RE: APPLICATION FOR REGISTRATION AS A NURSE

I have enclosed an application for registration as a Registered Nurse to be

completed and returned with certified copies of the following requirements:
Please tick appropriate box to ensure all information is submitted
Birth Certificate
Marriage Certificate (If applicable please forward information on husband’s
status in Bahamas)
Divorce Certificate (If Applicable)
Police Certificate
Health Certificate (Form to be completed by Physician)
Small Size Photograph
Processing Fee(s)
Completed Appendix Form
Completed Authorization Form
Verification of Registration
Official Transcript (Please detach form - forward a copy to each Nursing
School attended)
Training School Degree Mas BSN ASc Dip. Cert.
Current Registration License Active Inactive
Three (3) References Professional Professional Character++

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

(a) No application will be reviewed/processed until ALL of the above listed

requirements are received. The application must accompany an active
registration license certified as a true copy by the Board of Nursing in which
you are registered. Please note that all documents must be Certified.

(b) The evaluation process is approximately three (3) months and your
cooperation and patience is required in expediting this matter. Any
withdrawals or correspondence should be addressed in writing to the
Registrar.

(c) Legal actions will be taken against any person who gains employment as a
Nurse, and is not registered to practice.

(d) Processing fee of fifty dollars USD ($50.00) must accompany the form and
registration fee of one hundred and twenty dollars USD ($120.00) are
required and must be paid when the application is submitted.

(e) All References must be submitted in sealed envelopes, one of whom must
be from the Director of Nursing. Other references may be obtained from
Pastor, Doctor, Nursing Supervisor or Colleague.

(f) Verification of your registration must be forwarded directly from your Nursing
Council/Regulatory Body, to the Registrar of The Nursing Council of The
Bahamas.
Processing Fee
Registration Fee
Receipt Number

NURSING COUNCIL
COMMONWEALTH OF THE BAHAMAS
POST OFFICE BOX N-8506
TELEPHONE NUMBER: 1-242-326-0553/326-0536
Email: nursingcouncilbahamas@hotmail.com
THE NURSES AND MIDWIVES ACT 1971

Application by person trained outside the Bahama Islands for

admission to the Register of Nurses

To: The Registrar, Nursing Council, Bahamas.

(Please Print)
1. Full Name........................................................................................
Surname First Middle

2. State whether single, married widowed or divorced ........................

3. If married give maiden name

……...................................................

4. Date of Birth ...................................................................................

5. Place of Birth ..................................................................................

6. Nationality ............................ Phone #.....…………………….

7. Home
Address .................................................................................

8. Permanent Postal Address ...............................................................

……………………………………………………………………...

9. Email Address………………………………………………….......
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10. Name of Training School ………………………………………..

……………………………………………………………………

11. Address of Training School ……………………………………….

……………………………………………………………………..

12. Period of Training from (a) ……………… to (b)

……………….

13. State type of Nursing Degree received

……………………………

14. Have you applied for employment in the Bahamas Yes / No

If yes please give the name of all Agencies you have applied to:

1. …………………………………

2. …………………………………

3. …………………………………

I hereby request the Council to enter my name upon the Register of

Nurses maintained by the Council.

I forward herewith my application the processing application fee of

fifty dollars US ($50.00) and I promise, in the event of my being so
registered (on payment of a fee of one hundred and twenty dollars US
($120.00) to be bound by, and to conform in all respects to, the
Regulations for the time being in force.

I forward herewith a certified copy of my certificate of registration in

the Register of ………………………….. to the effect that my name
has been entered in that Register.

Signature of Applicant ......................................................................

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N.B A copy of a certificate of registration must be certified to be a

true copy by a responsible officer of the appropriate statutory
authority

Attach Photograph (Do not Paste)

FORM TO BE RETURNED TO THE REGISTRAR, NURSING COUNCIL,

COMMONWEALTH OF THE BAHAMAS

For Office Use Only

Registration Number
Registration Date

…/4
 -4-

Appendix

State all nursing post held since graduation including type of

experience gained.

Dates Post held and Institution

experience gained (full address)

Give the name and address of one person for character

reference
________________________________________________
________________________________________________

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 -5-
To Applicant: Please sign both authorization forms.

NURSING COUNCIL
COMMONWEALTH OF THE BAHAMAS
Fax No: 1-242-326-0537
Post Office Box N-8506

Dear Sir/Madam,
I ______________________________ hereby request you to release
any information on me relative to my character and professional
ability as a Nurse in your Institution to the Nursing Council,
Commonwealth of the Bahamas.

Signature _______________________
Date___________________________
Social Security Number ___________________
Date of Birth ____________________________
------------------------------------------------------------------------------------
NURSING COUNCIL
COMMONWEALTH OF THE BAHAMAS
Fax No. 1-242-326-0537
Post Office Box N-8506

Dear Sir/Madam,
I ______________________________ hereby request you to release
any information on me relative to my character and professional
ability as a Nurse in your Institution to the Nursing Council,
Commonwealth of the Bahamas.

