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National Council Licensure Examination (NCLEX)

Karen Brown 185 North Main Central Valley, UT 84754

10 Aug 2011

AUTHORIZATION TO TEST (ATT)

YOU ARE REQUIRED TO PRESENT THIS ATT AT THE TEST CENTER.


Authorization Number V2540019 State Board of Nursing: Type of Exam: Candidate Identification Number 22051780 Utah Board of Nursing NCLEX-PN Test Validity From 8/11/2011 to 11/9/2011

NCLEX EXAMINATION CONFIDENTIALITY Candidates should be aware and understand that the disclosure of any examination materials including the nature or content of examination items, before, during, or after the examination is a violation of law. Candidates must follow the NCLEX Examination Candidate Rules which are listed in the NCLEX Candidate Bulletin. Violations of confidentiality and/or candidate rules can result in criminal prosecution or civil liability and/or disciplinary actions by the licensing agency including the denial of licensure.

ADMISSIONS REQUIREMENTS Authorization to Test (ATT) You must present this ATT at the test center on the day of your appointment to be admitted to the examination. You will not be admitted to the examination without this ATT and will be required to re-register and re-pay to take the examination. You must test within the validity dates printed on this ATT. These validity dates cannot be extended for any reason.

Your Name The printed first and last names on your identification must match exactly the printed first and last names on this ATT. If your name on this ATT is different from the name on your identification, you must bring legal name change documentation with you to the test center on the day of your test. The only acceptable forms of legal documentation are: marriage license, divorce decree and/or court action legal name change documents. All documents must be in English. All documents must be the original document. Candidates wishing to make a legal name change must contact their board of nursing, and then contact Pearson VUE to request a corrected ATT. More ATT information on the other side of this form Registration ID: 243303906

Identification Requirements When you arrive at the test center, you will be required to present one form of acceptable identification from the list below, and this ATT. You will not be admitted to the examination without the proper identification and this ATT; if either of these requirements is not met, you will be turned away; if you arrive without these materials, you will be required to re-register and re-pay to take the examination. Acceptable Identification When you arrive at the test center, you will be required to present your ATT and one form of acceptable identification. The printed first and last names on your identification must match exactly the printed first and last names on your ATT. Your identification must be printed in English language letters, must be valid and unexpired (clearly stated), and have a recent photograph and a signature signed in English. The only acceptable forms of identification at test centers located in the United States, American Samoa, Guam, Northern Mariana Islands and Virgin Islands are U.S. drivers license (not temporary or learners permit), U.S. state identification, and passport. The only acceptable identification for international test centers and Puerto Rico is a passport. No other identification, including learner permits, is acceptable for admittance to the NCLEX examination. Please note - Identification from embargoed countries will not be accepted at the test centers. For further information please contact Pearson VUE at one of the phone numbers listed in the NCLEX Candidate Bulletin or at www.pearsonvue.com/nclex. TO SCHEDULE YOUR APPOINTMENT You must schedule your examination within the validity dates listed above. These validity dates cannot be extended, regardless of the reason. See your NCLEX Examination Candidate Bulletin for detailed instructions on how to schedule your appointment at a Pearson Professional Center. The NCLEX Candidate Bulletin can be accessed at www.pearsonvue.com/nclex You may schedule by using the NCLEX Candidate web site (www.pearsonvue.com/nclex) or by calling NCLEX Candidate Services at the following numbers: United States 1.866.496.2539 (toll free) Monday Friday 7am 7pm U.S. CT Asia Pacific Region - +603.8314.9605 Monday Friday 8:30am 6pm AET Europe, Middle East, Africa - +44.161.855.7445 Monday Friday 8am 6pm CET India - +91 120 439 7837 Monday - Friday 9am - 6pm IT Once you have scheduled your appointment, write the date and time of your appointment and the address of the test center in the space provided. A confirmation of your appointment day and time, as well as directions to the test center, will be sent to you. Appointment Date, Day and Time: Test Center Address:

More ATT information on the other side of this form Registration ID: 243303906

You can find directions and addresses for all Pearson Professional Centers by visiting the NCLEX Candidate Web site (www.pearsonvue.com/nclex). Plan to arrive at the testing center 30 minutes before your scheduled appointment to complete admission procedures before your testing begins. If you fail to keep your appointment or do not re-schedule or unschedule your appointment at least 24 hours prior to your scheduled appointment, you will forfeit your examination fee and your Authorization to Test (ATT) will be invalidated. You will be required to re-register and pay the examination fee again. There are no exceptions for any reason. If you do not test within the validity dates as indicated on your ATT, you will lose your NCLEX Examination fee. THESE VALIDITY DATES CANNOT BE EXTENDED, REGARDLESS OF THE REASON. For further information see the NCLEX Examination Candidate Bulletin or the NCLEX Candidate Web site. If you need to change your appointment for any reason, you must do so at least 24 hours prior to your scheduled appointment through one of the methods described above. Follow the schedule below if you need to change your appointment. For a test scheduled on Saturday, Sunday or Monday, call on or before the time of your appointment on Friday. For a test scheduled on Tuesday, call on or before the time of your appointment on Monday. For a test scheduled on Wednesday, call on or before the time of your appointment on Tuesday. For a test scheduled on Thursday, call on or before the time of your appointment on Wednesday. For a test scheduled on Friday, call on or before the time of your appointment on Thursday. PLEASE NOTE: Leaving a message on an answering machine does not constitute giving 24 hours advance notice for rescheduling or un-scheduling your testing appointment. You must either reschedule or un-schedule your appointment on the NCLEX Candidate website or speak with an individual on the NCLEX Candidate Services line to reschedule or un-schedule your appointment.

YOU WILL NOT BE ADMITTED TO TAKE YOUR EXAMINATION WITHOUT YOUR AUTHORIZATION TO TEST.

Registration ID: 243303906