Licensing by Examination: Application Process and … by Examination: Application Process & Procedures Step-by-Step Instructions N. H. Board of Nursing 121 South Fruit St Suite 102

Step-by-Step Instructions from the

N. H. Board of Nursing

121 South Fruit St Suite 102 Concord, NH 03301

Bonnie Crumley Aybar, RN, MSN, CPAN Educational Program Specialist IV

Date of graduation? In the state of New Hampshire, NCLEX shall be taken within 6 months of graduation (Nur. 303.02 (d) Licensing in NH first? Are you requesting to sit for the NCLEX in NH? If yes, NH is a

compact state. “The Nurse Licensure Compact (NLC) allow nurses to practice in other

compact states with a single multistate license. The NLC gives multistate rights to registered nurses (RN) and licensed practical/vocational nurses (LPN/VN) residing in a member state.”*

Your legal residence is the place you consider home, the place the IRS sends your tax information, where you have a driver’s license, where you pay rent or taxes, where you vote and may effect where you can test. NH Residents that apply and successfully complete the NCLEX will have a

compact license. Those that have a primary residence outside of NH will have a single state

license (NH).

If you are not licensing in NH first -do you live in a compact or non-compact state?

Information regarding licensure in compact states can be

found at: https://www.ncsbn.org/enhanced-nlc-implementation.htm

You may also “Google” or go to www.NCSBN.org to find

the state you wish to take the NCLEX and attain a license in.

Contact your desired state board of nursing and ask them for

the testing and licensure requirements of that state. Follow that state’s requirements. Each state has it’s own

policies and may be different from New Hampshire’s requirements.

https://www.ncsbn.org/enhanced-nlc-implementation.htm







http://www.ncsbn.org/

1. Criminal Background Check and fingerprinting

2. Complete Application for Licensure

3. The Declaration of Primary State of Residency form

4. Copy of Driver’s License

5. An Official (final) transcript (shows degree awarded)

6. Preregistering with Pearson VUE

You can find instructions posted on the Board of Nursing website: https://www.oplc.nh.gov/nursing/criminal-background-check.htm If using the the Division of State Police - Hazen Drive in Concord

location to have the finger prints done, you MUST schedule an appointment. Call 603.223.3867, then press 0 for assistance.

If having fingerprints done at other approved Livescan Sites (ex: a local police station), check with them to see if you need to make an appointment and what other additional fees may be required.

The Criminal Background check (CBC) is usually the longest part of the application process. Results can take up to 6 weeks to receive during high volume application times such as graduation season. Therefore, this process should be done in a timely fashion. We suggest at least 4 weeks or so before your transcript will arrive at the Board.

https://www.oplc.nh.gov/nursing/criminal-background-check.htm

Application Process for Licensing by Examination (NCLEX)

◦ Paper applications can be found at the end of this

presentation.

◦ Online applications are no longer available

◦ Step-by-Step Instructions can be found on the first

page of the paper application

Complete the Declaration of Primary State form

Your legal residence is the place you consider home, the place the IRS sends your tax

information, where you have a driver’s license, where you pay rent or taxes, where you

vote and may effect where you can test.

Attach proof of residency (photocopy):

◦ Drivers license

◦ Voter registration card

◦ Tax record

An Official School Transcript is a transcript that confirms your graduation date and degree earned. Do not send before you graduate or this information is not on the transcript.

Any transcripts received without this information will be invalid.

The NH BON must receive a sealed or electronic copy of your transcript directly from the school. Schools send electronic copies to: [email protected]

mailto:[email protected]

You must pre-register with PearsonVue prior to being approved by the Board to test. The nursing program test codes are on the Pearson website. You may register directly with the testing center (PearsonVue) on-line or by phone with a credit card.

Upon receipt of all the required application documents, the NH Board of Nursing will notify Pearson Vue.

Please do not call the Board of Nursing office to check status of

application. If you submitted online, check application status online. Otherwise, wait for your ATT number to be sent from Pearson Vue.