Signature _______________________
Date___________________________
Social Security Number ___________________
Date of Birth ____________________________
…/6
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NURSING COUNCIL
COMMONWEALTH OF THE BAHAMAS

Fax No. 1-242-326-0537

Post Office Box N-8506
CONFIDENTIAL MEDICAL REPORT

Part 1 (To be completed by Applicant)

1. Name ……………………………………… 2. Age ………..

……

3. Relevant family history ……………………………………….……

…………………………………………………………………………

4. Personal History (a) Operation, serious illnesses etc. ………….

….

…………………………………………………………………………
…………………………………………………………………………

(b) Disabilities, allergies etc.

……………………………………….
…………………………………………………………………………

Part II (To be completed by Physician)

1. Physical and general health

……………………………………….

………………………………………………………………………..
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2. Heart……………………………………………………………
…

3. Lungs ..………………………………………………….
…………

4. Abdominal organs
…………………………………………………

5. Nervous System (and emotional stability)

………………………..
…………………………………………………………………………

6. Vision …………………………. 7. Hearing

……………………..

7. Teeth
……………………………………………………………….

8. Urine ………………… Alb ………………….. Sugar

……………

Part III (To be completed by Physician)

1. Does the candidate suffer from any defect or disability which

would be a handicap to function as a Nurse? ………………………

2. Do you consider the candidate fit to work in a tropical or

subtropical climate?…………………………… …………………..

Signature ………………………….
Date ………………………………

Address …………………………………………………………
…/8

NURSING COUNCIL
COMMONWEALTH OF THE BAHAMAS

Telephone No. 1-242-326-0553

Post Office Box N-8506 Reference
No.____________

TRANSCRIPT OF NURSING EDUCATION IN A FOREIGN

COUNTRY

SECTION A

To Applicant Complete section A of this form and mail this form

to your Nursing School, TYPE OR PRINT IN INK. This form
may be reproduced if more than one form is needed to send to
other Training Schools.

Name of Applicant …. ………………………………………………

First Name Middle Name Last Name Maiden Name

Mailing Address ………………………………………………………

Street. Telephone

…………………………………………………………………………
City State/Providence Country Postal code/Address

Month, Date & Year of Birth…………/…………/…………………..

Type of Qualification- (Please Circle as Appropriate).

Certificate/Diploma/Associate Degree/Bachelors Degree

Post Basic(Please Specify )…………………………………………

Other Please Specify …………………………………………………

Month & Year of Admission to Nursing Programme……../…../……

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Month & Year of Graduation…………/………………/……………..

(See reverse side if applicant did not graduate)

Length of Training…………………………………………………….

Name of Training School of Nursing…………………………………

Training School’s Mailing Address………………………………….

Street Telephone

……………………………………………………………………….
City State/Providence Country

……………………………………………………………………….
Postal Code /Address Fax No.

I authorize my school of nursing to release the information

requested below to the Nursing Council of the Bahamas.

Signature ……………….…… Date……………………………

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SECTION B
To: The Director of the School: This form is required as part of the
above named applicant’s record and should be submitted with an
official school transcript. Please fill in all parts of this form and
report ALL THEORY AND CLINICAL PRACTICE as it applies
to the program of study. Return the completed form directly to
The Nursing Council, Bahamas.
The Registrar
The Nursing Council Commonwealth of The Bahamas
P.O. Box N-8506
Nassau, N. P
THE BAHAMAS.
1. Did the program of study include courses in: Tick / as appropriate:-
COURSES N/A Yes No

Anatomy ______________ _____________ ______________

Physiology ______________ _____________ ______________

Microbiology ______________ _____________ ______________

Chemistry ______________ _____________ ______________

Nutrition ______________ _____________ ______________

Pharmacology ______________ _____________ ______________

Psychology ______________ _____________ ______________

Sociology ______________ _____________ ______________

Nursing History & ______________ _____________ _______________

 Trends
2. What was the Language of Instruction : ______________________.
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3. Please note the total number of the theory/ instruction and clinical
practice hours for the subject areas listed below:

SUBJECT INCLUDE HOURS OF CLINICAL PRACTICE HOURS

AFFILIATION INSTRUCTION
COURSES
Hours per Total No. Hours per Total No. of Total No. of
week of weeks week weeks Hours
completed completed completed completed completed

Medical Nursing

Surgical Nursing

Paediatric Nursing

Obstetric Nursing

Operating Theatre

Psychiatric Nursing
(for R.N)

Community Nursing

Gynaecological Nursing

Accident & Emergency

Department

Intensive Care Nursing

At least one other type of

Nursing.
NOTE: Include in these hours - the classroom teaching, laboratory and ward teaching,
and the clinical conference hours. If the curriculum is integrated, estimate the hours of
instruction and clinical practice in the subjects listed above. Kindly attach a full
transcript of the applicant Training Programme with the submission of this completed
form.
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Please Note: If the applicant did not graduate from the programme,
give the date of withdrawal and reason for withdrawing below.

I certify that the above information is an accurate record of the above

named applicant.

Name of Director of Training School………………………………..

Signature of Director of Training School……………………………

Title …………………………………………………….

SCHOOL
SEAL OR
STAMP

Date ……………………………………………………