Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  06/20/2016
Application#  :  464382
Name  :  Al-Adil, Zaimah U
Profession  :  Registered Nurse
Address  :  Grafton, WI
Application Status  :  (Permanent license issued)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
PAGE1 Applicable Blanks completed Met
6/15/16: complete;
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6/9/16: Application is over 1 year old or more and needs to be updated. Please download application form #3087 from our website at http://dsps.wi.gov Complete application in its entirety and submit to our department. Please put 'UPDATE’ with your application ID number on top of application prior to submitting. You do not need to resubmit any fees with the application update. Update can be emailed to DSPSCredNursing@wi.gov or faxed to 608-261-7083;
Application Fee Met
$120
Primary State of Residence Met
PAGE 2 List all professional and non professional activities and list every state that you have ever held a license in. Met
6/20/16: complete
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6/17/16: Rec'd activities update indicating activity from 7/2014 to present. Please provide activity update from 2/2013 - 7/2014. This may be emailed to DSPSCredNursing@wi.gov
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6/15/16: From 2/2013 to present date; This time was not accounted for. All time must be accounted for including professional and non-professional activities & include name of facility, location (city/state/country) and capacity in which you are/were employed (i.e. RN, LPN, CNA, etc.) You can fax info to 608-261-7083 or email info to DSPSCredNursing@wi.gov
PAGE 3 and 4 All questions answered and relevant copies attached. Met
Certification of Legal Status Completed Met
PAGE 5 Affidavit of applicant signed. Met
Social Security Number Met
Statement of Graduation from your school Met
Temporary Permit Application (Form #2434) Received Met
Ineligible
Eligible to Take NCLEX Met
5/27/16: Rec’d form #1055 & fee. You have been made eligible to test for NCLEX. You will receive scheduling information from the testing company within a few days via the email address you provided to the testing company. If the first and last name on your ATT does not match the ID you will be using at the testing site, please email corrections to DSPSCredNursing@wi.gov Middle names and addresses do not need to match.
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4/19/16: Rec’d form #1055 & fee. READ THIS MESSAGE IN ITS ENTIRETY IF YOU DO NOT WANT YOUR APPLICATION DELAYED: You must register and pay $200 fee to NCLEX in order for us to make you eligible to test. When reviewing/updating your file, your name didn’t show up on their site as having yet registered/paid. You can register online at http://www.vue.com/nclex or call 1-866-496-2539. After you have registered & paid, you’ll need to let us know via email to DSPSCredNursing@wi.gov DO NOT call our dept to update this information.
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5/5/15: NCLEX results have been emailed to email address on file; To apply for retake, you need to obtain, complete & submit form #1055 available on our website at http://dsps.wi.gov/Documents/Credentialing%20Forms/Health%20Application%20Forms/fm1055.pdf We cannot make you eligible to test until this form has been received with the $15.00 retake fee & you have re-registered with PearsonVue. ---------
2/13/2015 update: You have been made eligible to test for NCLEX. You will receive scheduling information from the testing company within a few days via the email address you provided to the testing company (or through US mail if you did not provide an email address). PLEASE MAKE SURE YOUR NAME ON YOUR ATT MATCHES THE ID YOU WILL BE USING AT THE TESTING SITE (I.E. NAME ON YOUR DRIVER’S LICENSE). IF YOUR NAME DOES NOT MATCH, PLEASE EMAIL THE CORRECTIONS TO THE BOARD OF NURSING AT DSPSCREDNursing@wisconsin.gov. Posting of results on your checklist may take up to 10 busines
NCLEX results Met