Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Read through the instruction sheet carefully. Ensure you gather all the required supporting documents mentioned before you start filling out the form.
3. In Part I, enter the application category information including your profession name, profession code, and the selected licensure method. Check the reference sheet for accurate details.
4. Complete Part II with your identifying information. Provide your full name, U.S. social security number, and your permanent mailing address. Ensure all fields are filled accurately and legibly.
5. Move on to Part III, where you will input your educational history. Include the college or university name, location, and dates of attendance.
6. If you have previously held any licenses or examinations, complete Part IV with the necessary details. Contact the jurisdictions to obtain any certifications needed to support your application.
7. In Part V, list any nurse examinations taken and their results. Ensure accuracy since all attempts must be recorded.
8. Address the personal history information in Part VI. Answer all questions fully, especially those regarding criminal offenses, if applicable.
9. Complete Part VII by answering the child support and student loan questions comprehensively.
10. In Part VIII, sign and date the certifying statement. Ensure you understand that all information provided is under penalty of perjury.
11. Finally, gather all supporting documents, including any proof of legal name change if applicable, and prepare to submit your application.
12. Mail the completed application, supporting documents, and the application fee to the specified address. Remember to keep a copy for your records.

Begin your application process online to secure your future as an Advanced Practice Nurse.