Healthcare Professional 1 Step 1 First Name Last Name Emailemail Date of Birthdate_range Marital StatusSelect An OptionSingleMarried Country Birth CitizenshipSelect An OptionAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d’IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanTop of PageVanuatuVenezuelaVietnamYemenZambiaZimbabwe Other CitizenshipSelect An OptionAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d’IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanTop of PageVanuatuVenezuelaVietnamYemenZambiaZimbabwe Current Mailing Address Address 1 Address 2 City ZIP/Postal Code Country NCLEX RN Passer?Select An OptionYesNo What is your Profession?Select An OptionRegistered NurseLicensed Practical Nurse or Vocational NursePhysical TherapistOccupational TherapistSpeech-Language PathologistAudiologistPhysician AssistantRadiologic TechnologistClinical Laboratory Technicians / Medical Laboratory TechniciansClinical Laboratory Scientists / Medical Laboratory TechnologistsOthers IELTS /TOEFL Passer?Select An OptionYesNoYes but Expired VISA Screen CertificateSelect An OptionYesNoYes but Expired State License Expiration Date of State Licensedate_range PassportSelect An OptionYesNo Prior US Visa ApplicationSelect An OptionYesNo Approved Priority Datedate_range Type of VisaSelect An OptionB-1JE-3BCCB-1CW-1DAB-1G1-G5, NATOJA-2NATO1-6OH-1B1 – ChileH-1B1 – SingaporeQLB-2ITN/TDPJ, H-1BJRH-1BF, MH-2AH-2BB-2H-3ECUTVIR1, CR1K-3 *K-1 *IR3, IH3, IR4, IH4IR2, CR2, IR5, F1, F3, F4F2A, F2B E1E2E3, EW3C5, T5, R5, I5S (many**)SD, SRSI SQSQDVSB Denied US VisaSelect An OptionYesNo Date Denied US Visadate_range Reason for Denied US Visa Relatives living in the US?Select An OptionYesNo Previously Petitioned by a US RelativeSelect An OptionYesNo Status of Petition Previously Petitioned by US EmployerSelect An OptionYesNo Release Letter from US EmployerSelect An OptionYesNo Police/NBI Clearance from recent EmployerSelect An OptionYesNoYes but Expired RESUMEcloud_uploadUpload Here Submit Application keyboard_arrow_leftPrevious Nextkeyboard_arrow_right