Nurses Questionnaire Name *Email Address *Phone *Do you use WhatsApp?YesNoAre you a Licensed Nurse in your home country?YesNoHow many years have you been working as a licensed Nurse?Do you have a minimum of 6 months of documented and paid experience in the position you are applying for?YesNoCountry of BirthCountry of CitizenshipWhat University did you attend?Have you received an ATT (authorization to take the test) for the NCLEX-RN?YesNoHave you taken the NCLEX before?YesNoHow confident are you that you could pass the NCLEX Exam right now? 1-101-Not Very, to 10-Very ConfidentHow confident are you that you could pass the NCLEX Exam with proper studying?1-Not Very, to 10-Very ConfidentCan you provide these documents below? Select all that apply.Photocopy of Academic TranscriptPhotocopy of Current ResumePhotocopy of Current PassportPhotocopies of spouse and children’s current passport if also immigrating into the United States (if applicable)Photocopies of all diplomas and transcripts received, including English Translations, if possiblePhotocopy of your Most Recent Pay Stub3 Letters of Recommendations that can vouch for your character and work ethicAny awards that pertain to the position applying for (if applicable)All licenses and certifications (if applicable)Photocopy of your Most Recent Pay Stub3 Letters of Recommendations that can vouch for your character and work ethicPhotocopy of marriage certificate and children’s birth certificates, with certified English translations (if applicable)Select all that apply.Can you provide and Experience Letter from Previous Employer that Pertains to Position Applying for must include the following: Date of Letter Written Start date of employment and End Date of Employment (day, month, year) Employee’s work Status (full or part time) Position worked (Cook, Housekeeper, Caregiver) Description of Position/Responsibilities/Duties Description of Work Ethic Signature of Employer (Full Name and Official Title) Typed on a Professional Letterhead (if possible)YesNoPartialSelect all that apply.Any awards that pertain to the position applying for (if applicable)All licenses and certifications (if applicable)What would you rate your understanding of English Speaking?1-Not Very, to 10-Very ConfidentWhat would you rate your understanding of English Writing?1-Not Very, to 10-Very ConfidentWhat would you rate your understanding of English Reading?1-Not Very, to 10-Very ConfidentHow confident are you that you could pass an English Proficiency Test?1-Not Very, to 10-Very ConfidentWhy do you want to come to America and work?Have you ever overstayed a Visa in the United States?YesNoHave you ever been denied a Visa in the United States?YesNoDo you have any health issues that may prevent you from immigrating into the United States?YesNoDo you have a criminal record that may prevent you from immigrating into the United States?YesNoAre you willing and able to get a Driver’s License in the United States?YesNoAre you willing and able to provide your own housing upon arrival into the United States?YesNoIs there any reason why your immigration status may be denied into the United States?YesNoAre you willing to commit 4 years of work to your first employer in the United States?YesNoWhy do you want to be awarded this sponsorship? Send Message