When you receive your Authorization To Test (ATT) from Pearson Vue, you

will schedule where and when you take your exam. Schedule a time that is best for you!

6. Registering with Pearson VUE:

You will receive your ATT from Pearson via email. Do not lose this – we strongly suggest bringing a copy of the email with this information to the exam.

You can schedule your exam (anywhere, any state). The testing

service must guarantee a scheduled date within 30 days of your request. (If you refuse the date, they can bump you to a later date).

When you schedule on-line, have an idea of your availability ahead of time-the scheduler will close out after 10 minutes.

Make sure to document the date and time of your exam - they will not remind you of your appointment.

www.pearsonvue.com/nclex

http://www.pearsonvue.com/nclex

http://www.pearsonvue.com/nclex

You will be allowed 6 hours (RN) or 5 hours (PN) to complete the exam.

Most people average 2 to 3 hours to complete.

Be on time. If you have problems, you can be up to 30 minutes late. If longer, call them- you might be required to reschedule and pay additional fees.

Have your current driver’s license with you even if someone is driving you.

You will need 2 current forms of ID with you with one of them being a picture ID. (The name must match exactly with name used for registration.)

Don’t bring books, large decorative pins, large barrettes for your hair, etc. All items must be placed in lockers (including cell phones) nothing may accompany you into the testing room. Your picture will be taken.

They will give you a white board to write on. You can write notes you

think you will need on the white board. If you ask for another board, you will lose the those notes because you must turn in the first board to receive another one. You cannot erase board #1.

You cannot go back to a question. You are asked if this is your final answer before you proceed to the next question.

The screen will abruptly shut off and go blank when you have finished your exam.

The NCLEX is Computerized Adaptive (CAT) Test, this means the exams are individually designed and each one is different.

There is a mandatory break after 90 minutes then every 60 minutes.

For Information about client needs categories on the NCLEX visit National Council State Boards of Nursing website : https://www.ncsbn.org/089900_2017_Bulletin_Proof2.pdf

Average number of questions answered is 134.

Include but not limited to:

◦ Multiple Response (4-6 options)

◦ Fill in the Blank calculation

◦ Ordered response

◦ Charts, graphics, sound and video may be used

Note: ATI practice exams have them all.

NH Board of Nursing will process and update your status on the verification link on the website usually within 4 business days after the date of your exam.

Please do not call the board office, this just prolongs our ability to quickly process results - just continue to check the website: https://nhlicenses.nh.gov/Verification/Search.aspx

If you have passed your exam, the application status will go from “pending” to “active”.

If you have failed your exam, the application status will go from “pending” to “withdrawn”.

https://nhlicenses.nh.gov/Verification/Search.aspx

Per PearsonVUE regulations, you may reapply to test 45 days after the date of your exam.

Follow the process on NH BON website for retaking the NCLEX exam. You will need to pay all of the testing and licensure fees again:

◦ $200.00 to test with Pearson Vue ◦ $120.00 license application, and ◦ The fees associated with the Criminal Background check will need

to be resubmitted if your results have expired. Criminal Background checks are valid for 6 months.

** An applicant shall have lifetime total of 5 opportunities within a consecutive 3 year period of graduation to obtain a passing grade on the examination. Nur 303.02 (f)

After 3 unsuccessful attempts to pass NCLEX - the fourth and fifth attempts will

require a remediation plan prior to resubmitting an application to test:

A remediation plan must be submitted & approved by the BON Educational

Program Specialist before you begin remediation process.

The outlined plan should be specific to individual’s learning needs.

Proof of completion of each step of the plan is required before your

application will be complete. Photos of study materials is not acceptable.

(If the process is repeated, the second remediation plan must be different then the

first.)

Applying for a temporary license is optional but you must have a license (temporary or permanent) for any job related orientation for nursing employment.

As a graduate nurse working with a temporary license (before taking the NCLEX), you must sign your name with GN for Registered Nurse program graduates and GPN for Practical Nurse program graduates.

You must work under the supervision of a licensed RN.

