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Zimbabwe (+263)
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Channel Islands
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China
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Finland
France
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Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
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Hungary
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Indonesia
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Latvia
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Lesotho
Liberia
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Lithuania
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Macedonia
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Malaysia
Malawi
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Mali
Malta
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Nigeria
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Norway
Oman
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Palau Island
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Republic of Montenegro
Republic of Serbia
Reunion
Romania
Rwanda
St Barthelemy
St Eustatius
St Helena
St Kitts-Nevis
St Lucia
St Maarten
St Pierre & Miquelon
St Vincent & Grenadines
Saipan
Samoa
Samoa American
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Serbia
Seychelles
Sierra Leone
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Slovenia
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Switzerland
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Tanzania
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Tonga
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Turkey
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Turks & Caicos Is
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Uganda
United Arab Emirates
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Uruguay
Uzbekistan
Vanuatu
Vatican City State
Vietnam
Virgin Islands (Brit)
Virgin Islands (USA)
Wake Island
Wallis & Futana Is
Zaire
Zambia
What is your country of residence?
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia & Herzegovina
Botswana
Brazil
British Indian Ocean Ter
Brunei
Bulgaria
Burkina Faso
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Chad
Channel Islands
Chile
China
Christmas Island
Cocos Island
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Ter
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
Haiti
Hawaii
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malaysia
Malawi
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Nambia
Nauru
Nepal
Netherland Antilles
Netherlands (Holland, Europe)
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau Island
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Republic of Montenegro
Republic of Serbia
Reunion
Romania
Rwanda
St Barthelemy
St Eustatius
St Helena
St Kitts-Nevis
St Lucia
St Maarten
St Pierre & Miquelon
St Vincent & Grenadines
Saipan
Samoa
Samoa American
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Swaziland
Sweden
Switzerland
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Is
Tuvalu
Uganda
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Vietnam
Virgin Islands (Brit)
Virgin Islands (USA)
Wake Island
Wallis & Futana Is
Zaire
Zambia
Are you a domestic or international nursing student?
--select option--
Domestic
International
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What is your marital status?
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Married
Divorced
Single
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Have you written your NCLEX-RN?
--select option--
Yes
No
When do you plan to take the NCLEX?
Did you pass the exam?
--select option--
Yes
No
When did you take the exam?
When do you plan to retake the NCLEX?
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Have you sat for either the TOEFL or IELTS?
--select option--
Yes
No
Not applicable
Which exam have you performed better in?
Enter overall score for TOEFL/IELTS
Enter speaking score for TOEFL/IELTS
Please explain why this is not applicable:
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Do you have a CGFNS or JSILNY Credentials Evaluations Report?
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Not Applicable
Does the report confirm your education is qualified for U.S. licensure?
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Yes
No
Do you have a CGFNS or JSILNY Visa Screen Certificate?
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Yes
No
Not Applicable
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Do you possess a bachelor's degree or 3-year diploma in nursing?
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No
Name of Nursing School Attended:
Start Date:
End Date (must be at least 3 years after start):
Have you had any disciplinary actions against your license in any country?
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Yes
No
Not Applicable
State reason for disciplinary action:
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Has your license ever been suspended in any country?
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Yes
No
Not Applicable
State reason for suspension:
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Do you currently work in a facility care hospital with 100+ beds?
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Yes
No
Not Applicable
What hospital do you currently work at?
City:
State:
Please explain why this does not apply to you:
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I am still a nursing student
I am currently not employed in a healthcare facility
Other
What type of healthcare facility do you work in? (Primary, secondary, or tertiary)
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Primary
Secondary
Tertiary
Not Applicable
Please explain why this does not apply to you:
Select a reason
I am still a nursing student
I am currently not employed in a healthcare facility
Other
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Have you been awarded and received your nursing school certificate?
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Yes
No
Upload your National Nursing Registration Certificate:
Have you received your national nursing registration certificate?
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