
To register as a nurse with the Texas Board of Nursing (TBON), you need to follow a series of steps depending on whether you are a new graduate, an internationally educated nurse, or an already licensed nurse seeking endorsement in Texas. Below is an overview of the general process, with specific notes for international applicants:
1. Determine Your Eligibility
- New Graduates: Must have completed an approved nursing education program.
- Internationally Educated Nurses: Your nursing education must be evaluated as equivalent to an accredited program in the U.S.
2. Apply for Licensure
- Application: Complete the online application for licensure through the Texas Board of Nursing's website.
- Fees: Pay the required application fee (currently around $100, but verify for updates).
3. Credential Evaluation (For International Nurses)
- CES Report: Internationally educated nurses must obtain a Credential Evaluation Service (CES) report from an approved agency such as the Commission on Graduates of Foreign Nursing Schools (CGFNS) or the Educational Records Evaluation Service (ERES).
- English Proficiency: Non-English speaking countries may require proof of English proficiency, usually through the TOEFL or IELTS exams.
4. Background Check
- Fingerprinting: Complete a criminal background check by submitting fingerprints through the TBON’s approved vendor (IdentoGO).
- Clearance: Ensure that any prior convictions or disciplinary actions are disclosed and resolved as needed.
5. Pass the NCLEX-RN Exam
- Registration: Register for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) through Pearson VUE after receiving your Authorization to Test (ATT) from TBON.
- Preparation: Study for and pass the NCLEX-RN exam, which assesses the knowledge and skills required for entry-level nursing practice.
6. Receive Your License
- Results: After passing the NCLEX-RN, TBON will issue your nursing license.
- Verification: You can verify your license status online through the TBON website.
7. Maintain Your License
- Continuing Education: Fulfill continuing education requirements (20 contact hours every two years) to maintain your license.
- Renewal: Renew your license every two years by submitting the renewal application and paying the required fee.
Additional Considerations for International Nurses:
- Visa: Ensure you have the appropriate visa to work in the U.S. (H-1B or TN for Canadian/Mexican citizens).
- Social Security Number (SSN): You will need an SSN to complete your application, though you may start the process without one and provide it later.
Resources and Support
- TBON Website: Access the for detailed guidelines, forms, and updates.
- Professional Organizations: Consider joining nursing organizations for additional support and networking opportunities.
This process can be complex, particularly for internationally educated nurses, so it’s essential to stay organized and follow each step carefully.
The cost for a European nurse (or any internationally educated nurse) to register with the Texas Board of Nursing (TBON) in 2024 involves several fees. Here's a breakdown:
Application Fee for Licensure by Endorsement or Examination:
- $100 for the application itself. This is the fee charged by TBON for processing your application for licensure as a registered nurse (RN) in Texas.
Criminal Background Check (CBC):
- $39.70 is the standard fee for the fingerprint-based criminal background check, which is mandatory.
English Proficiency Test (if applicable):
- If you are required to prove English proficiency (e.g., through TOEFL or IELTS), the cost of these exams varies but typically ranges from $200 to $250.
Nurse Credential Evaluation:
- You will need to have your nursing credentials evaluated by a recognized service such as CGFNS International. The cost for a CES Professional Report (required by TBON) is $390.
NCLEX-RN Examination Fee (if required):
- $200 for the NCLEX-RN exam, which is required for initial licensure by examination.
Temporary Permit Fee (optional):
- If you wish to start working while your application is processed, you can apply for a temporary permit for $25.
Verification of Licensure:
- If the European nurse needs to verify licensure from their home country, the cost varies depending on the country and the agency used. This can range from $30 to $100.
Total Estimated Costs
- Without NCLEX: Approximately $529.70 (including the application fee, CBC, credential evaluation, and optional temporary permit).
- With NCLEX: Approximately $729.70.
This estimate does not include additional costs such as translation services, mailing fees, or travel expenses if you need to take the NCLEX in the United States. The fees listed are subject to change, so it is always a good idea to check the official Texas Board of Nursing website or contact them directly for the most up-to-date information.

Visa Options for European Nurses to Work in Texas (USA)
Visa Options for European Nurses to Work in Texas (USA)

Opportunities for European Registered Nurses in Texas (USA)
Opportunities for European Registered Nurses in Texas (USA)
Texas offers European nurses competitive salaries, career growth, and a high quality of life. To work there, nurses need a Texas Board of Nursing license, a work visa, and must adapt to U.S. healthcare practices. Texas's diverse population and strong healthcare system make it an attractive option.

Steps to work as a Registered Nurse in Texas (USA) for European Nurses
Steps to work as a Registered Nurse in Texas (USA) for European Nurses
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