If you fail the NCLEX, your temporary license is immediately inactive regardless of the 120 days.

Office of Professional Licensure and Certification (OPLC)

NH Board of Nursing

121 South Fruit Street, Suite 102

Concord, NH 03301

We can be reached at:

603.271.2323

or

[email protected]

Best Wishes for Your Success

Fall 2017

OFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION STATE OF NEW HAMPSHIRE

DIVISION OF HEALTH PROFESSIONS 121 South Fruit Street, Suite 102

Concord, N.H. 03301

www.oplc.nh.gov/nursing

Fax 603.271.6605 Nursing 603.271.2323 Nursing Assistant 603.271.6282

APPLICATION AND REGISTRATION FEES ARE NON-REFUNDABLE. Application/licensing processes not completed within 180 days will be purged. New Hampshire has a mandatory licensing law; No one shall practice nursing

in New Hampshire without a current New Hampshire license or a current license in a compact state. RN/LPN examination – 1/2017 Page 1 of 7

PETER DANLES Executive Director

SHERI WALSH Division Director

NH BOARD OF NURSING EXAMINATION APPLICATION PROCESS

(Step-by-Step Instructions)

STEP 1: A FBI fingerprint and NH background check is required for each initial licensure. NH Board of Nursing cannot complete the application process or issue a temporary license until we have received and reviewed your criminal records. The Board can only accept processed criminal record reports that are sent to us directly from the NH State Police. More information is available on the website: https://www.oplc.nh.gov/nursing/criminal-background-check.htm STEP 2: Complete the Application for License by Examination, pages 1 and 2. (Required per each exam) STEP 3: Complete the Declaration of Primary State of Residency form and attach copy of your Driver’s license. (Required per each exam) STEP 4: Submit the 2 page application, the Declaration of Primary State of Residency form with a copy of your driver’s license (= 4 pages all together) along the fee to the NH Board of Nursing office. STEP 5: Request an official copy of your transcript from your nursing school to be sent to the Board office. Transcripts should be either mailed directly from the school to the NH Board of Nursing or sent electronically. Graduates must have a transcript which states type of degree attained and graduation or conferral date. If you are applying by Comparable Education (for licensure during a program), both a current transcript and the appropriate LPN or RN Comparable Education verification form are required for approval. * Comparable education refers to those students that meet Nur 303.05-students from NH schools of nursing or military programs that are comparable and approved. STEP 6: Pre-register with PearsonVue Testing Service. You can register on line at www.pearsonvue.com/nclex.

ABOUT TEMPORARY LICENSES: A temporary or permanent license must be issued in your name before you begin any job, including employee orientation. If you’re applying for a Temporary nursing license, fully complete the Application for Temporary License form, and forward it to the NH Board of Nursing along with the fee. You must include the Application for License by Examination or have a current application already pending with the NH board office. Temporary licenses can only be issued once an application is complete. Temporary licenses are valid up to 120 days or until your exam results are processed, regardless of pass or fail test results. ABOUT YOUR ATT: Once your Application for License by Examination is fully completed and you are eligible for testing, Pearson Testing Service will issue you an Authorization to Test. You will not receive an ATT if you have not pre-registered. When you receive your ATT (usually via email), please read and follow the instructions carefully to schedule your examination. The ATT does not come from the Board of Nursing. Be sure to note the date, time and place of your exam on the ATT. You will not receive a confirmation or reminder of your scheduled test date. The ID you present must match the name in the Pearson VUE system. If it does not match, you will not be allowed to test and will be required to re-register. CHECKING THE STATUS OF YOUR APPLICATION: Your application status and any licenses issued, including temporary licenses, can be viewed on our website at www.nh.gov/nursing by going to the “On-line Verification and Nursing Assistant Registry” under Quick Links. NCLEX results are usually processed within 96 hours after testing. PLEASE DO NOT CALL THE BOARD OFFICE ASKING ABOUT THE STATUS OF YOUR APPLICATION. If you have questions about your application, please email us at: [email protected] with the Subject: NCLEX.

