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Fill Out Your Nurse 1Nys Form

The Nurse 1Nys form is an essential application for individuals seeking licensure as a registered professional nurse or a licensed practical nurse in New York. It gathers important information and requires a fee of $143, comprised of an application fee and a registration fee. If you are ready to pursue your nursing career in New York, fill out the form by clicking the button below.

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Article Structure

The Nurse 1Nys form is a vital application for individuals seeking licensure as either a Registered Professional Nurse or a Licensed Practical Nurse in New York State. This comprehensive document requires applicants to provide personal information, educational background, and details about any prior licensing experiences. A significant aspect of the application is the fee structure, which totals $143, incorporating a non-refundable application fee and registration cost. Applicants must answer all questions completely and correctly, as incomplete submissions can lead to delays in processing. It is essential that the name on the application matches that on identification documents and previous licensure applications, ensuring no discrepancies that could hinder authorization to test. Additionally, the form includes essential queries related to criminal history, prior licensure, child support obligations, immigration status, and various professional training requirements. An affidavit requiring notarization affirms the truthfulness of the information submitted, emphasizing the importance of honesty throughout the application process. As the launching point for a nursing career in New York, the Nurse 1Nys form is a foundational step that demands careful attention to detail and accuracy.

Nurse 1Nys Example

The University of the State of New York

This Area For Department Use Only

Nurse Form 1

The State Education Department

Office of the Professions

Application for Licensure

Division of Professional Licensing Services

www.op.nysed.gov

All applicants for licensure must complete this form and submit it with the appropriate fee ($143) directly to

the Office of the Professions at the address at the end of this form. The $143 fee is the total of the application

fee ($70) plus the fee for your first registration period ($73). The application portion of the fee is not refundable.

You must answer all questions in ink (pen or printer) and provide all information requested unless otherwise

indicated. Failure to complete all required parts of the application will delay its review. You must sign and date

the Affidavit on this form in the presence of a Notary Public.

Check what you are applying for (check one):

Registered Professional Nurse

$143

Licensed Practical Nurse

$143

The name listed on your application for licensure, the name on your photo identification, and the name listed on your NCLEX application must ALL match EXACTLY. If your name does not exactly match in all instances it will delay your authorization to test (ATT), you may not be allowed to take the exam at your scheduled time and you may incur additional fees to test.

Social Security Number

2. Birth Date

Month

Day

Year

(Leave this blank if you do not have a U.S. Social Security Number)

Print Name

Last

First

Telephone/Email Address

Middle

Daytime Phone

Home or

Business

Licensee business address, phone and email address are public information. Failure to

indicate business or home on this form for each item will deem it public information.

Mailing Address

Home or

Business

Area Code

Phone

(You must notify the Department promptly of any address or name changes)

Email Address (please print clearly)

Line 1

Home or

Business

Line 2

Line 3

6. New York State DMV ID Number

City

(Driver or Non-Driver ID)

State

ZIP Code

(Leave this blank if you do not have a

Country/

New York State DMV ID Number)

Province

Do you have a CGFNS record?

Yes

If "yes", enter your CGFNS Number:

Name as it appears on degree or other credentials (if different from above)

Have you ever applied for New York State licensure in any profession?

Yes

If "yes", in what profession(s)?

10.

Have you ever been found guilty after trial, or pleaded guilty, no contest, or nolo contendere to a crime

Yes

(felony or misdemeanor) in any court?

11.

Are criminal charges pending against you in any court?

Yes

12.

Has any licensing or disciplinary authority refused to issue you a license or ever revoked, annulled, cancelled,

Yes

accepted surrender of, suspended, placed on probation, refused to renew a professional license or certificate

held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you?

13.

Are charges pending against you in any jurisdiction for any sort of professional misconduct?

Yes

14.

Has any hospital, licensed facility or clinical laboratory restricted or terminated your professional training,

Yes

employment, or privileges or have you ever voluntarily or involuntarily resigned or withdrawn from such association

to avoid imposition of such measures?

NOTE: If you answer "Yes" to any questions numbered 10-14, submit a letter giving a complete detailed explanation. Include copies of any court records including a Certificate of Disposition. If there are offenses in multiple courts, please provide the same for each action. In answering these questions, consider whether, pursuant to Executive Law § 296(16), you are required to report any arrests, criminal accusations, or dispositions of such arrests or criminal accusations. If the court can no longer provide documentation, you must request, from the court, a letter stating why they cannot provide the documents. While your application is pending, you must notify the Division of Professional Licensing Services if the answers to any of these questions have changed.

