U.S. Federal regulations require foreign nurses and some other health care workers to obtain a Health care Worker Certificate, also know as a VisaScreen^TM (VS), before work authorization, including Trade NAFTA (TN) can be granted.

Even if you completed your nursing education in the United States, you are required to obtain a VisaScreen^TM certificate. In order to obtain a VisaScreen^TM certificate a nurse must:

• Pass the Commission on Graduates of Foreign Nursing Schools (CGFN-RN) exam OR Pass the National Council State boards of Nursing (NCLEX-RN) exam

Passing the NCLEX qualifies nurses for permanent Michgian licensure.

New RN graduates will be reimbursed for completing the NCLEX. We also provide reimbursement for the VisaScreen^TM and TN work authorization fees.

Steps for Canadian Citizens applying for TN work authorization and licensure as a Registered Nurse in Michigan

1. Obtain your Ontario or other provincial nursing license.
2. Apply for Michigan RN license. If educated outside Ontario, you must first complete the English language proficiency and CGFNS exams. Applications for Michgian can be requested by calling 517-335-0918 or online at www.michigan.gov/healthlicense.
3. Register to take the NCLEX-RN exam. www.vue.com/nclex
4. Upon passing the NCLEX, apply for a Health care Worker Certificate VisaScree^TM through CGFNS/ICHIP www.cgfns.org
5. Upon receipt of your VisaScreen certificate:
   1. Obtain a Letter of Intent to employ from St. John Health's Human Resources representative.
   2. Apply for TN status through the bureau of Citizenship and Immigration Services at any United States port of entry http://travel.state.gov/visa/temp/types/types_1274.html
6. Once you have your TN Visa, you will need to apply for a Social Security Number or an Individual Taxpayer Identification number. www.ssa.gov.

This information may change without notice. For questions, please contact St. John Health Talent Center at 1-888-478-5646.

Additional Information

If you want to learn more about the nursing opportunities at St. John Health, call us at 1-877-56-SJH-RN (1-877-567-5476).