http://www.oplc.nh.gov/nursing




Concord, N.H. 03301







APPLICATION PROCESS FOR LICENSING BY EXAMINATION (NCLEX) Check off steps when completed, SIGN and DATE when complete and submit this page with the application.

o YES I have followed Board directives found at: https://www.oplc.nh.gov/nursing/criminal-background-check.htm to complete the Criminal Background check and finger printing process. This process can take up to 8 weeks for completion. Please be aware that the NH Board of Nursing cannot continue with the application process until we have received, reviewed and approved your completed criminal record report. The Board will only accept completed criminal record reports that are sent to us directly from the NH State Police. A FBI fingerprint and NH background check is required for each initial licensure.

o YES I have completed and attached the Application for Licensing by Examination and fee.

o o

o YES I have requested that my nursing program send a copy of my final, official transcript with graduation date and degree earned stated on it to the NH Board of Nursing office. (A transcript is not required for foreign educated nurses.)

o YES I have pre-registered with Pearson VUE and paid the $200 fee. (See below.)

• When the Board of Nursing has received your application (4 pages), fee, transcript and criminal background report, the Board will notify Pearson VUE that you are eligible to test.

• Pearson VUE will e-mail you an Authorization to Test (ATT). You then contact Pearson VUE to set up your test date.

Name: __________________________________Signature:______________________________________ Date: _______________

EXAM BY COMPARABLE EDUCATION: (Complete this section only if you have not yet earned a degree. If you have graduated from a program - skip this section)

[ ] YES FOR LPN: (offered for NH Nursing Programs only) I have requested a transcript from the nursing educational program registrar and a completed “Nursing Courses Successfully Completed” verification form signed by the Director of Nursing to be directly sent to the NH Board of Nursing attesting to the successful completion of: Fundamentals of Nursing, Medical/Surgical Nursing, Mental Health, and Maternal/Child Health. These four courses plus any additional “nursing” courses taken must equal a minimum 600 hours -concurrent classroom and clinical education.

[ ] YES FOR RN: I have requested a transcript from the nursing educational program registrar and a completed “Nursing Courses Successfully Completed” verification form signed by the Director of Nursing to be directly sent to the NH Board of Nursing attesting to the successful completion of courses that meet the generalist requirements for a registered nursing degree pursuant to NUR 602.13 These courses plus any additional “nursing” courses taken must equal a minimum 1,080 hours -concurrent classroom and clinical education.

If you are requesting accommodations when taking this examination, please obtain the “Request for Accommodation” form and follow the instructions and submit those required documents along with your examination application. If accommodations are not requested at the time of application, on-site testing accommodations will not be available.

FOREIGN RN / LPN GRADUATES must submit a nationally accepted qualifying certificate issued within the past two years that is endorsed by the National Council of State Boards of Nursing, as well as provide verification of educational credentials, proof of licensing and previous employment. CANADIAN EDUCATED NURSES except Quebec; are not considered foreign for this application.





Concord, N.H. 03301







NH Board of Nursing LICENSE BY EXAMINATION (NCLEX) APPLICATION

LAST NAME: FIRST NAME: MIDDLE INITIAL: OTHER NAMES USED:

MAILING ADDRESS: EMAIL:

CITY OR TOWN: STATE: ZIP CODE: COUNTY:

PHYSICAL RESIDENCE IF DIFFERENT FROM MAILING: (REQUIRED)

Sources used to determine residence for Compact licensure include but are not limited to driver's license, federal tax return, voter registration or military payroll documents. DATE OF BIRTH: PHONE NUMBER: SOCIAL SECURITY # (REQUIRED)

1) Have you ever received disciplinary action against any nursing, nursing assistant license, or certification in any state or jurisdiction including reprimand, probation, suspension, revocation, educational or practice stipulations, fines or voluntary surrender?

[ ] YES [ ] NO

2) Are you currently participating in a substance abuse and/or alcohol or drug treatment program or have been diagnosed with a substance abuse disorder which in any way currently affects or limits your ability to practice safely and in a competent and professional manner??

