Document Request Form

Students must complete this form with applicable fees in order to request documents and student IDs.

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If you have attended more than one center, you must complete this form separately, one per center.

Please select the documents you need.

All the fees below are NOT refundable.
Certificate of Achievement is awarded to those who have successfully completed (C or better) the courses: RW 601, RW 602, LS 601 and LS 602. This certificate serves as our testament that the student has demonstrated proficiency in all four skills of the English language: Speaking, Listening, Reading, and Writing. Certificate of Completion is given to those who have successfully completed (C or better) at least one course from a listening/speaking series and a reading/writing series. The certificate will indicate the highest levels successfully completed from the listening/speaking series and the reading/writing series.
Enrollment Verification certifies the period that a student has enrolled. For a continuing student, the form may also indicates the projected period of enrollment for the student. For ex-students who have completed their program more than 10 year ago and the school has no record of the students, the school will only provide a letter testifying that we do not have the record and it is not fault of the student.
An official transcript is a complete representation of a student’s attendance and academic record. It includes all courses attempted at POLY Languages Institute, including those withdrawn from and those repeated. For ex-students who have completed their program more than 10 year ago and the school has no record of the students, the school will only provide a letter testifying that we do not have the record and it is not fault of the student.
For a Student ID, a student's photo must be uploaded. There are several guidelines for the photo to be acceptable. The photo must be taken in front of the background approved by the administration office. Contact the administration office for assistance in taking the photo for the Student ID.
The normal processing time is 10 to 20 days. If you select Rush Service, the processing time will be within 10 days.
For mailing packages, we use courier companies that have a tracking system to ensure their delivery. You may opt to pickup-in-person (free of charge) at the following address: 5757 Wilshire Blvd., Suite 510, Los Angeles, CA 90036.
$ 0.00
State the name of the advisor who assisted you in completing this form.

Acknowledgement and Agreement

I acknowledge that I have access to the School Catalog, and I have read, understood, and I agree to all the terms and conditions of this Application for Admission and the School Catalog. Furthermore, I agree to accept full responsibility for all my expenses while attending POLY Languages Institute and for my actions while participating in excursions or any other activities. I agree to assume all risks of harm arising from such participation. In case of illness or injury, permission is granted to an appropriate medical center to undergo examination or treatment. I further authorize POLY Languages Institute to release my records to my agency, guardian, sponsor, and to any colleges or universities to which I apply.