Get Candidate Roster Form

Filling out the Candidate Roster Form is a critical step for candidates seeking eligibility for the NCLEX-RN examination and an interim permit. This guide will provide you with a clear, user-friendly approach to completing the form efficiently.

Follow the steps to accurately complete the Candidate Roster Form.

1. Press the ‘Get Form’ button to access the Candidate Roster Form and open it in the editor.
2. Begin by entering your last name in the designated field, followed by your first name. Ensure that you provide your middle name if applicable.
3. Input your date of birth in the format (mm/dd/yyyy) to confirm your identity.
4. If you have previously been known by any other names (including maiden names), please list them in the provided section.
5. Fill in the nursing program attended, ensuring that all details are accurate.
6. The nursing program director must complete the certification section. They will confirm your completion of educational requirements for the NCLEX-RN.
7. Select the appropriate status by checking only one box: Graduate, already has a previous degree, non-graduate, LVN 30-unit option, or entry-level master’s program.
8. Enter completion dates for nursing requirements and previous degrees as required in the form.
9. The nursing director must sign and date the form, certifying the information provided under the penalty of perjury.
10. Once all fields are completed, review the form for accuracy. You can then save changes, download, print, or share the form as necessary.

Complete your Candidate Roster Form online today to ensure your eligibility for the NCLEX-RN.