[ ] YES [ ] NO

3) Have you ever been convicted of a misdemeanor, felony or any criminal act, not including traffic violations? [ ] YES [ ] NO

4) Do you have any mental and/or physical conditions that make you incompetent to provide nursing-related activities? [ ] YES [ ] NO

5) IF YOU ANSWERED YES TO ANY QUESTIONS 1 - 4, HAVE YOU ATTACHED YOUR REQUIRED LETTER OF EXPLANATION? [ ] YES [ ] NO

6) Do you want your name and address on a list of nurses that may be made available for purchase? [ ] YES [ ] NO

7) Do you want your name and address on a list that may be made available for individuals conducting health care research? [ ] YES [ ] NO

Please list every state or country in which you have ever held a license as a RN or LPN: (Please use the back of this page if needed)

STATE: LICENSE TYPE /NUMBER:

COUNTRY: LICENSE TYPE / NUMBER:

Name, City and State of Nursing School (Required): GRADUATION DATE: OR ANTICIPATED GRADUATION DATE: OR WITHDRAWAL DATE:

PROGRAM TYPE: [__] CERTIFICATE [__] DIPLOMA [__] ASSOCIATES DEGREE [__] BACCALAUREATE [__] MASTERS [__] DOCTOR OF NURSING

HAVE YOU EVER FAILED AN EXAMINATION FOR RN OR LPN? Y or N

EXAM DATE(S): STATE(S): EXAM TYPE:

Applicants are granted a collective life time total of 5 attempts to pass the NCLEX exam in the state of New Hampshire. Any previous NCLEX exam(s) attempts taken outside of New Hampshire will also be included as part of one’s cumulative total. MAKE CHECK OR MONEY ORDER PAYABLE TREASURER, STATE OF NEW HAMPSHIRE FEE: $120.00 UNDER PENALTY OF LAW, I state the information provided is accurate to the best of my knowledge and belief. I understand knowingly providing false information may be grounds for denial, probation, reprimand, suspension or revocation of a license (RSA 326-B: 37) and may be grounds for conviction of a misdemeanor (RSA 641:3).

SIGNATURE: DATE:

OFFICE USE ONLY DATE INITIALS

FEE: AREC'D: BCK/MO: ETEMP L# XLIC# CDATE ISSUED:

Select One - RN LPN




Concord, N.H. 03301







DECLARATION OF PRIMARY STATE OF RESIDENCY FORM

YOU MUST ATTACH A LEGIBLE COPY OF YOUR STATE ISSUED DRIVER LICENSE OR A GOVERNMENT ISSUED ID AS PROOF OF RESIDENCY.

APPLICANT INFORMATION: FULL NAME (PLEASE PRINT) ________________________________________________________________________________ DATE OF BIRTH / / PHONE NUMBER ( ) - SOCIAL SECURITY # __ __ __ * __ __ * __ __ __ __ LICENSE APPLICATION TYPE: [ ] EXAM NOTIFICATION FOR: [ ] RN [ ] LPN

CHECK ONE OF THE FOLLOWING: [ ] My primary state of residence is New Hampshire. (I have provided a clean, legible copy of my NH drivers’ license)

[ ] I do not declare New Hampshire as my primary state of residency. My permanent residence is a state not [ ] participating in the nurse licensure compact. My license will be valid in NH only.

[ ] I am employed exclusively in the US Military (Active Duty) or with the U.S. Federal Government and request a NH single-state license regardless of my primary state of residence.

