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Cary North Carolina online Form 12333: What You Should Know

Professional credentials as required by the State of North Carolina. • Evidence of current and valid identification that bears a photo of the applicant and includes a valid North Carolina driver license or card or other valid government ID card with a photo and name and address. Applicants are required to attest to their full-time or part-time educational and experience by providing any of the following: • A résumé or certificate of completion from a college or university within the last 4 years • A statement of training credentials obtained from a recognized college or university or a State agency which certifies or grants a minimum of 40 credit hours of training in the profession • A statement by a licensed physician or psychiatrist that the applicant is not adjudicated as mentally incompetent. All other applicants must provide an affidavit of mental competency stating that an applicant does not suffer from or has not been adjudicated as mentally incompetent. A certified copy of a state-issued photo identification card. The completed application, 30.00 fee. Please do not delay in submitting this application as failure to submit this application will prevent you from applying for employment as a Licensed Nurse in North Carolina.

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