Author: Shincy George | Nursing Manthra
Are you an internationally educated nurse dreaming of working in Guam, USA? This comprehensive step-by-step guide will help you understand the licensure process through the Guam Board of Nurse Examiners (GBNE). Guam follows U.S. standards and requires verification of foreign education, exams, and documentation—but with the right guidance, your journey becomes simple.
Let’s walk you through the full Guam RN/LPN licensure process for internationally educated nurses (IENs).
✅ Step 1: Obtain a CGFNS CES Report
The Credentials Evaluation Service (CES) report from CGFNS is mandatory. Guam requires the Professional Report to verify your nursing education and credentials.
What to include:
- Nursing diploma or degree certificates
- Official transcripts
- License verification from your home country
📝 Tip: Choose Guam as the recipient while applying in the CGFNS portal.
✅ Step 2: English Language Proficiency
If your nursing education was not in English, you may be asked to submit proof of English proficiency such as:
- TOEFL
- IELTS (Academic)
This requirement is usually assessed during CGFNS CES review. If your transcripts prove English instruction, this step may be waived.
✅ Step 3: Official Transcripts & Form A
You must request your nursing school to send:
- Official Transcripts
- Certification of Nursing Education (Form A)
These documents must be mailed directly to the Guam Board of Nurse Examiners from the issuing school.
✅ Step 4: U.S. Social Security Number (SSN) – Mandatory
Unlike some states, Guam requires a valid SSN to apply for licensure.
You cannot proceed with the application without it.
🛂 If you are in the U.S. on a visa, make sure to apply for your SSN as soon as possible.
✅ Step 5: Complete the Guam Licensure Application
Download and fill out the Guam Board of Nursing application. Select “By Examination” if you haven’t taken the NCLEX yet.
You will need to provide:
- Personal info & contact details
- Education history
- Previous licenses
- SSN and immigration status
- Application fee (money order or check payable to Treasurer of Guam)
✅ Step 6: Criminal Background Check
You must submit:
- Police clearance from your country
- Court clearance (if applicable)
Some applicants may also need fingerprinting upon arrival or during employment processing.
✅ Step 7: Continuing Education (if required)
In some cases, especially for license endorsement, Guam may ask for proof of:
- 30 contact hours of continuing education in the past two years.
✅ Step 8: Register for the NCLEX
Once your documents are approved, the board will send you Authorization to Test (ATT) to register for the NCLEX-RN or NCLEX-PN.
👉 Register for NCLEX with Pearson VUE
💡 Tip: Guam’s NCLEX is managed like any U.S. state, and the license is valid across U.S. territories depending on endorsement agreements.
✅ Step 9: License by Endorsement (Optional Path)
Already licensed in another U.S. state? You can apply for license by endorsement by submitting:
- Verification via NURSYS or official form
- SSN
- CES Report
- Proof of practice hours or CE units
Summary Table
| Step | Action |
|---|---|
| 1 | CGFNS CES Professional Report |
| 2 | English test (if required) |
| 3 | Transcripts + Form A to Guam Board |
| 4 | U.S. Social Security Number |
| 5 | Submit Guam Application Form + Fee |
| 6 | Police/Court Clearances |
| 7 | Provide CE Hours (if applicable) |
| 8 | Register & Pass NCLEX |
| 9 | Apply for Endorsement if licensed elsewhere |
📌 Useful Resources
💬 Final Thoughts from Shincy George
As an internationally educated nurse, you may feel overwhelmed with documentation and steps. But don’t worry—with the right sequence and preparation, your Guam RN license dream is 100% achievable. NursingManthra is here to support you in every step, from CGFNS to NCLEX guidance and document preparation.
If you need personalized help with your Guam application, feel free to contact me directly via WhatsApp +9671502515717
🩺 With care,
Shincy George
Founder, NursingManthra.