Current home address: Address: ______________________________________ City: ___________________ State: _______ Zip Code: _____________ Current mailing address: Address: ______________________________________ City: ___________________ State: _______ Zip Code: _____________

IMPORTANT: Pursuant to the Nurse Practice Act (RSA 326-B: 46- Nurse Licensure Compact): A nurse applying for a license shall provide evidence of the nurse’s primary state of residence. The primary state of residency is where you vote, pay taxes, hold a driver’s license, etc. In order for NH to issue your eligibility to test for licensure in NH, you cannot legally reside in another compact state. Feel free to visit our website or ncsbn.org for more information on nurse compact licensure. UNDER PENALTY OF LAW, I state the information provided is accurate to the best of my knowledge and belief. I understand knowingly providing false information may be grounds for denial, probation, reprimand, suspension or revocation of a license (RSA 326-B: 37) and may be grounds for conviction of a misdemeanor (RSA 641:3)

SIGNATURE ________________________________________________________________ DATE __________________________




Concord, N.H. 03301







LPN COMPARABLE EDUCATION VERIFICATION FORM (If you have been awarded a LPN degree, disregard this page.)

STUDENT NAME: ______________________________________________________________________________ NURSING PROGRAM: __________________________________________________________________________

If you are a RN student applying for the LPN exam using Comparable Education, this form must be submitted.

DIRECTIONS: The Director of Nursing must provide the following information and submit this form directly to the NH Board of Nursing. Please print clearly and identify the course content of the nursing courses. Fundamentals of Nursing, Medical / Surgical Nursing, Mental Health Nursing, Maternal/Child Health, and Pediatric Nursing are all requirements. LPNs are required to have a minimum total of 600 hours of concurrent classroom and clinical education.

_________________________________________________________________________ ____________________________ DIRECTOR OF NURSING SIGNATURE DATE

COURSE CODE COURSE TITLE COURSE CONTENTTHEORY HOURS

LAB HOURS

CLINICAL HOURS

NURSING COURSES SUCCESSFULLY COMPLETED

TOTAL HOURS =




Concord, N.H. 03301







RN COMPARABLE EDUCATION VERIFICATION FORM (If you have been awarded a RN degree, disregard this page.)

STUDENT NAME: ______________________________________________________________________________ NURSING PROGRAM: __________________________________________________________________________

If you are a RN student (Direct Entry Master program) applying for the RN exam using Comparable Education, this form must be submitted.

DIRECTIONS: The Director of Nursing must provide the following information and submit this form directly to the NH Board of Nursing. Please print clearly and identify the course content of the nursing courses that meet the generalist requirements for a registered nursing degree pursuant to NUR 602.13 These courses plus any additional “nursing” courses taken. RNs are required to have a minimum total of 1,080 hours of concurrent classroom and clinical education.

_________________________________________________________________________ ____________________________ DIRECTOR OF NURSING SIGNATURE DATE

COURSE CODE COURSE TITLE COURSE CONTENTTHEORY HOURS

LAB HOURS

CLINICAL HOURS

NURSING COURSES SUCCESSFULLY COMPLETED

TOTAL HOURS =




Concord, N.H. 03301







NH BOARD OF NURSING TEMPORARY LICENSE APPLICATION

New Hampshire Board of Nursing may issue a temporary license to candidates seeking to take the NCLEX examination once the all requirements are complete. A temporary license can only be requested in conjunction with a permanent initial license application. Temporary licenses are valid for 120 days, or for as long as the Examination application is valid. Once an application expires, purges, or test results are processed, the temporary license becomes invalid.

If you are reapplying to retake the exam after a fail, you are not eligible to apply for a Temporary license. TYPE: [ ] LPN [ ] LPN COMP ED [ ] RN [ ] RN DIRECT ENTRY MASTERS [ ] RN CANADIAN [ ] RN FOREIGN LAST NAME: FIRST NAME: MIDDLE: OTHER NAMES USED:

MAILING ADDRESS:

CITY / TOWN: STATE: ZIP CODE: COUNTRY:

PHYSICAL ADDRESS:

CITY / TOWN: STATE: ZIP CODE: COUNTRY:

Sources used to determine residence for Compact licensure include but are not limited to driver's license, federal tax return, voter registration or military payroll documents.

