FACS
Foreign Academic Credentials Service, Inc.
P.O. Box 400
Glen Carbon, IL
62034
Office Use Only
REQUEST FOR ADVISORY EVALUTION OF FOREIGN CREDENTIALS
Note: Please read, complete and return this form with your educational credentials and fee. Please type or print neatly.
PERSONAL INFORMATION
Check One
LEE
Namu
Name: ______________________________________________________________________■ Mr. □ Ms. □ Mrs.
Last/Family
First/Given
Middle/Maiden
Namu Business Academy
34, Jong-ro, Jongno-gu Seoul Korea
Mailing Address: _______________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
ABC@namuedu.net
E-mail Address: ________________________________________________________________________________
Note: Please add our e-mail address “facs@aol.com” to your address book to avoid our messages being marked as Spam.
822-736-2500
822-736-2500
Telephone: ______________________________________ Fax: __________________________________________
04/01/1985
Korea(ROK)
Date of Birth: ____________________________________ Country of Birth: _______________________________
month/date/year
Korea
Country (s) of Credential: ________________________________________________________________________
Have you ever applied to FACS? □ Yes ■ No if yes, indicate year: _____________________________________
Indicate if you have already passed in full the Uniform CPA Examination in: ________________________________
State
Testing Window Quarter
Year
Vermont
Indicate board(s) of accountancy to which the advisory evaluation is to be mailed *:
____________________________________________
______________________________________________
____________________________________________
______________________________________________
* The state board(s) of accountancy to which the advisory evaluation is to be mailed is REQUIRED
$210
Indicate amount of fees attached (see page 4): _______________________________________________________
PROCEDURES ANDCONDITIONS
•
Each applicant's academic credentials will be evaluated to assess whether his or her educational preparation,
in the opinion of FACS, fulfills the education requirement to sit for the Uniform CPA Examination in the state
or jurisdiction to which the application is being made.
The board of each state or other jurisdiction will
consider the FACS evaluation as advisory and reserves the right to make final determination as to the eligibility
of the applicant.
FACS reviews only the academic experience of an applicant and does not provide advisory
recommendations
concerning
the
reciprocity
of
foreign
earned
professional
qualifications
and
work
experience.
•
E-mail confirmation of receipt of your evaluation request will be sent if a correct e-mail address is provided.
•
Any educational credential submitted after an evaluation has been completed will require a new evaluation
and a new fee payment.
Requests to change an evaluation from one board to another board (for example,
Washington to Florida) will require a new fee payment for a new evaluation.
•
All information requested must be provided within a one-year period, at which time records will be discarded
and the evaluation process will have to be initiated again.
•
FACS retains completed evaluation records for five (5) years from the year of evaluation.
EDUCATIONAL PREPARATION
Report everyschool, college, and university you have attended or are now attending.
Give exact dates of
attendance.
Elementary/Primary Schools
Name and Location (city, country)
Date of Entrance
Date of Leaving
Name of Diploma, Degree,
or Certificate (in original
language and exact English
translation)
Month
Year
Month
Year
00 Elementary school
03
1992
02
1998
Graduated
Secondary Schools (High School, Colegio, Liceo, Lycee, Gymnasium, etc.)
00 School
03
1998
02
2001
Graduated
00 High School
03
2001
02
2004
Graduated
Colleges, Universities, Higher Institutes and other university-level schools
00 High School
03
2004
02
2012
BA
Other Post-secondary schools (such as professional or vocational)
Earned professional qualifications (e.g., Chartered Accountant, Certified General Accountant, etc.)
2
DOCUMENTS REQUIRED
•
Educational credentials must include official transcripts of records from all universities and other institutions
of higher education attended, including those in the United States.
Such records must report all courses
(subjects) by title completed, grades earned, and degrees, diplomas, and certificates awarded.
In those
countries (e.g. India, Pakistan, United Kingdom) where universities do not issue course by course transcripts as
in the United States, applicants must present all official examination results for each year of study, including
the final year, specifying each course (subject) by title taken and marks achieved; and certification of degree or
diploma awarded. The issuing institution must officially certify those examination results.
