The TOEFL/ ILITS Exam evaluates non-native English speakers' ability to read, write, speak, and listen to English in a similar way that it is used in universities. More than 10,000 universities and other institutions in over 150 countries accept TOEFL and the ILITS scores. Other organizations rely on these exams scores as well:
Immigration departments use them to issue residential and work visas.
Medical and licensing agencies use them for professional certification purposes.
Individuals use them to measure their progress in learning English.