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CGFNS Certification Program

The CGFNS Certification Program (CP) is designed specifically for first-level general (Registered) nurses educated outside the United States who wish to pursue a career in the U.S. as registered nurses. The program comprises of three parts:
  1. A credentials review of your nursing education, registration and licensure
  2. The CGFNS Qualifying Exam testing nursing knowledge
  3. (Offered four times a year in over 40 test sites worldwide)
  4. An English language proficiency examination.
In order to be eligible for the CGFNS Qualifying Exam, you must have completed a minimum number of hours of both classroom instruction and clinical practice in Adult Medical/Surgical Nursing, Maternal/Infant Nursing (Obstetrics), excluding Gynecology, Care of Children (Pediatrics), and Psychiatric/Mental Health Nursing, excluding Neurology.


If you have not completed any and/or an insufficient number of hours in each of the above areas, you will be ineligible to take the CGFNS Qualifying Exam until you complete an entire course (both theory and clinical) in the deficient area from a government-approved nursing school.

You must also have been registered (1) as a first-level (Registered) nurse in your country of education, and (2) currently hold a registration/license as a Registered Nurse in some jurisdiction.

Verification of both registrations must be sent to CGFNS directly from the licensing body(ies).

Applicants may select from the following three English Proficiency examinations to take as part of the Certification Program:
  • Test of English as a Foreign Language (TOEFL®) iBT (minimum required total score of 83)
  • Test of English as a Foreign Language (TOEFL®) PBT (minimum required total score of 540 on the paper-based version, or 207 on the computer based version)
  • Test of English for International Communication (TOEIC®) (minimum required total score of 725)
  • International English Language Testing System (IELTS) (minimum required total score of 6.5 (Academic Module only)
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