Supply the needed information:

First Name: Mary Grace

Middle Name: Pacis

Family Name: Bernadas

Date of Birth:January 9, 1973

Do you already have a WES Reference Number? N

Email: marygracebernadas.gis.us@gmail.com

Password: (enter the password specifically created for Sponsor 2): bernadasgis

Security Question: (enter security question specifically created for Sponsor 2): N/A

Security Answer: (enter security answer specifically created for Sponsor 2): N/A

How did you hear about WES? : WES Website

Gender: Female

Telephone: 09068387127

What is the primary Purpose of this Evaluation?: Professional License/Certification

Licensing Type: Education Related Fields

Licensing State: Arizona or Texas

What credentials have you earned: Higher Education Credentials

1. Country or Territory of Education: Philippines

2. Type of Education: Higher Education

3. Name of the Institution: Philippine Normal University

4. Name of Diploma/Certificate: Bachelor in Elementary Education

5. First Name (as it appears exactly on the transcript): Mary Grace

6. Middle Name (as it appears exactly on the transcript): B.

7. Last Name (as it appears exactly on the transcript): Pacis

8. Field of Study: Education

9. Year awarded: 1995

10. Years attended: From to To: 1990-1995

Add another credential if any:

1. Country of Education: Philippines

2. Type of Education: Higher Education

3. Name of the Institution: Philippine Normal University

4. Name of Diploma/Certificate: Complete Academic Requirements

5. First Name (as it appears exactly on the transcript): Mary Grace

6. Middle Name (as it appears exactly on the transcript): Pacis

7. Last Name (as it appears exactly on the transcript): Bernadas

8. Field of Study: Master of Arts in Reading Education

9. Year awarded: 2023

Add another credential if any:

1. Country of Education: Philippines

2. Type of Education: Higher Education

3. Name of the Institution: __________________

4. Name of Diploma/Certificate:____________________

5. First Name (as it appears exactly on the transcript):_________________

6. Middle Name (as it appears exactly on the transcript):_________________

7. Last Name (as it appears exactly on the transcript):____________________

8. Field of Study:____________________

9. Year awarded:_____________________

Recipient 1:

Country or Territory (leave blank, GIS will input information. We will use our US address.)

City (leave blank)

State (leave blank)

Zip Code (leave blank)

How would you like us to send your report, once complete?

Delivery Method: Standard Delivery: $12

Would you like to order additional copies for yourself? : No (you will receive a complimentary
copy)

Recipient 2: Institution Receiving your Report

***Leave blank: GIS will input the information

FEES:
WES ICAP $225
Standard Delivery 1 $12

Total: $237