NCLEX Credit Application

1. Personal Information *This question is required.

First Name

Last Name

Student ID# - (If you do not provide a full and accurate Student ID# you will not receive NCLEX credit)

Toromail This question requires a valid email address.

Semester and Year BSN started (ex. Fall 2021)

Expected BSN Graduation (MM/YYYY) *This question is required.

RN License # (must be active & unencumbered)

RN License Expiration Date

Other Name on RN license (if applicable)