DEPARTMENT OF COMMERCE, COMMUNITY, AND ECONOMIC DEVELOPMENT DIVISION OF CORPORATIONS, BUSINESS AND PROFESSIONAL LICENSING 550 WEST 7TH AVENUE, SUITE 1500 ANCHORAGE, ALASKA 99501 Telephone: (907) 269-8161 Fax (907) 269-8196 E-mail: email@example.com Website: www.nursing.alaska.gov
APPLICATION FOR REGISTERED NURSE BY EXAMINATION
PLEASE READ the application instructions, statutes, and regulations before completing your application. Please retain this information for future reference. YOU MUST HOLD A TEMPORARY PERMIT OR PERMANENT LICENSE TO PRACTICE NURSING IN ALASKA. If you received this application other than directly from the Division or its official website, the application may be outdated or not an official version. To ensure you have the official version, please contact the Division. APPLICATION PROCEDURES – 12 AAC 44.290 The following documents must be submitted before your application can be reviewed: 1. A completed application signed and notarized. A completed application must include an original, signed and dated passport type photograph on photography paper, approximately two inches by two inches of the face and shoulders, taken within the six months immediately preceding the date of application. 2. Check or money order for $284.00 (or $334.00 to include a temporary permit) made payable to the State of Alaska. Fees: $50.00 nonrefundable application fee, $175.00 license fee, $59.00 fingerprint processing fee and $50.00 temporary permit fee (if permit requested). 3. One completed fingerprint card, on cards supplied by the Alaska Board of Nursing or form FD-258. 4. Nursing Program Verification form, sent directly from the school of nursing attended, verifying successful completion of an approved nursing program. 5. An official transcript sent directly from the college or school of nursing attended. The graduation date and the type of degree conferred must be posted on the transcript. Documents not in English must be accompanied by a certified English translation. 6. If a graduate of a school of nursing outside the United States or Canada, a certified true copy of the certificate verifying successful completion of the examination administered by the Commission on Graduates of Foreign Nursing Schools (CGFNS). TEMPORARY PERMIT REQUIREMENTS – 12 AAC 44.320 To receive a temporary permit submit items number 1, 2, 3 and 4 above. To be eligible for the temporary permit, an applicant must not have failed the NCLEX examination, or failed to appear to take the NCLEX examination for which the applicant was registered. The permit is nonrenewable and valid for six months or until the results of the NCLEX are made available and notification of the results is received by the temporary permits holder, whichever occurs first. FOREIGN GRADUATES – 12 AAC 44.310 All foreign graduates must take the NCLEX. (Please read 12 AAC 44.290 & 310). All documents must be accompanied by certified English translations if the original documents are not in English. Practical nurse applicants from schools outside the U.S. or Canada (except Quebec, Canada) must submit an evaluation of the applicant’s nursing education by the CGFNS Credentials Evaluation Service, with a full education, course-by-course report. Applicants who graduated from a school of nursing outside the United States or Canada (except Quebec, Canada), must provide proof of passing one of the following: (refer to 12 AAC 44.290 for passing score requirements): Test of English as a Foreign Language, paper based test (TOEFL-PBT) & Test of Spoken English (TSE) Test of English as a Foreign Language, computer based test (TOEFL-CBT) & Test of Spoken English (TSE) Test of English as a Foreign Language, internet based test (TOEFL-iBT) including spoken score International English Language Testing System (IELTS) examination. 08-4112 (Rev 6/2010)
CERTIFIED TRUE COPIES To obtain a “certified true copy”, a notary public must compare the original to the photocopy of the...