Nurse Form 1, Page 1 of 4, Revised 11/19

15. Do you now hold, or have you ever held, a license or certificate to practice any profession in any state or jurisdiction?	Yes	No

If yes, list each license/certificate, state or jurisdiction and provide appropriate information in the columns below. A Form 3 or Nursys

license verification (for states reporting to Nursys) must be submitted for each professional license/certificate listed unless it is a license/certificate issued by the New York State Education Department. See the Applicant instructions on Form 3 for specific information about completing and submitting the form.

Professional Title

State or Jurisdiction

Date License/Certificate	License/Certificate
Issued	Number

Limitations

on License/Certificate

16.You must complete all information for all schools/colleges/universities attended or your application will be considered incomplete. Note: If you are applying for licensure as a licensed practical nurse and you did not graduate from a New York State approved nursing program, you must submit a copy of your high school or secondary school diploma or transcript in the original language with your Form 1. If you were educated outside the U.S. or a Canadian province other than Quebec with a BN, BSN or BScN after

January 1, 2015), submit a copy of your nursing diploma in the original language.

Elementary or Primary School - Please complete the section below with details about your elementary or primary school. Attach additional sheets if you attended multiple schools. Any missing information will be considered an incomplete application.

Name of School

City

State/Province

Country

Number of years attended

Attendance from

Completion date

mo.

yr.

mo.

yr.

mo.

yr.

High School/Secondary School or Equivalency Diploma Issuer - Please complete the section below with details about your high school/secondary school or equivalency diploma issuer. Attach additional sheets if you attended multiple schools. Any missing information will be considered an incomplete application.

Name of School

City

State/Province

Country

Number of years attended

Attendance from

Completion date

mo.

yr.

mo.

yr.

mo.

yr.

Nurse Program - Please complete the section below with details about your nursing program. Attach additional sheets if you attended multiple programs. Any missing information will be considered an incomplete application.

Name of School

City

State/Province

Country

Major/Concentration

Number of years attended

Attendance from

mo.

yr.

mo.

yr.

Title of Degree/Diploma/Certificate awarded (in original language)

Still in progress

Date Degree/Diploma/Certificate awarded

mo.

yr.

Postsecondary Education - Please complete the section below with details about your postsecondary education. Attach additional sheets if you attended multiple schools. Any missing information will be considered an incomplete application.

Name of School

City

State/Province

Country

Major/Concentration

Number of years attended

Attendance from

mo.

yr.

mo.

yr.

Title of Degree/Diploma/Certificate awarded (in original language)

Still in progress

Date Degree/Diploma/Certificate awarded

mo.

yr.

Nurse Form 1, Page 2 of 4, Revised 11/19

*New York State General Obligations Law, section 3-503

17.If you have ever taken the SBTP, NCLEX, or a state-constructed examination for licensure as either a Registered Professional Nurse or a Licensed Practical Nurse in the United States or its territories (except New York State), complete the following:

State or Territory*	Profession	Exam Name	Exam Date	If Granted, License No.

State or Territory*	Profession	Exam Name	Exam Date	If Granted, License No.

State or Territory*	Profession	Exam Name	Exam Date	If Granted, License No.

State or Territory*	Profession	Exam Name	Exam Date	If Granted, License No.

*If you took the NCLEX or SBTP Examination, send Form 3 to the state in which you passed the licensing examination or request verification from Nursys.

18.Child Support Obligation

Everyone applying for a professional license, permit, or registration, or any renewal thereof, must certify that, as of the date of the filing, she or he is, or is not, under an obligation to pay child support*. Individuals who are four months or more in arrears in child support or who have failed to comply with a summons, subpoena or warrant relating to a paternity or child support proceeding may be subject to suspension of their business, professional, drivers and/or recreational licenses and permits. The intentional submission of false written statements for the purpose of frustrating or defeating the lawful enforcement of support obligations is punishable under section 175.35 of the Penal Law.

You must complete this section before we can issue the credential for which you have applied. Individuals who are not in compliance with their obligation to pay child support can be issued a credential for no more than six months in order to comply with their child support obligations.

CHECK ONLY A OR B BELOW. If you check B, you must check one of the five statements listed below it.

A		I am not under an obligation to pay child support;

Or
B		I am under an obligation to pay child support and (please check only one of the following)

I am current and am not four months or more in arrears in the payment of child support; or,

I am making payments by income execution or by court agreed payment plan or by a plan agreed to by the parties; or,

The child support obligation is the subject of a pending court proceeding; or,

I am receiving public assistance or supplemental security income; or,

None of the above four statements apply.

