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Foreign Nurse Employment Frequently Asked Questions

  1. Does UMHS Department of Nursing sponsor foreign nurses for H1-B visas or green cards?

  2.  
  3. What is the process for foreign nurses to become employed in the state of Michigan?

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  5. Can foreign nurses issued a license in another state have their licenses automatically endorsed in Michigan?

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  7. What is a TN non-immigrant visa?

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  9. What is a Visa Screen Certificate?

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  11. What are Michigan’s licensure requirements if I received my nursing education in a country other than Canada?

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  13. Do I need a Visa Screen Certificate if I am a Canadian citizen and work in the US?

  14.  
  15. What is an H-1B visa?

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  17. What employment options do student nurses with an F-1 visa have?

  18.  
  19. Does the International Center on campus process green card applications?



     
  1. No, at this time we do not routinely sponsor foreign nurses for entry level employment either monetarily for legal fees or in providing paperwork necessary for either an H1-B visa petition or green card.

  2.  

     
  3. Foreign nurses educated outside of Canada or Mexico need to take the CGFNS (Commission on Graduates of Foreign Nursing Schools) test and the NCLEX test to obtain a Michigan nursing license. They also need a Visa Screen Certificate, as required by US Immigration Law. It can take several months to obtain this certificate. The certificate is valid for 5 yrs.

  4.  

     
  5. Yes, if they have maintained an active license with no disciplinary sanctions for at least 5 years immediately preceding the application for a Michigan license, by endorsement. An application can be requested from the State of Michigan at: www.michigan.gov/healthlicense.

  6.  

     
  7. A TN visa refers to the Trade NAFTA occupational visa issued temporarily for one year to Canadian citizens and Mexican nationals. The following conditions apply for Canadian citizens. The TN visa can be renewed annually an indefinite number of times in one-year increments, as long as the nurse’s intention is to remain in the US temporarily. Canadian graduate nurses and licensed nurses can request admission as a TN non-immigrant at a Port of Entry to the US after applying for a Visa Screen Certificate first. A letter of intent to employ a Canadian nurse is a necessary prerequisite before a Visa Screen certificate is issued. It should include the job title and description of proposed duties, salary, a statement that the employment is temporary and the employee has the necessary credentials or license. There is also a fee of around $50.
    The following conditions apply to Mexican nationals. TN Visas are limited to one year. Mexican nationals must apply for a TN visa directly at a US consulate in Mexico, not at the border.

  8.  

     
  9. Since 1996, US immigration law requires foreign nurses and other healthcare professionals to complete a screening program prior to receiving an occupational visa.
    The Commission on Graduates of Foreign Nursing Schools (CGFNS) was named as an organization qualified to offer this federal screening program. A new division, the International Commission on Healthcare Professions (ICHP) was created to administer the Visa Screen. Screening includes an assessment of the nurse’s education, demonstrated by earning a CGFNS certificate or passing the NCLEX, to ensure his/her education is comparable to a US graduate. In addition, it includes licensure validation and English language proficiency, if applicable. After successful screening, the nurse is issued a Visa Screen Certificate which can be presented to a border port of entry (Canadian citizens) or the US consulate as part of a visa application. The cost is around $400.

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  11. Michigan requires foreign nurses educated abroad, to take the CGFNS and NCLEX before applying for a visa. The CGFNS test is a three part program, which evaluates the foreign nurse’s education, a one-day qualifying exam of nursing knowledge and an English language proficiency exam. It is offered three times a year in the US. Foreign nurses educated in the US also need a Visa Screen Certificate. The Visa Screen Certificate is valid for 5 years.

  12.  

     
  13. Yes, Canadian citizens working in the US need a Visa Screen Certificate and a TN (Trade NAFTA) visa to work in the US. Canadian educated nurses will not have to take the CGFNS test but will have to take the NCLEX before a Visa Screen Certificate is issued.
    Canadian citizens working in the US, under the TN visa, prior to 9/23/03 have through 9/30/05 to obtain a Visa Screen Certificate.

  14.  

     
  15. An H-1B visa is a temporary work visa for professionals in specialty occupations such as nurses. It is issued for a maximum of 6 years, sometimes in 3 year increments. A business immigration attorney should be used to file an H-1B petition. The foreign nurse must have a Baccalaureate degree or higher from an accredited college or university, or a foreign degree equivalent. Second, the specialty position must commonly require such a degree. Third, the employer must normally require a bachelor’s degree as a minimum requirement for the position. Lastly, the nurse must have the state license required for the position. It is difficult for nurses to obtain the H-1B visa since most entry level nursing positions do NOT require a Baccalaureate degree. It could be possible for a nurse with an advanced practice degree or specialty certification to be issued an H-1B visa for an advanced position.
    UMHS employs an entry level nurse with a Bachelor’s degree, Associate degree or diploma in nursing. We do not routinely sponsor nurses with H-1B status or for green cards either monetarily for legal fees or provide the paperwork necessary for employment.

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  17. Student nurses can work in their field 20 hrs/wk maximum and full-time during vacations. Students may apply at the International Center for Optional Practical Training (OPT) before graduation, to allow them to work in their field for an additional 12 months after graduation.

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  19. The UM campus International Center (734-936-4180) does not process green card applications on behalf of nurses, but if UMHS did agree to sponsorship for a green card, an outside business immigration attorney may be retained. Foreign nurses with current green cards (immigrant with permanent residency) can be hired just like any US citizen. A Visa Screen certificate is not required. The green card must be renewed every 10 yrs.
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