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Applicant Handbook
The CGFNS Credentials Evaluation Service (CES) is a prerequisite A prerequisite for state licensure of
for state licensure of internationally-educated registered nurses
and licensed practical nurses in certain U.S. states and territories. internationally-educated:
It is also utilized by U.S. academic institutions and prospective
employers to assess the international education of healthcare • registered nurses
professionals who wish to continue their education in the U.S.
or want to be employed in the U.S. • licensed practical nurses
The Credentials Evaluation Service results in a written report
regarding the applicant's education and professional licensure • midwifery
or registration credentials. Some organizations require the
Healthcare Profession & Science Course-by-Course Report. in certain U.S. states and territories.
Other organizations require the Full Education Course-by-
Course Report. Applicants will need to designate which
Report is required by the receiving organization. It is also utilized by U.S. academic
CGFNS has issued more than 35,000 Credentials institutions and prospective
Evaluation Service reports for internationally-educated
healthcare professionals during the past 14 years.
employers for the purpose of
assessing the international education
of healthcare professionals
Table of Contents
Introduction to CGFNS Credentials Evaluation Service .............................................................................................................................................. 2
Choose From Two Types of Reports ...................................................................................................................................................... 2
What This Handbook Contains ................................................................................................................................................................................ 2
Chart 1: Overview of the Steps to Receive a CGFNS Credentials Evaluation Service Report ...................................................... 3
How to Apply .......................................................................................................................................................................................................... 3
How to Complete the Application ............................................................................................................................................................................ 3
Chart 2: Checklist To Prevent Common Application Form Problems ............................................................................................ 6
Preparation and Mailing of Academic Records Form ................................................................................................................................................ 6
Preparation and Mailing of Validation of Registration/License Form ........................................................................................................................ 6
Falsified or Altered Documents ................................................................................................................................................................................ 7
Changing Your Name or Address .............................................................................................................................................................................. 7
Re-Process an Application........................................................................................................................................................................................ 7
Guidelines for Communicating with CGFNS .............................................................................................................................................................. 7
World Wide Web ........................................................................................................................................................................................ 7
Authorization to Release Information Form .......................................................................................................................................... 7
Email ............................................................................................................................................................................................................ 7
Letters .......................................................................................................................................................................................................... 7
On-site Appointments .............................................................................................................................................................................. 7
Telephone Calls .......................................................................................................................................................................................... 8
In the Event of a Disaster .......................................................................................................................................................................... 8
Chart 3: Communication Guidelines ...................................................................................................................................................... 8
Request for Academic Records Form ........................................................................................................................................................................ 9
Request for Validation of Registration/License Form ................................................................................................................................................ 10
Authorization to Release Information Form ............................................................................................................................................................ 11
Credit Card Payment Form ...................................................................................................................................................................................... 12
Application Form For CGFNS Credentials Evaluation Service ...................................................................................................................................... 13
Introduction to CGFNS Credentials Evaluation Service
The Commission on Graduates of Foreign Nursing Schools (CGFNS International) Credentials Evaluation Service (CES) analyzes
the credentials of various types of nursing-related professionals educated and licensed outside of the United States who wish to work
or study in the United States. The Credentials Evaluation Service Report helps qualified healthcare professionals demonstrate the
merits of their credentials with regard to U.S. standards.
Many organizations in the United States require a credentials evaluation to help them understand educational and professional
credentials earned outside of the country and to make appropriate assessments. Approximately one-half of the U.S. state boards of
nursing require CES Reports for foreign applicants seeking initial and endorsement licensure in their state.
The CES Report analyzes the education and licensure earned outside of the United States by nursing-related professionals and
compares this to U.S. standards. In this objective evaluation, CGFNS carefully assesses the documents received from source
agencies. The CGFNS Credentials Evaluation Service (CES) Report is advisory in nature and does not make specific placement
recommendations. This service does not include an examination. After all required documentation, fees, and a completed
application are received and analyzed, CGFNS prepares a report and sends it to the recipient(s) that the applicant designates. The
applicant will also receive a copy of the report.
• Healthcare Profession & Science Report – This report gives general information about the education and professional
registration/license that you earned outside the United States. The Healthcare Profession & Science Report describes all foreign
education and licensure in terms of similar U.S. professions and indicates the U.S. comparability. When we send your CES
Report to the requested recipient(s), we will attach a copy of your healthcare academic records.
• Full Education Course-by-Course Report – This report contains the same information as the Healthcare Profession & Science
Report but is more detailed and contains an analysis of every course from the educational program.
Both types of CES Reports contain an analysis of secondary and professional education, country-specific background information
about schools attended by the applicant, complete dates of attendance, validations or registration/license information received
directly from source authorities, and bibliographical references. All information is explained in terms of U.S. standards. CGFNS may
choose to evaluate only the materials that it considers relevant to the CES Review.
