INSTRUCTIONS FOR APPLYING FOR APPROVAL TO ENROLL IN CLINICAL NURSING COURSES (LAC 46: XLVII.3324.B.4.a) • This application is for Permission to Enroll in Clinical Nursing Courses. Registration in Louisiana is mandatory to enroll in clinical nursing courses at undergraduate nursing education programs approved by the Louisiana State Board of Nursing. • Students may not enroll in clinical nursing courses in Louisiana without approval from the LSBN. (LAC 46: XLVII.3324) • Please read all application instructions carefully before completing your application. • By submitting the application for permission to enroll in clinical nursing courses, you are attesting that you have read and understand the Louisiana Nurse Practice Act (NPA) and Rules and Regulations that govern licensure in Louisiana. Fees • All fees must be submitted through the Nurse Portal. All fees are non-refundable. $50.00 for Application for Permission to Enroll in Clinical Nursing Courses $39.25 for Criminal Background Check Eligibility criteria for applicants for clinical nursing course include: Must be admitted and accepted to an approved nursing education program Freedom from restriction of any form by any nursing or health regulatory board in any state; No civil or criminal charges pending; No allegation of cause for denial of licensure; Submit application to the Board at least 60 days prior to date of enrollment in the clinical nursing course; Applicant MUST submit the following documents through Portal Application Supporting documents identified on application Applicant MUST submit the following documents to Nursing Education Program Criminal Background Check packet 2 fingerprint cards Fingerprint Authorization forms Nursing Education Program MUST submit the following documents through the Mail List of applicants submitting applications on form supplied by LSBN Criminal Background Check packet for each student 2 fingerprint cards Fingerprint Authorization forms Completion of Application NOTE: Incomplete Applications cannot be processed • All documents must be accurately completed. This application and all documents submitted will be a permanent part of your record. Answer all questions honestly as the Board may deny your application if you provide false information or if you fail to provide relevant information. • Please use your full legal name. Nicknames are not acceptable. If your birth certificate name is significantly different from your current legal name (other than marriage), attach a letter of explanation. Documentation may be required. If your name changes after the forms are submitted, a notarized statement showing the change or marriage certificate must be submitted to the Board’s office. (If you are using a hyphenated name, please make sure to use it on all forms.) • The applicant will be notified via the Nurse Portal when the application has been approved or if additional information is needed. Check the Nurse Portal for status updates and correspondence as well as the e-mail entered as the username for correspondence. •Applicant is responsible for changing contact information in the Nurse Portal. 1. Clinical Diagnostician Form 2. Criminal Background Check Packet (original Signature Must be submitted) •Incomplete Application (Packets will not be processed) Applications will not be processed and will remain pending if: - Application or CBC packet is missing information; - Application is not approved by School of Nursing Designee; - Failure to include ALL required documents for questions for which you answered “yes” (LAC 46: XLVII.3324.B.4.a); - Payment is not received (application $50.00, Criminal Background Check $39.25). • Failure to disclose criminal history as outlined on the application will result in delay in processing application and may result in a fine or denial for Falsification of Applications (LAC 46: XLVII.3324.C). REVIEW LSBN RULES AND REGULATIONS (website) – LAC 46: XVLII.3331 Denial or Delay of Licensure, Reinstatement, or the Right to Practice Nursing as a Student Nurse to determine eligibility for approval for clinical and licensure in Louisiana. Criminal Background Check APPLICANTS WHO HAVE SUBMITTED A CRIMINAL BACKGROUND CHECK TO LSBN WITH A PREVIOUS APPLICATION FOR PERMISSION TO ENROLL IN CLINICAL COURSES IN LOUISIANA ARE NOT REQUIRED TO SUBMIT A NEW CRIMINAL BACKGROUND CHECK PACKET UNLESS DIRECTED BY LSBN STAFF. APPLICANTS WHO HAVE NEVER SUBMITTED A CRIMINAL BACKGROUND CHECK PACKET TO LSBN MUST SUBMIT A COMPLETE PACKET Instructions for submission of a criminal background check packet: *Clinical students must submit the completed packet to their school of nursing. 1. Download the Licensure Exam Fingerprint Instructions and Authorization for Criminal Background Check form from the LSBN website. 2. Each of the two (2) FBI cards need a separate and distinct set of your fingerprints. If the agency utilizes an electronic scan system, request that they scan your fingerprints and print the first FBI card, then scan your fingerprints again and print the second FBI card. 3. The fee for the fingerprint process is paid through the Nurse Portal. 4. Submit original cards and authorization forms to school of nursing. • LAC 46: XLVII.3330.J-K states: J. If the fingerprints are returned from the Department of Public Safety as inadequate or unreadable, the applicant, or licensee must submit a second set of fingerprints and fees, if applicable, for submission to the Department of Public Safety. K. If the applicant or licensee fails to submit necessary information, fees, and/ or fingerprints, the applicant or licensee may be denied licensure on the basis of an incomplete application or, if licensed, denied renewal, until such time as the applicant or licensee submits the applicable documents and fee. Responses from LSBN • The applicant will be notified via the Nurse Portal when the application has been approved or if additional information is needed. Check the LSBN Nurse Portal http://www.lsbn.state.la.us for status updates and correspondence as well as the email entered as the username for correspondence. • Notification will be sent if additional information is required or if the Education department cannot approve and therefore, transfers file to Investigations. • Failure to respond to the LSBN’s request by deadline on letter may result in inactivation of application. • Approval Status/Student Number is considered a license. • Print verification of approval from website and submit to school of nursing. Approved student responsibilities • It is your responsibility to re-enter the LSBN Nurse Portal and update your file as required: http://www.lsbn.state.la.us • It is your responsibility to disclose through the complaint portal if you have a subsequent incident, change answers to any eligibility questions, or change contact information. • It is your responsible to maintain user id and password for nurse portal access for updates and completion of future licensure applications with LSBN.