19.Citizenship/Immigration Status

Federal law and the Regulations of the Commissioner of Education (8 NYCRR §59.4) limit the issuance of professional licenses, registrations and limited permits to United States citizens or qualified aliens. To comply with Federal law and Commissioner’s regulation, you must complete this section of this form and check the appropriate box below which indicates your citizenship/immigration status.

I am:

A. A United States citizen or National.

B. An alien lawfully admitted for permanent residence in the United States.

C. An alien granted asylum under Section 208 of the Immigration and Nationality Act.

D. A refugee granted asylum under Section 207 of the Immigration and Nationality Act.

E.An alien paroled into the United States under Section 212 (d)(5) of the Immigration and Nationality Act for a period of at least 1 year.

F. An alien whose deportation is being withheld under Section 241 (b)(3) of the Immigration and Nationality Act.

G.An alien granted conditional entry pursuant to Section 203 (a)(7) of the Immigration and Nationality Act as in effect prior to April 1980.

H. Non Immigrant (Temporarily in U.S.) Please list Visa type or immigration status or attach a copy of your passport if you are not required to have a Visa to enter the United States

I. I am an alien not unlawfully present in the United States pursuant to the Deferred Action for Childhood Arrivals (DACA) relief or similar relief from deportation. Please specify

J. I do not reside in the United States.

If you checked any of the boxes from B-I, enter your alien registration number or control number issued by the United States Citizenship and Immigration Services (USCIS): USCIS number

QUESTIONS ABOUT YOUR IMMIGRATION STATUS AND WHETHER OR NOT IT IS A QUALIFYING STATUS UNDER FEDERAL LAW SHOULD BE DIRECTED TO THE U.S. CITIZENSHIP AND IMMIGRATION SERVICES (USCIS) BY CALLING 1-800-375-5283,

OR VISIT THE USCIS WEBSITE.

Nurse Form 1, Page 3 of 4, Revised 11/19

20. Child Abuse Identification and Reporting Coursework Requirement - RN Applicants Only (check one)

I graduated from a NYS registered program and completed the child abuse identification training as part of my studies.

I completed the child abuse coursework and have enclosed a certificate of completion from an approved provider

I completed the child abuse coursework online and the approved provider will report that to you electronically. I am filing for an exemption to the requirement and have enclosed the Certification of Exemption (Form 1CE).

21. Infection Control Training Requirement (check one)

I graduated from a NYS registered licensure qualifying program within the last four years and completed the infection control training during my studies.

I completed the infection control training within the last four years and have enclosed a certificate of completion from an approved provider.

I completed the infection control training online within the last four years and the approved provider will report that to you electronically.

I am filing for an exemption to the requirement and have enclosed an Attestation of Infection Control Training (Form 1IC).

22. Reasonable Testing Accommodations for Individuals with Disabilities. (check if applicable)

I have been diagnosed as having a disability and require special testing accommodations and am submitting the Request for Reasonable Testing Accommodations form. I understand that I will not be able to test until I submit the appropriate documentation and am approved to test with accommodations. (Visit the Office of the Professions' website for information on obtaining the form.)

23.Gender and Ethnicity (This item is optional)

Information on gender and ethnicity is sought solely to allow the New York State Education Department to collect and analyze data concerning diversity in the licensed professions. The ethnic and gender data you provide will be used only for statistical, research, and program evaluation purposes. It will not be released to the public. This information has absolutely no bearing on your qualification for

licensure.

Gender

Male

Female

Ethnicity

White (not Hispanic)

Black (not Hispanic)

Asian

Hispanic

Native American

24.Education Program Review

I give permission to the New York State Education Department to release my examination results to my professional school for the

confidential purposes of program review and institution research and planning. I may rescind this authority at any time by notifying the

Division of Professional Licensing Services in writing.		Yes		No	Please initial

25.Affidavit with Acknowledgement (Notarization required)

Applicant

I declare and affirm that the statements made in this application, including accompanying documents, are true, complete and correct. I understand that any false or misleading information in, or in connection with, my application may be cause for denial or loss of licensure and may result in criminal prosecution. This form must be signed and dated in the presence of a Notary Public.

Applicant's Signature

Date

Notary

State of

County of

On the

day of

in the year

before me, the above signed,

personally appeared

, personally known to me or proved to me on the basis

Applicant name

of satisfactory evidence to be the individual whose name is subscribed to this application and acknowledged to me that he/she executed the application and swore that the statements made by him/her in the application and all supporting materials are true, complete, and correct.