Complete a CES Application Form and send it with full payment to CGFNS. CGFNS sends you an identification number.
Prepare and send the Request for Academic Records Form to any nursing or nursing-related CGFNS reviews all academic records that we receive from your healthcare or post-secondary
post-secondary schools that you attended outside the United States, asking them to send schools. Then we match them against our global database to find information about the
your records to CGFNS. specific school and grading system.
Send us a photocopy of your secondary school certificate/diploma.
Prepare and send the Request for Validation of Registration/License Form to your initial CGFNS reviews all registrations/licenses and validates that they come from the issuing
licensing authority and all other licensing authorities outside of the U.S. who have issued you source.
licenses/registrations, asking them to send us your records.
Check your status online at www.cgfns.org or through the automated phone system After CGFNS receives and evaluates all of the required documentation, we issue a report to
(215) 599-6200 using your CGFNS identification number and date of birth. Respond to any the designated recipient. We also send you, the applicant, a copy of the report.
correspondence from CGFNS regarding missing items.
How to Apply
The most convenient way for you to apply is online at www.cgfns.org. Completing the application online may speed up your
application process. You can download a printable version of the Application for the CGFNS Credentials Evaluation Service at
www.cgfns.org. You can also find an application form in the back of this handbook. Please follow the instructions exactly and
completely.
Item 5. Addresses
a Enter the address where you reside.
b. Enter the address where you want to receive all mail from CGFNS. If you authorize someone else to receive your mailings from
CGFNS, all correspondence will go to that person’s address.
If your address changes at any time during the application process, you must notify CGFNS in writing (e-mail will not be accepted);
or, make changes to your contact information on the CGFNS On-Line Application System at www.cgfns.org.
Item 8. Gender
Enter whether you are male or female.
Item 9. Citizenship
Please list your country of birth and country of current citizenship. Please provide a citizenship identification number or
identification number from country of birth, if applicable. Also list your native language and the country in which you received your
initial professional education.
Item 10. Your Telephone Number, Mobile (cell phone) Number, Fax Number and E-mail Address
Please enter contact information where you can be reached. Please answer the questions regarding cell phone and text messaging
contact by CGFNS.
Signature
Sign the Application Form with the same name you indicated in Item 3 of the application. You will be required to use the same
signature each time you correspond with CGFNS or when CGFNS asks for your signature. The resulting CGFNS Credentials
Evaluation Report will be issued using the name provided on your application. The Application Form does not need to be notarized.
CGFNS does not return any of the documents that are part of your complete application.
Remember to send readable photocopies, not originals, of the documents CGFNS requests directly from you. Applications
remain open for one year (12 months).
Re-Process an Application
Applicants applying for the Credentials Evaluation Service will be given 12 months to meet the requirements of the program. Orders
for the Credentials Evaluation Service that have not resulted in the issuing of a Credentials Evaluation Service report within 12
months of the application date will be expired. Once an order is expired, an applicant can re-apply with a re-process application and
pay a second year re-process an expired order fee. Re-process orders remain open for 12 months starting from the date the re-process
order is placed. A re-process order cannot be placed until the previous order is expired.
E-mail
Applicants may contact the CGFNS Customer Service Department with questions regarding their application by e-mail at
www.cgfns.org “Contact us”.
Letters
CGFNS treats your application as confidential, to be discussed only with you unless you have named an authorized agent. When
you send a letter, it must be written and signed only by you. When you write to us, always include your CGFNS ID Number, full
name, and birth date. CGFNS recommends that you send all correspondence by first-class mail, and that you consider other faster
mailing options when time is limited.
On-site Appointments
An applicant or authorized agent may make an appointment to discuss the applicant’s file by scheduling a 30-minute appointment
in our CGFNS office in Philadelphia, PA. Appointments are available Monday through Friday between 100:00 a.m. - 3:30 p.m.
(Eastern Standard Time in the United States) and may be made by calling the office at 215-222-8454
You want to confirm whether CGFNS received Only you or your authorized agent. E-mail through our website www.cgfns.org Include your Full Name, CGFNS/ICHP
your application documents. “Contact Us”, write, telephone, or visit the ID number and date of birth.
On-line Application System (CGFNS Connect)
at www.cgfns.org.
You have a question about a letter that you Only you or your authorized agent. E-mail through our website www.cgfns.org Include your Full Name, CGFNS/ICHP
received from CGFNS/ICHP. “Contact Us” , write or telephone. ID number and date of birth.
You need to notify CGFNS of a change of Only you or your authorized agent. E-mail through our website www.cgfns.org Include your Full Name, CGFNS/ICHP
address. “Contact Us”, write, or make changes online at ID number and date of birth.
www.cgfns.org via the On-Line Application
System (CGFNS Connect).
