ICAS

International Credential Assessment Service in Canada

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Application Form

Application Form

General Report

This report describes all credentials submitted and the schools/institutions attended and for each, gives the equivalent Ontario/Canadian level of education

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Detailed Report

Type A or Type B

These reports contain the same information as a General Report. In addition, the Detailed Report includes a list of the courses/subjects completed with either the equivalent Ontario/Canadian credit value (Type A) or the equivalent Ontario/Canadian grade (Type B)

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Comprehensive Report

This report contains the same information as a General Report. In addition, the Comprehensive Report includes a list of the courses/subjects completed with both the equivalent Ontario/Canadian credit value and grade.

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Supporting Documents

ICAS requires that you submit original documents or certified copies of originals. In order to be accepted, the copies must have been certified within the last year in the country in which you currently live. The individual certifying the copies must see the original documents.
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Personal Information

Sex:
Birth Date: / / (year/month/day)

Mailing Address

Telephone:

Report

Report is
required for:
 

Type of Assessment Required:
 What is this?
Detailed Report: What is this?  OR
 What is this?
   
 
   Give ICAS File No.

Other service:
 
   Specify Number Required:
 
 
Report in:   
 

If original report is to be sent to a third party, give full name, address and fax number (if applicable):

Education Information

List all the schools/institutions you attended from primary school to the school/institution in which you are currently enrolled or which you last attended. Use the language and terminology that appear on the document(s) you received. Do not translate the names of your documents into Canadian terminology. COMPLETE THE CHART IN ITS ENTIRETY, but submit only the documents you wish to have assessed.

If you require space for additional qualifications, please attach a separate peice of paper.

Primary Education

Date of Attendance:

Secondary Education

Date of Attendance:

Post-Secondary Education

Date of Attendance:

Other Education

Date of Attendance:

If you have previously requested an assessment from ICAS, please give the date:

Date: / / (year/month/day)

Personal information collected is used only for preparing your report. No information is released to a third party without your written consent.

The information I have provided is true and accurate. I release the International Credential Assessment Service of Canada from any liability for claims, demands or damages resulting from the use of the assessment by me or by a third party. I understand that ICAS may contact the institution which issued a document if additional information is necessary for an assessment. I understand that if I provide false documents, my application will be cancelled, no refund will be issued and the information will be shared with the other agencies and associations.

Date: / / (year/month/day)
Signature:

Please print and sign this form, and the payment form. Forward these with all supporting documents What is this? to:
ICAS of Canada
Ontario AgriCentre
100 Stone Road West, Suite 303
Guelph, ON, Canada N1G 5L3

Copyright 2010 International Credential Assessment Service of Canada
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