International Nursing Quick Application

First Name *

Last Name *

Country of Current Residence

Email *

Phone

Years of Experience

Discipline *

Specialty *

Country of College

Type of Education

Graduation Date

Are you currently authorized to work in the United States?

Yes

No

Have you passed the US RN Licensure Exam (NCLEX)?

Yes

No

NCLEX passed in which State

Have you passed the ASCPi exam?

Yes

No

Do you have a previously-filed employment-based Green Card (I-140) petition?

Yes

No

Have you passed an academic English exam within the last 18 months?

Yes

No

Exam Type

Date

Are you currently working in a hospital setting?

Yes

No

Location Preference #1

Location Preference #2

Location Preference #3

Resume

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