Notary Public's Signature

Notary Stamp

Notary ID number

Expiration Date

If you are submitting an initial Form 1, mail this form and appropriate fee to: New York State Education Department, Office of the Professions, PO Box 22063, Albany, NY 12201, U.S.A.. DO NOT SEND CASH. Make check or money order payable to the New York State Education Department.

If the Department has requested an updated Form 1, mail this form to: New York State Education Department, Office of the Professions, Nurse Unit, 89 Washington Avenue, Albany, NY 12234-1000. NO FEE IS NEEDED FOR THIS OPTION.

Nurse Form 1, Page 4 of 4, Revised 11/19

Get Nurse 1Nys PDF Form

Form Characteristics

Fact Name	Description
Purpose of the Form	The Nurse Form 1 is mandatory for those seeking licensure as either a Registered Professional Nurse or a Licensed Practical Nurse in New York State.
Fee Requirement	Applicants must submit a total fee of $143, which combines a $70 application fee and a $73 registration fee. It's important to note that the application portion is non-refundable.
Identification Consistency	The name on the application, photo ID, and NCLEX application must match exactly. Any discrepancies can delay testing authorization and may incur extra fees.
Background Questions	The application includes questions regarding criminal history, prior license applications, and professional conduct. Answers are crucial for eligibility review.
Child Support Compliance	Applicants must certify their status regarding child support obligations. Non-compliance can result in the suspension of licenses.
Citizenship Verification	Federal regulations require applicants to confirm their citizenship or qualified alien status. Options include U.S. citizenship or lawful permanent residency.
Affidavit Requirement	The applicant must sign the affidavit in the presence of a Notary Public, confirming the truthfulness of the application’s contents.

Guidelines on Utilizing Nurse 1Nys

Completing the Nurse Form 1Nys is essential for those seeking licensure in New York State. The form gathers important information about the applicant, including education, prior licenses, and personal details. Careful attention to each section is crucial to avoid delays in processing.

Begin by downloading the Nurse Form 1Nys from the New York State Education Department website.
Use a pen or printer to fill out the form clearly. Make sure all responses are in ink.
Select the type of nurse licensure you are applying for: Registered Professional Nurse or Licensed Practical Nurse.
Complete your personal information, including your Social Security Number (if applicable), birth date, and full name. Verify that your name matches your identification documents.
Provide a valid mailing address, daytime phone number, and email address. Indicate whether this is a home or business address.
If applicable, fill in your New York State DMV ID Number.
Indicate if you have a CGFNS record, and if so, provide your CGFNS Number.
Answer questions about previous applications, legal violations, current licenses held, and any disciplinary actions taken against you.
Detail your educational history, including the names of schools, attendance dates, and the degrees obtained. Make sure to record all schools attended.
If you have taken the NCLEX or any other related examinations, complete the section that requests this information.
Certify your child support status by selecting the appropriate option and providing necessary details.
Indicate your citizenship or immigration status by checking the appropriate box and entering your USCIS number if applicable.
For RN applicants, check the appropriate box regarding child abuse identification and infection control training, providing documentation as needed.
If you require any special testing accommodations, indicate this in the provided section and gather necessary documentation for submission.
Optionally, provide information regarding your gender and ethnicity for statistical purposes.
Grant permission for the Department to share your examination results with your professional school for review purposes.
Carefully read and sign the affidavit section. Have your signature notarized.
Prepare your application for submission by including the appropriate fee of $143. Make the payment via check or money order, ensuring no cash is sent.
Mail the completed application and payment to the address provided for new applications or updated forms.

What You Should Know About This Form

What is the Nurse 1Nys form?

The Nurse 1Nys form is an application for licensure used by the New York State Education Department Office of the Professions. It must be completed by individuals seeking to become licensed as either a Registered Professional Nurse or a Licensed Practical Nurse in New York. In addition to completing the application, applicants must submit a fee of $143, which covers both the application and registration periods.

What information is required on the Nurse 1Nys form?

The form requires comprehensive personal information, including your Social Security number, birthdate, name, contact information, and educational history. Additionally, applicants must answer specific questions related to previous licensure, criminal history, and child support obligations. It is crucial that all responses are accurate and complete to prevent delays in the application review process.

What happens if my name does not match on all documents?

Consistency in naming is important. The name on your application must match exactly with your photo identification and NCLEX application. Discrepancies may cause delays in your authorization to test and could prevent you from taking the exam as scheduled, potentially leading to additional fees.

