What is the Credentials Evaluation Service (CES) Professional Report®?

The Credentials Evaluation Service (CES) Professional Report® provides a detailed analysis of the credentials earned at multiple levels of nursing education received outside the United States. It includes a statement of comparability of a healthcare worker’s education when assessed against U.S. standards.


Who orders the Credentials Evaluation Service (CES) Professional Report?

Nurses use the Credentials Evaluation Service (CES) Professional Report® primarily to secure licensure and employment in the United States. It can also be used for specialty certification and by immigration attorneys.

Benefits of the Credentials Evaluation Service (CES) Professional Report®

As a highly trusted and industry-wide accepted report, the CES Professional Report® serves as a valuable tool for prospective employers and regulatory / licensing agencies to assess the competencies of foreign educated nurses and other healthcare workers. The report helps qualified nurses demonstrate the merits of their credentials, facilitating their pursuit of professional opportunities in the United States.


Secondary School Information

A secondary school diploma or an external exam certificate showing the highest level of secondary education received. Secondary school (high school) is a school intermediate between elementary (primary school) school and university, usually offering general, technical, vocational, or university-preparatory courses.  

All documents must be in English. Secondary diplomas can be translated by an applicant or someone chosen by an applicant.

Licenses / Registrations / Diplomas

CGFNS validates all licenses, registrations, and diplomas obtained by an applicant for a Credentials Evaluation Service Professional Report®.  The CES Professional Report® verifies the validity of all licenses, registrations, and diplomas, including:

  • Licenses, registrations, and diplomas that are currently held or that have been held in the past from all non-U.S. jurisdictions.

Please note that licenses, registrations, and diplomas for professions unrelated to the profession for which an applicant is seeking a CES Professional Report® do NOT need to be submitted.

Professional Education Information

A complete academic record or transcript from each educational institution attended for the profession being evaluated.

These documents must be in English and must be translated by an official registered translator. CGFNS can translate documents for an additional fee.


There are currently nine states in the United States that require an English Language Proficiency Report be attached to the Credentials Evaluation Service (CES) Professional Report:® Arkansas, Colorado, Iowa, Maine, Michigan, Missouri, New Jersey, Virginia, and Wisconsin. If you apply for a Credentials Evaluation Service (CES) Professional Report® for a state that requires the English Language Proficiency Report AND you are not eligible for exemption from taking an English language proficiency examination (see below), you are required to submit scores from an acceptable English language proficiency exam before your CES Professional Report® will be issued by CGFNS to a specific state board of nursing.

The CES Professional Report® confirms English language proficiency (both oral and written) based on passing scores from either:

  • The Test of English as a Foreign Language, Internet-Based Test (TOEFL® iBT) or
  • The International English Language Testing System (IELTS)

English language proficiency examination score requirements for the CES Professional Report®

Basic requirements:

  • Passing scores must be less than two years old.
  • All passing scores must be sent directly to CGFNS by the testing agency.

In some circumstances, an applicant may be exempt from taking an English language proficiency examination.

Exemption due to English-based professional education:
To be exempt from having to take an English language proficiency examination based on an applicant’s completion of an English-based professional education, an applicant must meet the following two criteria:

  • The applicant’s entry-level professional education must have occurred in the United Kingdom, Australia, Barbados, Canada (excluding Quebec), Ireland, Jamaica, New Zealand, South Africa, Trinidad & Tobago, or the United States; AND
  • English must have been the language of instruction, including the language of the textbooks.

for additional information on English language proficiency examinations, please visit the following websites:




Credentials Evaluation Service (CES) Professional Report Application


A comprehensive analysis of the credentials earned by a healthcare worker outside of the United States

Expedited Service


Expedited Review Service for active CES Professional Report – 10 Business Days

Reprocess Application


An application allowing for the reprocessing of an expired application. Reprocessing allows an applicant an additional year to submit necessary documentation to obtain a CES Professional Report



A service allowing for the preparation of an additional Professional Report after the initial report has been issued

Additional report recipients (cost per recipient)


A service allowing for additional report recipients other than the initial recipient included in the application

English language proficiency report (cost per report)


A report for those applying to state boards of nursing that require test results from an English language proficiency exam

Additional License/Registration Evaluation Service (cost per credential)


A service for reviewing an additional license/registration in addition to the two non-U.S. registrations/licenses

Duplicate report for applicant (cost per report)


An unofficial copy of an applicant’s Professional Report which is mailed to the applicant


Visit the online CGFNS Certification Program Support Forum