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How do I fill this out?

To fill out this form, begin by gathering your personal information and previous exam details. Ensure you have the non-refundable fee ready for submission. Follow the instructions carefully to avoid any delays in processing your application.

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How to fill out the California Board of Registered Nursing Reapply Form?

  1. 1

    Gather your personal information and previous exam details.

  2. 2

    Ensure non-refundable fee payment is ready.

  3. 3

    Complete all required fields in the application.

  4. 4

    Attach necessary documentation as instructed.

  5. 5

    Submit the application to the Board of Registered Nursing.

Who needs the California Board of Registered Nursing Reapply Form?

  1. 1

    Nursing candidates who need to retake the NCLEX-RN exam.

  2. 2

    Registered Nurses whose previous exam results were unsatisfactory.

  3. 3

    Individuals who hold an Interim Permit and need to reapply.

  4. 4

    Students from nursing programs seeking licensure in California.

  5. 5

    Healthcare professionals wanting to switch from another state.

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With PrintFriendly, you can easily edit this PDF to fill out your application. Use our intuitive editing tools to modify text and add your information seamlessly. Save your changes quickly so you can submit your application without any hassle.

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With PrintFriendly, you can easily edit this PDF to fill out your application. Use our intuitive editing tools to modify text and add your information seamlessly. Save your changes quickly so you can submit your application without any hassle.

  1. 1

    Upload the PDF file to PrintFriendly.

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    Select the areas you want to edit.

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    Fill in your information using the editing tools.

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    Review the changes for accuracy.

  5. 5

    Download the edited PDF for submission.

What are the instructions for submitting this form?

To submit this form, complete all required fields and ensure the non-refundable fee is included. You can mail your application to the Board of Registered Nursing at P.O. Box 944210, Sacramento, CA 94244-2100. For additional convenience, check if any online submission options are available on the Board's official website.

What are the important dates for this form in 2024 and 2025?

Be mindful of essential deadlines for submitting the application for reapply and repeat examination. Check the official website for updates on processing times and examination scheduling for 2024 and 2025. Ensure to submit your form well before the examination dates to avoid any last-minute issues.

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What is the purpose of this form?

The purpose of this form is to facilitate the application process for nursing candidates who wish to reapply for the NCLEX-RN examination in California. It serves as an official request to take the exam again after an unsuccessful attempt. Moreover, it ensures that applicants adhere to the state's regulatory and administrative requirements for licensure.

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Tell me about this form and its components and fields line-by-line.

The form includes several fields that need to be filled out for processing your application.
fields
  • 1. Last Name: Enter your last name as it appears on official documents.
  • 2. Address: Provide your complete mailing address.
  • 3. Telephone Number: Your primary and alternate contact numbers.
  • 4. Email Address: A valid email address for communication.
  • 5. Date of Birth: Your date of birth in month/day/year format.
  • 6. Social Security Number: Your SSN or ITIN required for processing.
  • 7. Prior Disciplinary Actions: Detail any past disciplinary actions if applicable.

What happens if I fail to submit this form?

Failing to submit this form can result in delays in taking the NCLEX-RN exam or being unable to retake the exam altogether.

  • Denial of Licensure: Failure to submit may lead to your licensure application being denied.
  • Delayed Examination: Without timely submission, your ability to sit for the exam may be postponed.
  • Incomplete Application: Not providing required information will result in an incomplete application.

How do I know when to use this form?

Use this form when you have previously taken the NCLEX-RN exam and did not pass. It is also necessary to reapply if you are currently holding an Interim Permit and need to continue the licensure process. Ensure you have met all necessary criteria before submitting.
fields
  • 1. Retaking the NCLEX-RN Exam: For candidates who did not achieve a passing score.
  • 2. Reapplying for Licensure: When your Interim Permit has expired.
  • 3. Providing Updated Information: To provide any new personal or professional details required by the board.

Frequently Asked Question

How do I access the form?

You can download the form directly from our website.

What format is the file in?

The file is available in PDF format for easy printing and submission.

Can I edit the PDF online?

Yes, you can edit the PDF easily using PrintFriendly's editing tools.

Is there a fee for this application?

Yes, a non-refundable fee of $250 is required upon submission.

How do I submit the completed form?

You can submit the form via mail or online as specified in the instructions.

What if I need accommodations due to a disability?

Refer to the specific guidelines in the form for requesting accommodations.

When is the deadline for submission?

Please check the form for important dates and submission deadlines.

Can I track my application status?

You can contact the Board of Registered Nursing for updates on your application.

What should I include with my application?

Ensure all required documentation is attached as specified in the instructions.

Who can help me with questions about filling out the form?

You can reach out to the Board of Registered Nursing for assistance.

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California Board of Registered Nursing Reapply Form

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