Is there a fee associated with the Nurse 1Nys form?

Yes, there is a total fee of $143 to submit this form. This includes a $70 application fee along with $73 for your first registration period. It is important to note that the application portion of the fee is non-refundable.

Do I need to have my application notarized?

Yes, the application must be signed and dated in the presence of a Notary Public. This notarization serves as a formal acknowledgment of your statements on the form, affirming their truthfulness and completeness.

What are the child support obligations I need to disclose?

You must certify whether you are currently under an obligation to pay child support. If you are more than four months in arrears or have failed to comply with any related court orders, this may affect your licensure status. Make sure to check the appropriate box regarding your child support status on the form.

What if I have a criminal background?

If you have ever been found guilty of a crime or have pending criminal charges, you must disclose this information on the application. It is required to provide a detailed explanation along with relevant court documents. Transparency regarding your history is required for the licensing process.

What educational history must I include on the form?

Applicants are required to provide complete details about all educational institutions attended, including elementary, high school, nursing programs, and any postsecondary education. Missing information can render the application incomplete, so it’s essential to provide accurate and thorough educational history.

Where should I send my completed Nurse 1Nys form?

For an initial application, mail the completed form and payment to the New York State Education Department, Office of the Professions, PO Box 22063, Albany, NY 12201, U.S.A. If you are submitting an updated form requested by the Department, send it to the Nurse Unit at 89 Washington Avenue, Albany, NY 12234-1000, but no fee is required in that case.

Common mistakes

Filling out the Nurse Form 1Nys can be straightforward, but applicants often make mistakes that can lead to delays in their applications. One common error is incorrect personal information. Applicants sometimes fail to ensure that their name matches exactly across all documents. If there is any discrepancy between the name on the application, photo identification, or NCLEX application, it can cause significant delays in authorization to test.

Another frequent mistake involves incomplete sections of the form. Applicants tend to overlook critical questions that must be answered. Each section needs to be filled out thoroughly; if any part is left blank, the application is deemed incomplete and may be rejected or returned, prolonging the process.

Many applicants also forget to sign and date the Affidavit in the presence of a Notary Public. This omission is often due to the hurried completion of the form. Without this notarization, the application cannot proceed, resulting in unnecessary delays in the licensing process.

Additionally, some individuals do not provide their Social Security Number or leave it blank erroneously. If an applicant does not have a U.S. Social Security Number, they should still indicate that on the form instead of leaving the section blank. Failure to do so can lead to complications in the review process.

Misunderstanding financial obligations can also create issues. When declaring child support status, applicants sometimes misinterpret the requirements or fail to check the appropriate boxes. A mistake here can not only stall the application process but may also result in legal consequences if obligations are unmet.

Furthermore, neglecting to submit required documentation can lead to complications. For example, applicants who attended nursing programs outside of New York State might overlook the need to provide additional proof or transcripts. This missing information could be the determining factor in whether the application is processed smoothly.

Another critical error is related to communication updates. Applicants often forget to notify the Department of any changes to their address or name after submission. Such updates are vital to ensuring that applicants receive important information and documentation concerning their application status.

Lastly, individuals sometimes fail to double-check the fee payment section. The total fee for the application is $143, combining application and registration fees. Inaccurate fee submissions can also result in application delays. Being thorough and careful when completing the Nurse Form 1Nys can help ensure that the application process is efficient and successful.

Documents used along the form

When applying for licensure as a nurse in New York, several additional forms and documents are often required to complete the process effectively. Below is a list of common documents needed alongside the Nurse Form 1. Each document serves a specific purpose in the application process.

Form 3: This form verifies your nursing license from other states. It is particularly important for tracking your professional history and ensuring compliance with licensing requirements.
Nursys License Verification: This verification is needed for nurses licensed in states that participate in the Nursys system. It confirms your status and any discipline history.
Proof of Education: Applicants must provide evidence of nursing education, which may include transcripts or diplomas from approved nursing programs. This ensures that educational standards are met.
Child Support Certification: This document certifies compliance with child support obligations. It's a crucial legal requirement tied to professional licensing.
Background Check Authorization: Often required to conduct a criminal background check, this form provides consent for authorities to examine your criminal history.
Affidavit of Professional Conduct: This affidavit confirms that you have disclosed all necessary information regarding your past conduct and professional behavior. Honest representation is vital for the license approval process.

Completing these forms accurately is essential to avoid delays in the licensure review process. Ensure that all documents are submitted in accordance with the guidelines specified by the New York State Education Department.

