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Personal History Information

Upon completion of the nursing programs, graduates are eligible to apply to take the National Council Licensing Examination (NCLEX-RN). Candidates for the licensing examination will be required to provide the following information on the application for licensure (these questions must be completed by all applicants):

  1. Have you been convicted of any criminal offense in any state or in federal court (other than minor traffic violations)? If yes, attach a certified copy of the court records regarding your conviction, nature of the offense, date of discharge, if applicable, from the probation or parole officer.
  2. Have you been convicted of a felony?
  3. If yes, have you been issued a certificate of relief from disabilities by the Prisoner Review Board?  If yes, attach a copy of the certificate.
  4. Have you had or do you now have any disease or condition that interferes with your ability to perform the essential functions of your profession, including any disease or condition generally regarded as chronic by the medical community, i.e. (1) mental or emotional disease or condition; (2) alcohol or other substance abuse; (3) physical disease or condition that presently interferes with your ability to practice your profession? If yes attach a detailed statement, including an explanation of whether or not you are currently under treatment.
  5. Have you been denied a professional license or permit, or privilege of taking an examination, or had a professional license or permit disciplined in any way by any licensing authority in Illinois or elsewhere? If yes, attach a detailed explanation.
  6. Have you ever been discharged other than honorably from the armed service or from a city, county, state or federal position? If yes, attach a detailed explanation.

Providing fraudulent information for the above may be grounds for refusal to issue the license and at the discretion of the Committee of Nursing and the Department of Professional Regulation a review hearing may be required. The Committee will not conduct this hearing until the individual has completed the required approved nursing program in an approved school and has completed the necessary application forms for licensure required by the Department of Professional Regulation. The decision to allow an individual to take the examination for licensure rests with the Committee.

Criminal Background Check

All individuals applying for initial licensure as a registered nurse or licensed practical nurse in Illinois must submit to a Criminal Background Check and provide evidence of fingerprint processing from the Illinois State Police or its designated agent.