EMAIL:

DATE OF BIRTH: PHONE # SOCIAL SECURITY # (REQUIRED)

IS YOUR APPLICATION FOR EXAM / RE-ENTRY / ENDORSEMENT FILED WITH THE BOARD? [ ] YES [ ] NO DATE FILED:

HAVE YOU EVER HAD A TEMPORARY LICENSE IN NH? [ ] YES [ ] NO TYPE: [ ] RN [ ] LPN

NAME OF NURSING SCHOOL (Required):

NURSING SCHOOL ADDRESS (Required): GRADUATION DATE: OR ANTICIPATED GRADUATION DATE: OR WITHDRAWAL DATE:

PROGRAM TYPE: [__] CERTIFICATE [__] DIPLOMA [__] ASSOCIATES DEGREE [__] BACCALAUREATE [__] MASTERS [__] DOCTOR OF NURSING

HAVE YOU EVER FAILED AN EXAMINATION FOR RN OR LPN?

EXAM DATE(S): STATE: EXAM TYPE:

FOREIGN EDUCATED NURSES A qualifying examination certificate, verification of educational credentials and proof of licensing is: Available [ ] Pending [ ]

ANTICIPATED EMPLOYER: (IF NONE ANTICIPATED, PLEASE WRITE "NONE")

CURRENT EMPLOYER: (IF NONE, PLEASE WRITE "NONE")

MAKE CHECK OR MONEY ORDER PAYABLE TO: TREASURE, STATE OF NEW HAMPSHIRE TEMP LICENSE FEE: $ 20.00 UNDER PENALTY OF LAW, I state the information provided is accurate to the best of my knowledge and belief. I understand knowingly providing false information may be grounds for denial, probation, reprimand, suspension or revocation of a license (RSA 326-B: 37) and may be grounds for conviction of a misdemeanor (RSA 641:3)

_______________________________________________________________ ____________________________ SIGNATURE DATE


OPTIONAL INFORMATIONAL QUESTION REGARDING MILITARY EXPERIENCE AND/OR RELATIONSHIP

TO MILITARY PERSONNEL TRANSFERRED TO NEW HAMPSHIRE

Dear Applicant,

Pursuant to New Hampshire RSA 332-G:7, each board supported by the New Hampshire Office of Professional Licensure and Certification (OPLC) shall:

1. “upon presentation of satisfactory evidence with an application for licensure, certification, orregistration, accept education, training, or service completed by an individual as a member ofthe armed forces, as defined in RSA 21:50, II, toward the qualifications required to receive thelicense, certificate, or registration in question.”

RSA 21:50, II - "Armed forces'' means the United States Army, Army Reserve, Navy, Naval Reserve, Marine Corps, Marine Corps Reserve, Air Force, Air Force Reserve, Coast Guard, Coast Guard Reserve, Army National Guard, and the Air National Guard. "Armed forces'' also includes other components, but is limited to those components and active duty periods described in 38 C.F.R. 3.7.

OR

2. “Notwithstanding any general or special law to the contrary, each of the boards or commissionsunder this title authorized to conduct licensure, certification, or registration, and examinationstherefor, shall upon the presentation of satisfactory evidence by an applicant before the boardor commission, facilitate the issuance of a license or certification for a person: (i) who is certifiedor licensed in a state other than New Hampshire; (ii) whose spouse is a member of the armedforces in the United States; (iii) whose spouse is the subject of a military transfer to NewHampshire; and (iv) who left employment to accompany a spouse to New Hampshire. Theprocedure shall include, but not be limited to, facilitating the issuance of a license, certificate, orregistration if, in the opinion of the board or commission, the requirements for licensure,certification, or registration of such other state are substantially equivalent to the requirementsfor licensure, certification, or registration in New Hampshire.”

Please place a check mark in all that apply below:

I am eligible for consideration as defined in paragraph #1 above.

I am not eligible for consideration as defined in paragraph #1 above.

I am eligible for consideration as defined in paragraph #2 above.

I am not eligible for consideration as defined in paragraph #2 above

Documents

Licensing by Examination: Application Process and … by Examination: Application Process & Procedures Step-by-Step Instructions N. H. Board of Nursing 121 South Fruit St Suite 102