English Language Proficiency Exam

The English language proficiency assessment confirms that the applicant demonstrates the required competency in oral and written English based on the applicant's achievement of passing scores on tests jointly approved by the U.S. Department of Education and the U.S. Department of Health and Human Services. Applicants educated in specific countries in which English is both the native language in that country and the language of classroom and text book instruction (see below) are exempt from having to take an English proficiency exam.

For applicants to be exempt from the English proficiency requirement for the VisaScreen^® Assessment:

• Their entry-level professional education occurred in the United States, Canada (except Quebec), the United Kingdom, Ireland, Australia or New Zealand
• The language of instruction was English
• The language of the textbooks was English

Only CGFNS/ICHP VisaScreen^® applicants who meet ALL of these criteria are exempt from the English proficiency requirement.

All applicants not exempt from the English proficiency requirement because they cannot satisfy all of the criteria to be exempt from this requirement must take one of the following groups of English examinations.

Test of English as a Foreign Language (TOEFL), Test of Written English (TWE), and the Test of Spoken English (TSE); or

• Test of English as a Foreign Language, internet-based version (TOEFL iBT), measuring all four skills of communication: reading, writing, listening, and speaking; or
• Test of English for International Communication (TOEIC), the TWE, and the TSE; or
• International English Language Testing System (IELTS): Academic Module for Registered Nurses, Physician Assistants, Speech Language Pathologists, Audiologists, Clinical Laboratory Scientist (Medical Technologist); or general module for Medical Laboratory Technicians (Medical Technicians) and Licensed Practical Nurses
• Physical Therapists and Occupational Therapists may take TOEFL plus TSE and TWE only; they must take all three of these exams.

The passing scores for the English language proficiency examinations are located in the VisaScreen^® Application Handbook and the VisaScreen^® Requirements. Applicants apply directly to:

TOEFL, TWE, TSE and TOEFL iBT
TOEFL Services
Educational Testing Service (ETS)
PO Box 6151
Princeton, NJ 08541-6151 USA
Telephone: (609) 771-7100
Web site: http://www.ets.org

TOEIC Testing Program
Educational Testing Service (ETS)
Rosedale Road, MS 49-N
Princeton, NJ 08541 USA
Telephone: 1 (800) 241-5393
Fax: (609) 683-2667
Email: toec@ets.org
Web site: http://www.ets.org/toeic

IELTS
IELTS International
Suite 112
825 Colorado Boulevard
Los Angeles, CA 90041 USA
Telephone: (323) 255-2771
Fax: (323) 255-1261
Email: ielts@ceii.org
Web site: http://www.ielts.org/

The testing organization forwards your score to CGFNS for evaluation.