A Quick Guide to Credential Evaluation for Foreign-Educated Nurses

Here’s a quick breakdown of the credential evaluation process for foreign-educated nurses if they want to work in the USA—what it is, why it matters, and how to get started.

Why Credential Evaluation Matters

To get licensed in the U.S., your nursing education will need to cover these five core areas:

• Medical Nursing
• Surgical Nursing
• Obstetrics
• Pediatrics
• Mental Health/Psychiatric Nursing

Each area requires both theory and clinical hours. Since each state has its own board of nursing, requirements can vary slightly, so ensuring coverage in these domains is key. Missing hours could impact your eligibility to take the NCLEX or even get licensed in certain states.

Credential Evaluation Steps

For U.S. licensure, foreign-educated nurses need a Credential Evaluation Services Professional (CES) report from CGFNS or a Nursing Course-by-Course report from Josef Silny & Associates (JS&A). These reports confirm that your education aligns with U.S. nursing standards. Review your transcripts carefully and, if needed, request official academic transcripts from your nursing school for evaluation.

Where to Start

1. CGFNS: Start your credentialing process on the CGFNS portal.
2. JS&A: Learn about JS&A’s course-by-course evaluation here.

Licensure & Work Authorization Requirements

To work as a U.S. RN, you’ll need:

• A state nursing license
• Legal status (U.S. Citizenship, Green Card) OR a TN visa

Credentialing ensures your qualifications align with U.S. standards, helping you step confidently into your new role. Reach out with any questions—we’re here to help!