For nurses educated outside of the United States, the first step to practicing as a nurse in the United States is to apply for a license with a state board of nursing. All state boards require the NCLEX® examination. Each state will have specific requirements to determine comparability of those educated outside of the United States. Each state board may require certain services to determine if you will be able to practice in the United States. All required services can be provided by CGFNS International prior to authorizing nurses educated outside of the United States to take the NCLEX® exam.
To see a list of the CGFNS services accepted by each state board, visit the State Boards of Nursing section.
We also recommend that you consult with the individual board web sites for the full details of what is required to apply for licensure.
Here is a brief description of each service:
1. Certification Program (CP) The Certification Program includes:
- CGFNS Qualifying Exam® for first-level, general nurses;
- A credentials evaluation of secondary and nursing education and registration;
- Demonstration of passing one of the accepted English language proficiency exams.
When successfully completed, applicants receive the CGFNS Certification Program Certificate, and an official verification can be sent to the respective state board requiring this assessment as a prerequisite for authorization to take the NCLEX® exam. The CGFNS Certification Program Certificate is valid for life.
2. Credentials Evaluation Service (CES) Professional Report meets the specific requirements of individual state boards of nursing. The CES Professional Report provides:
- A detailed analysis of the credentials earned at multiple levels of nursing education received outside the United States according to requirements specific to a state.
- A statement of comparability of an applicant’s education when measured against U.S. standards.
3. Credentials Evaluation Service (CES) Academic Reportis designed to meet the needs of applicants pursuing further education in U.S. institutions of higher learning. The CES Academic Report provides:
- A detailed analysis of the nursing education received outside the United States.
The Report is advisory in nature and does not make specific placement recommendations.
4. VisaScreen®: Visa Credentials Assessment (VS) certification is a comprehensive screening program for health care professionals who are not U.S. citizens and are seeking an occupational visa to work in the United States. The VisaScreen®: Visa Credentials Assessment Service requires specific health care professionals complete a screening program before they can receive either a permanent or temporary occupational visa, including Trade NAFTA status. The VisaScreen®: Visa Credentials Assessment Service provides:
- An assessment of an applicant’s education to ensure that it is comparable to that of a U.S. graduate in the same profession
- A verification that all professional health care licenses that an applicant ever held are valid and without restrictions
- An English language proficiency examination
- For registered nurses only, a verification that the nurse has passed either the CGFNS Qualifying Exam®, NCLEX-RN® or for select years and Providences its predecessor, the State Board Test Pool Examination (SBTPE).
Applicants who successfully complete VisaScreen® receive an official ICHP Certificate for the VisaScreen®: Visa Credentials Assessment Service, which satisfies the United States Federal screening requirements. ICHP (International Commission on Healthcare Professions) is a division of CGFNS International.
5. Credential Verification Service for New York State (CVS) verifies the authenticity of international education and licensure credentials for the State of New York. The Service is for those health care professionals educated outside the United States who wish to practice in New York. As specified by the state, CGFNS International completes a verification of foreign education and credentials. New York State Education Department then completes the actual evaluation of the verified credentials. Credential Verification Service for New York State (CVS)provides:
- A verification of foreign education and credentials by CGFNS.
- An evaluation of the verified credentials by the New York State Education Department.