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Application
Instructions
and Forms
Alaska
statutes
prohibit
unlicensed
practice.
Specifically,
AS 08.68.360
states
that the
practice
of professional
or practical
nursing
for compensation
by a person
who is
not licensed,
or whose
license
is suspended,
or revoked,
or expired,
is declared
to be inimical
to the
public
welfare
and to
constitute
a public
nuisance.
The
following
applications
are Adobe
PDF's that
are optimized
so that
you may
fill them
out online.
For completed
instructions,
please click
here.
REGISTERED
OR
PRACTICAL
NURSE
APPLICATION
BY EXAMINATION
| Application
by examination
is applicable
if you
have completed
an approved
nursing
program
and have
not yet
taken/passed
the NCLEX
(or if
your out-of-state
license
is not
current). |
| Registered
Nurse
Application
for Examination,
#08-4112, Revised
04/2008. |
| LPN
Application
for Examination,
#08-4111,
Revised
04/2008. |
Request
Fingerprint
Cards
Please click
the above link
to submit a request for a fingerprint card through the mail. You can also use form FD-258 available in many U.S. cities to have your fingerprints taken. One complete fingerprint card is now required. |
APPLICATION
BY ENDORSEMENT
Application
by endorsement
is applicable
for individuals
currently
licensed
in another
U.S. state or territory and some Candian nurses licensed before 1992.
|
Application
for Registered
Nurse
by Endorsement,
#08-4016,
Revised 09/2008.
Application
for permanent
license
and temporary
permit. |
| Application
for License
Practical
Nurse
by Endorsement,
#08-4014,
Revised
09/2008.
Application
for permanent
license
and temporary
permit. |
Request
Fingerprint
Cards
Please click the above link to submit mailing information for a background check
packet. Applicants must use the cards provided by the Board of Nursing or form FD-258. All applications will be considered incomplete until completed cards are submitted. |
ADVANCED
NURSE
PRACTITIONER
OR
CERTIFIED
NURSE
ANESTHESIST
GRADUATES
OF
FOREIGN
NURSING
SCHOOLS
| Graduates
of a foreign
nursing
school
(except
Canada)
must be
certified
through
the Commission
on Graduates
of Foreign
Nursing
Schools
(CGFNS).
More information
about requirements
for foreign
graduates
and about
CGFNS please click
here. |
REINSTATEMENT INSTRUCTIONS AND FORMS
Licenses that have lapsed more than one year may be reinstated by completing the application for reinstatement, paying the license and penalty fee, providing proof of fulfillment of continuing competency requirements and submitting to a State of Alaska and FBI background check.
If the applicant has not worked in the preceding five years, the applicant must submit proof of completion of a course of study approved by the board (12 AAC 44.317 (b)(5).
A license that has lapsed more than five years will be reinstated by meeting the requirements listed above and AS 08.68.251(b). (See 12 AAC 44.l317 and AS 08.68.251(b).
Before a
license
can be
reinstated,
registered
and practical
nurse licensees
must complete
two of
the following
methods
for maintaining
continuing
competency
(Article
6 of 12
AAC).
(a)
30 contact
hours of
continuing
education
prescribed
under 12
AAC 44.610
(b) 30 hours
of participation
in professional
activities
prescribed
under 12
AAC 44.620
(c) 320 hours
of employment
prescribed
under 12
AAC 44.630
Request Fingerprint
Cards
Please click the above link to submit mailing information for a background check
packet. Applicants must use the cards provided by the Board of Nursing.
All applications will be considered incomplete until completed cards are submitted.
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