Legal name change Only you Write to CGFNS including legal documenation Request should include signature, full name,
of name change CGFNS/ICHP ID number ID number and date
of birth.
I attended (name of school) _________________________________ between (dates of attendance) ________/_______ and _________/______
Month / Year Month / Year
My birth date is: Month (spell out) ______________________________ Day _________ Year _________
The name I used when I attended your school was: (Print or type the names you used when attending this school)
Address
Address – Continued
City
è
the transcript/academic record(s) ALONG 3600 Market Street, Suite 400
Stamp Must
WITH THIS FORM via airmail to: Philadelphia, PA 19104-2651, USA Cover Signature
FOR NURSES ONLY: In addition to a copy of the transcript, please provide specific hours of theoretical instruction and hours of clinical
practice for the subject areas listed below. Please do not combine subject areas. If they are combined in your curriculum, please estimate the hours
of theoretical instruction and hours of clinical practice in each subject area. All documents must be in English.
Subjects Hours of Theoretical Instruction* Hours of Clinical Practice
Care of the Adult — Medical Nursing
Care of the Adult — Surgical Nursing
Maternal/Infant Nursing, excluding Gynecology
Nursing Care of Children
Psychiatric/Mental Health Nursing, excluding Neurology
Gerontology Nursing
Pharmacology
Physiology
Psychology
Sociology
Anatomy
Nutrition
* Includes hours of classroom education, laboratory, and planned clinical conferences (ward teaching)
Request forValidation of Registration/License For Credentials Evaluation Service
(Required for all Applicants)
Dear Registration Authority:
Please promptly complete the other side of this form and send it to the Commission on Graduates of Foreign Nursing Schools (CGFNS International)
as validation of my professional registration/license, accompanied by a certified English translation.
My current name is:
My registration/license number is ______________________ My birth date is: Month __________________ Day ______ Year _______
The registration/license was issued under the name of:
Address
Address – Continued
City
Country
The expiration date of this registration/license is: ______/_______/_______. Birth date of individual: ______/_______/_______
Month Day Year Month Day Year
This Authorization will remain valid for two years from the date written below (or if none, from the date this Authorization is received by
CGFNS/ICHP).
REVOCATION: This Authorization can be revoked by submitting a new Authorization dated and signed after the initial Authorization.
In addition, you may revoke this Authorization in writing at any time, which will be effective within 30 days from the day that
CGFNS/ICHP receives your written revocation by regular mail or courier at its headquarters office in Philadelphia, PA, USA.
AUTHORIZATION: I authorize CGFNS/ICHP to release to the below-named Authorized Agent any and all information about me and
my application/order for services from CGFNS/ICHP, including without limitation, the status of my application/order, the results of any
credentials review, examination or test, and any other information in or relating to my file at CGFNS/ICHP. I understand that all mail
(including Certificate, exam scores and reports) will be sent to the Authorized Agent.
AUTHORIZED AGENT:
Note: This form is not for report recipients. Report recipients, for example, State Boards of Nursing, are listed in Section 14 of the application.
Credit Card Type (check one): CGFNS does not accept American Express Credit Card #:
Visa MasterCard Discover/Novus
Expiration Date: *CVV2 Number
(See explanation on other side.)
Name of Cardholder (as it appears on card):
Total Charges (see “Fee Schedule”): U.S. $
Cardholder Address: (For processing credit card payments only. All Cardholder Signature (authorization for payment):
I hereby authorize a charge to my credit card for the total of all
materials requested will be sent to the applicant address
services requested on the attached Certification Program
provided on the appropriate forms.) Application Form, including any fee adjustments in effect as of
the date the order is received.
X
Signature of Authorized Cardholder
CGFNS International • 3600 Market Street, Suite 400, Philadelphia, Pennsylvania 19104-2651 U.S.A. • Phone: 215.222.8454 • Web: www.cgfns.org
1 Our Commitment Please assist us by answering two brief questions. Your cooperation will aid us in serving you better in the future.
to Service
A. How did you learn of CGFNS/ICHP’s Credentials Evaluation Service?
□ U.S. College/University □ State Licensure Board □ Recruiter □ U.S. Employer □ Immigration Attorney
□ CGFNS mailed you information □ Other (Please explain) ___________________________________________________
B. Why did you select CGFNS/ICHP over another organization for your Credentials Evaluation Services?
□ Instructed by your report recipients □ We sent you (or you requested) an application □ Price □ CGFNS’ reputation
□ Other (Please explain)___________________________________________________________________________________
C. Title of your profession _____________________________________________________________________________________
D. Have you previously taken and passed the NCLEX-RN®or LPN exam? M Yes M No
2 Preliminary If you already have a CGFNS/ICHP Identification Number, enter it here. Order # (if known) __________
Information
A. Intended U.S. State(s) of practice _____________________________ .
B. I worked in ________________________________ as a __________________________________ for _______ years.
City/Country Profession Specialty Number
3 Your Name Enter your full, legal name as you would like it to appear on the report. Print or type only one letter in each box.
