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These requirements apply to both immigrant and nonimmigrant applicants.


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Any non-U.S. citizen coming to the United States for employment as a health care worker (other than a physician) cannot be admitted unless he or she presents a certificate from either the Commission on Graduates of Foreign Nursing Schools (CGFNS) or a certificate of equal standing from an organization with equivalent credentials. These requirements apply to both immigrant and nonimmigrant applicants. Regarding visa classification, nonimmigrant health care workers will most likely be in H-1C, H-1B, J, O, or TN non-immigrant categories. Any non-immigrants coming to receive training in a health care occupation will not be required to obtain certification. Such health care workers will most likely be in F-1, J-1 (aliens coming to undertake a training program in a medical field) and H-3 nonimmigrant classifications. Please note that each of these visa classifications has additional requirements. Please go to our Nonimmigrant Visa or our Immigrant Visa Classification pages for more information on visa categories.

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Yes, as of July 26, 2004, if a nonimmigrant is seeking to be admitted to the United States, is changing status, and/or is requesting an extension of stay, he or she must provide evidence of health care worker certification if the primary purpose for coming to or remaining in the United States is employment in one of the affected health care occupations. Previously, under section 212(d)(3) of the Act, the CIS and the Department of State waived Health Care Worker certification requirements for nonimmigrants, while requiring it for immigrants. After careful consideration of the statute and legislative history, it has been determined that nonimmigrants are also subject to the certification requirements.


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I will have to look for a lawyer once I pass the NCLEX. However, I have not even taken the test yet, and therefore, I have no laywer to ask at this point.

I visited the CGFNS's website. They have not upped the information being discussed here yet. They just say as following:
Applicants who wish to obtain an occupational visa to practice as nurses in the United States must present a CGFNS Certificate or a passing score on the NCLEX-RN� examination to provide proof of their nursing knowledge.

I am planning on the NCLEX sometime in spring...maybe in March or April.
Even in the best-case senario, which is I pass the exam and get a job,I do not still know if I can start the application process for a greencard by 7/26, 2004.

This is a nightmare

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Thanks, Hiromi. I will pay attention to the BCIS, CGFNS, and CA board site for the latest information.

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Thanks for sharing the information. I have decided to take the CGFNS after the NCLEX. It seems it is rather faster and sure to obtain CGFNS certificate if I would like to get a nursing job. Even it is in CA, I would need to think about the exam thing in order to get a greencard.

My purpose is not a greencard, but if I want to work, I will need it since an H1 visa is not really practical.

Thanks.