NCLEX Applicant Form

Name: *

Marital Status: *

Single Married Divorced Widowed

Marital Status (If married, please provide name before marriage): *

Have you ever taken the SBTP or NCLEX or CGFNS exam? *

Yes No

Have you ever taken the SBTP or NCLEX or CGFNS exam? (If yes, specify what exam, date and location) *

Yes No

Have you previously applied to CGFNS? (If yes, please provide CGFNS ID number) *

Have you ever taken any English Competency Exam like TOEFL, IELTS, etc.? *

Yes No

Have you ever taken any English Competency Exam like TOEFL, IELTS, etc.? (If yes, provide the name of Exam, scores and date taken) *

2) Educational Background

"Please list all schools attended, whether or not you completed the course. Attach additional sheets if necessary, to list
more schools attended."

3) Recent Work Experience

4) Information about Nurse License

5) Agreement

All applications are to be paid in the same day the application is submitted.
All applications must be accompanied by authorized credit card payment using our Credit Card Authorization Form
By submitting this application, you authorize ApplyReady.com to begin application process once payment is completed.
Cancellation can only be entertained if the application process has not been initiated and/or communicated to our application processors.

NCLEX APPLICANT FORM