4 Your Other Names Enter alternate names appearing in your documents. Include legal documentation verifying
(if applicable) each name change (for example: marriage certificate).
Address - Continued
City State/Province
5b Mailing Address Provide the address where you want to receive your mail.
Address - Continued
City State/Province
12 Institutions Please list, in the order you attended them, all non-healthcare educational institutions, beginning with the first year of your
Attended primary school education and ending with the last year of non-healthcare education. Explain any gaps in your educational
history. (Please fill in all spaces in the charts below completely or your application will be returned to you.) If your school has
Pre-healthcare Profession closed or merged, provide the name and address, if known, where your records are located.
Education
List information for each Name of Non-healthcare Schools Attended City & Country Month/Year Month/Year Name of Diploma or Degree
school attended whether Entered Completed/ Certificate in its Obtained
completed or not. Enclose a Graduated Original Language (u)
photocopy of your diploma, Primary:
certificate, or external exam
certificate from your Intermediate
secondary school, including
word-for-word English Secondary:
translations of each of these
documents. External exam Post-secondary non-professional programs:
results or school verification of
graduation date must be
submitted directly to CGFNS/
ICHP by the examining
agency or school.
Please list, in the order you attended them, all professional healthcare educational institutions. Explain any gaps in your
educational history.
Healthcare Education Title
Name of Professional City, State/Province, Month/Year Month/Year Name of Diploma or Degree
List information for each Healthcare Schools Attended Country Obtained Entered Completed/ Certificate in its Obtained
school attended whether Graduated Original Language (u)
completed or not. Forward a
copy of “Request for
Academic Records Form” to
each school listed here.
Has your nursing school closed or merged with another school? □ Yes □ No If Yes, Name of School ______________________
14a Report Indicate here the names and addresses of as many as two different recipients for your report. For each recipient, indicate the type
Recipients of report and purpose of the request. NOTE: It is not necessary to list yourself; you automatically receive a copy of the report.
Name and
Address of the Name of Organization
First Recipient
of Your Report
Name of Contact Person or Title
Address - Continued
City
Country
14d Name & Address Indicate here the name and address of the Second recipient for your report. Indicate the type of report and purpose of the request.
of the Second
Recipient of Your
Report
Name of Organization
(if applicable)
Address - Continued
City
Country
14e Type of Report □ Healthcare Profession & Science Report □ Full Education Course-By-Course Report
15a Credentials Select only one type of report. If you are requesting that two different types of reports be issued to two recipients, you should pay for
Evaluation the most detailed report requested. Please confirm the type of report needed with your recipient(s).
Report Fees
3 here to indicate selection. Refer to Fee insert for current year.
Use This Column to
Check □ Compute Total Fees Due
□ Healthcare Profession & Science Report.....................................................................$_______
□ Full Education Course-By-Course Report ...................................................................$_______
□ CGFNS Language Report: English .................................................................................$_______
□ Other CES Services (refer to fee schedule).................................................................$_______ $___________
15b Total Full payment for all services requested must be included with your application. Send only a certified bank check or international
Application Fee money order, drawn in U.S. dollars on a U.S. bank, and made payable to “CGFNS,” or pay by credit card using the Credit Card
Payment Form, or pay on-line at www.cgfns.org. Personal checks are not accepted.
= $___________
16 Terms and The following clarifies the obligations of the provider (CGFNS/ICHP) and applicant (you) of the Credentials Evaluation
Conditions of Service, as well as the manner in which this service is delivered.
the CES
• CGFNS may choose to evaluate only the materials that it considers relevant to the CES Review.
• All documents submitted, including transcripts, become the property of CGFNS and cannot be returned to you. Do not
send originals of diplomas, degrees, certificates, registrations or licenses.
• If your application includes any forged, altered or falsified documents or information, CGFNS will not prepare an
evaluation report and no refund will be issued.
• No evaluation is performed until CGFNS receives full payment. Please calculate the payment correctly and include it
with each application or request. See Fee Schedule.
• The CES Report is valid only when the official (embossed) CGFNS seal is affixed.
• State Boards of Nursing access CES reports online. All CES Reports to applicants and to non-State Board
of Nursing recipients are sent via First Class mail (within the U.S.) or airmail (outside of the U.S.).
• Fees as published with this application may change without notice.
• Any payment sent to CGFNS will be applied first to any unpaid balance from a previous order for product or services
before it is applied as payment for a newer order.
• No refund is given after an application is submitted.
• Applications remain open for 12 months. Applicants who do not meet the requirements of the CES program
within the first 12 months of their order may continue the service by applying for Re-Process and paying
the associated fee.
You must sign and date this application in order for it to be processed.