Similar forms

The Nurse Form 1Nys is an essential document for nursing licensure in New York. Several other forms serve similar purposes in various professional contexts. Here’s a brief overview of five similar documents and how they relate to Nurse 1Nys:

Nursing License Application (State-Specific): Much like the Nurse Form 1Nys, other states have their own nursing license application forms that require details about the applicant’s education, training, and background checks for criminal history.
State Medical License Application: Similar to the Nurse Form 1Nys, this document for physicians also requires personal details, educational background, and must be notarized, ensuring authenticity and compliance with state laws.
Professional Certification Application: This common form governs various professional certifications, requiring proof of education, experience, and sometimes passing a state-recognized exam, akin to the requirements found in the Nurse Form 1Nys.
Child Support Certification Form: As required in the Nurse Form 1Nys, other professions also ask applicants to confirm their compliance with child support obligations, ensuring that all potential license holders meet this legal requirement.
Affidavit for Professional Licensure: This form, much like the affidavit in Nurse Form 1Nys, must be notarized and confirms that applicants are truthful in their statements and aware of the consequences of providing false information.

Dos and Don'ts

When filling out the Nurse 1Nys form, careful attention to detail is essential. Here are ten things you should and shouldn't do to avoid delays and ensure a smooth application process:

Do check that all names match exactly across your application, ID, and NCLEX application.
Do complete the form in ink, avoiding any pencil or ink errors.
Do submit the form with the correct fee of $143, ensuring both the application and registration fees are included.
Do sign and date the affidavit in front of a Notary Public.
Do provide all required information, as incomplete sections will lead to delays.

Don't leave any required fields blank; this will cause your application to be deemed incomplete.
Don't submit the form without ensuring that your application fee is paid by check or money order; cash is not accepted.
Don't forget to notify the department promptly of any name or address changes during the process.
Don't attempt to provide false or misleading information, as this can result in severe penalties.
Don't forget to attach any required documents, like court records or previous license verifications, if applicable.

By adhering to these dos and don'ts, you can help ensure that your application is processed smoothly and efficiently.

Misconceptions

1. The form can be submitted electronically. Many people believe that the Nurse 1Nys form can be filled out and submitted online. However, it must be completed by hand and mailed to the appropriate address along with the required fee.

2. Payment isn't necessary if the application is rejected. Some applicants think they don't need to pay the fee if their application is denied. In reality, the application fee of $70 is non-refundable, even if the application does not result in licensure.

3. Incomplete applications are processed anyway. There is a misconception that incomplete applications will still be processed. In fact, failing to provide all required information can lead to significant delays in the review process.

4. Affidavit notarization is optional. Some individuals mistakenly believe that notarizing the Affidavit is not necessary. However, a signature must be provided in the presence of a Notary Public to validate the application.

5. Application information can be changed after submission. It is often assumed that applicants can make changes after submitting their application. In reality, any changes such as address or name must be communicated to the Division of Professional Licensing Services immediately.

6. Only U.S. citizens can apply. There is a belief that only U.S. citizens can pursue licensure through this form. However, qualified aliens may also apply, provided they complete the required sections on citizenship or immigration status.

7. The application can be submitted without specific documentation. Some think they can skip attaching required documents. In fact, relevant documents, such as educational transcripts and proof of previous licensure, must be included for a complete application.

8. The form does not require personal identification. Some applicants may think that personal identification is unnecessary. The form requires that the name matches exactly with photo identification and the NCLEX application to avoid delays.

9. All training and coursework can be submitted regardless of when completed. There's a misconception that any training can be submitted without timeline constraints. Certain requirements, such as child abuse identification and infection control training, must have been completed within specified time frames.

10. Submitting the application guarantees a license. Many so mistakenly assume that simply submitting the form means they will be granted a license. The application must be carefully reviewed, and fulfilling all requirements is essential for approval.

Key takeaways

Complete Accuracy is Crucial: Ensure that your name matches exactly on the application, photo ID, and NCLEX application. Discrepancies will lead to delays in processing, and you may miss your testing date.
All Questions Must Be Answered: Fill out every section of the form in ink, providing all requested information. Omitting details could result in a delay or rejection of your application.
Affidavit Requirement: Remember to sign and date the Affidavit in front of a Notary Public. Failing to meet this requirement can impede your application progress.
Child Support Obligation: Understand that your application cannot proceed if you are in arrears for child support payments. Be aware of the legal implications if any false statements are made in this regard.

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