---Resume including addresses for the last 5 years and detailed employment history
(employer, address, start/end dates, job description)
___2x2 ID Picture
---College Transcript of Records
---College Diploma Date of Graduation:___________________
---PRC ID Card Valid Until:_____________ Renewal Required:______________
---PRC Test Results Final Grade:_____________
---Certificates (seminars, trainings, etc.)
---Birth Certificate issued by NSO (National Statistics Office)
---Passport Expiration ______________ US Visa/I-94 Expiration__________________
If Married
---Marriage Certificate issued by NSO
---Birth Certificate of Spouse issued by NSO
---Biographic Information of Spouse including addresses for the last 5 years
---Passport of Spouse
If with Children
---Number of child/ren
---Birth Certificates of Child/ren issued by NSO
---Passport of Child/ren
---Local Employment Certificate
---Test of English as Foreign Language (TOEFL-ibt) ***IDFPR WILL ACCEPT THIS TEST ONLY*** ($175.00)
Minimum passing scores TSE 50, TOEFL-ibt: Writing 24, Speaking 26, Reading 21, Listening 18, Total 89
Test Date:_____________ ETS will report scores for 2 years after your test date
---Illinois or Nevada State License ______________________ Expires _____________
Other State License: ______________________ Expires _____________
---Visa Screen (requirement for healthcare professionals) by CGFNS Issue Date:_____________ Expiration:_____________ valid for 5 years
OTHER REQUIREMENTS:
Physical Therapist:
---FCCPT Type 1 Certificate (with Visa Screen) ($750.00)
Issue Date:_____________
Renewal required 5 years NOT used
---FCCPT Report of Evaluation of Education Credentials
Issue Date:_____________
Date Revised:_____________ State:__________
---AIN for FSBPT (no fee / can be applies ASAP)
---FSBPT Application for NPTE ($370.00)
---Continental Testing Letter approving application ($98.50)
---Authorization to Test (ATT) Letter from FSBPT
Issue Date:_____________ valid for 60 days
---Prometric Confirmation of Exam Letter ($65.00)
Exam Date:_____________
---Test Results FSBPT
---IDFPR Application ($100.00)
Occupational Therapist:
---NBCOT Application
---Authorization to Test (ATT) Letter from NBCOT
Issue Date:_____________ valid for 60 days
---Prometric Confirmation of Exam Letter
Exam Date:_____________