-mail) _

EVALUATION SERVICES:

PRICE*

PURPOSE: (required)

General (simple equivalency) $85 General + Basic Course Analysis $170 General + Divisional Course Analysis $225 General + Comprehensive Course Analysis $280 Evaluation for Engineering Licensing Boards $400 Upgrade Prior Evaluation (Quote Needed) Other (explain) ______________________________
____________________________________________ ____________________________________________
* All prices are subject to change

Employment Further Study Immigration Professional Licensing (board) ______ Substitute Teaching / Teacher Assistant Teacher Certification Other (explain) _______________ ____________________________________________ ____________________________________________

REFERRAL/REFERRING INSTITUTION (How did you hear about our services?) _________________________________ TARGET INSTITUTIONS/ENTITIES IN THE U.S. (Who will you be giving this evaluation to?) ______________________________

TRANSLATION SERVICES:
If your documents are not in English a certified translation is required. If your documents are in Spanish, Italian, French, or Portuguese, SpanTran has a special Language Handling service where we can handle your evaluation for an additional cost of $50. This service cost significantly less then a certified translation. Please select one:

No Translation Required (document are in English / documents are already translated) Special Language Handling Fee - $50 (applies to Spanish, Italian, French and Portuguese documents) A full translation is required please provide a quote for a translation of my documents from _________________ into English (Source Language)

VERIFICATION SERVICES:
SpanTran generally requires authentication of documentation submitted for evaluation services. As such, SpanTran requires payment for verification services; in some cases there may be additional fees if your issuing institutions have their own charges or if the service youre requesting requires verification of more than one credential. Alternatively, you can make arrangements for your issuing institution(s) to submit your documents directly to SpanTran and avoid all fees related to verification services. In some cases an evaluation may not be released until verification / authentication is completed

Please select one:

I am submitting a full payment for Verification Service. I will arrange for my issuing institution(s) to send documents directly to SpanTran. I understand my evaluation cannot be released until my official documents are received. Note: Hand-carried documentation in a sealed envelope is considered unofficial by this office. To ensure proper delivery please have all institutions reference your SpanTran Number on all correspondence.

Delivery Method: Pick up Houston Pick up NYC E-mail (no additional cost) Domestic Courier Service ($30 per mailing address) International Courier Service ($75 per mailing address) Mail (additional $5 per mailing address)

Specify number of additional copies (beyond the two issued with service) _____ Evaluations ____ Translation Note: Please do not send original documents for evaluation. If you require SpanTran to send a copy of your evaluation / translation directly to an institution, courier service is required. Evaluations will not be mailed to a P.O. Box. SpanTran will not be responsible for any lost items. PROVIDE PHYSICAL MAILING ADDRESS: 1. _____________________________________________________________________________________________________ 2. _____________________________________________________________________________________________________ 3. _____________________________________________________________________________________________________

GENERAL PROCEDURES APPLICATION PROCESS 1. Submit one legible letter-size photocopy of your diplomas and transcripts/mark sheets, including any overleaf documents, in chronological order, starting with the highest level of education on top. If you are submitting syllabi, include only one copy of each 2. Documents to be submitted: Transcripts / mark sheets of subjects and grades with dates of study Degree/Diplomas and certificates of graduation Related syllabi, if available. 3. After all documents are reviewed, SpanTran will send you a response by mail, fax, or email. The response will indicate any balance due, or any additional information needed. 4. Turn-around-time for evaluations is 3 to 4 weeks once all fees have been paid and required documentation has been received. 5. For detailed policies and procedures please visit www.spantran-edu.org

ACADEMIC HISTORY: (Please fill out completely. If necessary, attach a data sheet) Institution Graduate Country Dates of Study Degree Earned Date of Graduation

Undergraduate

Secondary

Carefully read your SpanTran application, including the statements below. Fill out the application in ink, date it, and sign your name. If under 18, parent / adult guardian must sign application. See brochure for procedures and policies.

YOUR SIGNATURE BELOW SIGNIFIES THAT YOU ACCEPT ALL OF THE FOLLOWING STATEMENTS:
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Incomplete applications, documentation, and payment delay the initiation and release of evaluations / translations. I authorize SpanTran to release to and obtain from issuing institutions information pertaining to my credentials. My translation and/or evaluation will be based on the documentation I submit with this application or upon request. I may be receiving correspondence (e-mail) detailing the total cost of the evaluation / translation, if any additional fees, and / or additional required documentation / verification fees are required. SpanTran reserves the right to downgrade the requested service if adequate information is not provided. For such case, SpanTran, at its own discretion, will provide the most adequate service available. SpanTran verifies documentation. In certain instances SpanTran may require Document Verification Service if there is a suspicion of alteration, if the documents are from a country or an educational institution that frequently has issues with altered documents, if the target institution requires this service, or if SpanTran otherwise requires a verification. SpanTran will not return any altered or falsified documents, including originals, refund any fees paid, nor provide any services. SpanTran advises various entities, including target institution(s), of unauthentic or altered documents. I understand that from the date of issue of the evaluation/translation, I have 30 calendar days to submit in writing any questions. I will have one opportunity to do so. Submission of questions does not guarantee that revisions are justified and will be made. SpanTran is not responsible for any damages I incur as a result of having supplied incomplete or false documentation. I will pay all expenses and legal fees resulting from any claim that I make based on misinformation I supply to SpanTran. SpanTran is not responsible for mail lost or misdelivered by the post office or mail / delivery services. I understand all fees are non-refundable. SpanTran will not refund any fees paid except for overpayments (money paid beyond the services completed by SpanTran). Cancellation of a request for evaluation/translation does not constitute an overpayment. I certify that all information and accompanying documents provided with this application are accurate and accept the terms of service SpanTran retains the right to decline to provide service.

Signature

Date Application must be signed by applicant or guardian if under 18

Payment Options: (DO NOT SEND CASH Please print or type. Complete all information requested)
Amount Paid (Evaluation) $________ Amount Paid (Verification) $________ Amount Paid (Total) $________ Amount Paid (Translation) $________

Check/Money Order Enclosed (Payable to SpanTran Educational Services) Please charge my Credit Card (Visa or MasterCard only)
Credit Card Type:

Visa MasterCard

Name on Credit Card ___________________________________________________________________________________ Credit Card Number: _________-_________-_________-_________ CVV (3 digit security code): _________

Expiration Date: ___/___ Card Holders Billing Information: Address: _____________________________________________________________________________________________ _____________________________________________________________________________________________________ Phone: ____________________________________ Email:________________________________________ I authorize SpanTran Educational Services, Inc. to charge the above credit account for the total amount of all services requested on the Application Form:

________________________________________________ (Card Holders Signature)