International Nursing Credential Evaluation Request Form
Submit your request for evaluation of international nursing credentials. Please provide accurate, non-sensitive information and attach all required documents.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (with country code)
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Current Nursing Practice
*
Please Select
United States
Canada
United Kingdom
Australia
India
Philippines
Other
Nursing Education History (Institution, Degree, Year)
*
Purpose of Credential Evaluation
*
Please Select
Licensure/Registration
Employment
Further Education
Immigration
Other
Upload Credential Documents (degrees, transcripts, certificates, etc.)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Evaluation Language
Please Select
English
Spanish
French
German
Other
Special Instructions or Notes
Submit Request
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