International Nurse Form | Global Nurse Partners

Your Contact Details

Step 1 of 3
Name*
Last*
Email*
Phone*

Professional Details

Step 2 of 3
Nursing Education*
Country of Education*
Years of Nursing Education*
Years of Nursing Experience*
Current Specialty*
Years in Current Specialty*
Current Employer*
Tenure with Current Employer*

US-related Qualifications

Step 3 of 3
Do Any of These Apply?
CGFNS Certification Program*
- Yes
- No
Pass in NCLEX-RN:*
- Yes
- No
State of Licensure*
A valid VisaScreen Certificate:*
- Yes
- No
Visa Screen Expiry Date
Passed an English Language Test*
Date Passed:
US Location Preference(s):*
Country of Current Residency*
How did you hear about us?*
Other Details*
Resumé/CV
Max. file size: 100 MB.
*
- By submitting this form you are agreeing to our privacy policy
Email
This field is for validation purposes and should be left unchanged.