•
Applicants who have attended European universities and other higher education institutions (for example, in
Germany, Switzerland, France, Netherlands, Sweden, Poland, Russia, etc.) must request those institutions to
provide FACS with an official report of all courses (subjects) by title completed toward the diploma that
includes the number of instructional/lecture/seminar hours offered weekly in each course (subject) during
each academic semester or year. Official copies of diplomas earned and all examination results in each course
(subject) must be provided.
•
Academic records from European Schools that participate in the European Credit Transfer and Accumulation
System should report ECTS credits for each course.
•
Applicants who have attended colleges or universities in the People’s Republic of China must request those
institutions to provide FACS with transcripts of academic record that reports the credit value and/or class
hours for each course (subject) must be provided.
•
Applicants who have received the General Certificate of Education in Advanced Level subjects or who have
passed the Hong Kong Advanced Level Examination should submit official copies of these certificates or
examination results that report their Advanced level subjects by title.
•
Applicants who have earned professional qualifications in accounting in another country should submit
relevant supporting documents, including complete and official examination results and qualifications
granted.
•
FACS recommends that descriptions of courses in accounting and business-related subjects be provided.
If
this documentation is not in the English language, it must be accompanied by an official English language
translation.
•
Official English language translations must accompany official copies of records that are in another language.
Official records including diplomas, in the original language must be submitted with the English language
translations.
•
FACS may request the applicant to provide additional or other records and/or to complete supplemental
forms describing his or her educational preparation in order to formulate an accurate advisory evaluation.
FACS will also, when necessary, contact an institution in another country or in the United States for further
information about an applicant’s credentials including verification of authenticity.
•
In the event that FACS determines that the academic credentials submitted for evaluation have in any way
been altered, tampered with, or forged, no evaluation will be prepared.
All fees will be forfeited and
appropriate notification will be issued.
3
SERVICES AND FEES
Fees must be paid in advance and are non-refundable one the evaluation process has been initiated.
1.
Evaluation Fee
■
$200/each state (Colorado, Connecticut*, Michigan**, Nebraska, Nevada,
$__________
200
New Hampshire, Pennsylvania, Vermont and Wisconsin)
□
$150/each state (Florida, Maryland, Mississippi, New Mexico,
$__________
North Carolina, North Dakota, South Carolina and Washington)
□
$100/each state (other states)
$__________
* This is for Connecticut State Board of Accountancy license application.
** This is for Michigan State Board of Accountancy license application.
OPTIONAL SERVICES
2.
Extra Official Copies (one copy to state board and/or coordinator, and one copy to applicant included in evaluation fee.)
__________ x $20.00/each extra copy
$__________
(number)
3.
Mailing Services (1st class mail and airmail will be used unless otherwise indicated, mail to the board and/or coordinator included
in evaluation fee. Please note that if original documents are to be returned, a mailing service must be selected.)
□
Overnight Courier (domestic)
($20.00/address)
$__________
□
Overnight Courier (international)
($40.00/address)
$__________
□
U.S.P.S. Priority Mail (domestic only)
($5.00/address)
$__________
□
Certified Mail (domestic)
($5.00/address)
$__________
□
Registered Mail (international)
($15.00/address)
$__________
4.
Facsimile Transmission of Evaluation (must provide accurate fax number)
□
Domestic
($5.00/transmission)
$__________
■
International
($10.00/transmission)
$__________
$10
TOTAL FEES
$__________
$210
The above fee schedule is subject to change.
Please make check or money order payable in US funds to FACS, Inc. Credit cards are not accepted. (Note,
payment from outside US must be in US Dollars and must be issued from a bank that has branches in the US and
includes routing numbers.)
I certify that all of the information provided on this form is accurate and complete;
and I have read and accept the procedures and conditions described on this form.
________________________________________
________________________________________
Applicant’s Signature
Date
Rev. 06/11
4
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