Application Forms

Please submit any and all completed application forms to

PEGNL is implementing a new records management policy that may affect previously submitted international educational documents. For more information, please click HERE.

Professional License/Member-In-Training

PLEASE NOTE: All application forms include an overview of the Competency-Based Assessment (CBA) model, which is the mandatory experience review component to becoming licensed with PEGNL. All new applications for professional licensure MUST include a completed CBA file in order to be considered. (This does not apply to transfer applicants). All those applying to become a Member-In-Training will not need a completed CBA file to apply, but WILL need to have one when applying to upgrade to a professional licensed member.

To learn more about CBA, including information on how to begin your CBA file, please click HERE.

Permit To Practice

Limited License