Become a US Nurse

Steps for foreign-educated nurses to work in the US

Step 1

Ensure your nursing education is equivalent to US standards (typically a minimum of an Associate Degree in Nursing).

Step 2

Submit transcripts and proof of licensure to an authorized agency (such as CGFNS or ERES) for validation and equivalency review.

Step 3

Take and pass an approved English language test (TOEFL, IELTS, or TOEIC), unless exempt due to instruction in English in a recognized country.

Step 4

Some employers or states require candidates to pass the CGFNS exam before sitting for the NCLEX.

Step 5

Apply to a State Board of Nursing for permission to sit for the NCLEX-RN exam. Each state has its own requirements.

Step 6

This is the national licensing examination for Registered Nurses in the US

Step 7

Required by US immigration authorities to confirm that the candidate meets the minimum standards for training, licensure, and English proficiency.

Step 8

Find a healthcare employer willing to sponsor you for a work visa (typically H-1B or EB-3).

Step 9

Depending on your qualifications and employer, apply for the H-1B, EB-3 green card, or a cap-exempt H-1B if working at a qualifying institution.

Step 10

Once your visa is approved and licensure is complete, you may begin working in the US as an RN.