NCLEX Exam Course Registration

NCLEX Exam Review

Course Registration
When do you wish to start the course?

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Select with review you are registering for:
Participant Information
When do you plan to take your NCLEX-PN or NCLEX RN Exam?

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Date
Participant Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

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Have you taken the NCLEX Exam previously?
How many times did you take the exam?
If so, did you pass?
When did you take the exam?

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Date
Have you used any other resources to prepare for the NCLEX-PN or NCLEX-RN exam?
If so, please list those resources below
RN/LPN School Information
RN/LPN School Name
Graduation Date

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Date
RN/LPN School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Place a check next to each statement as acknowledgement of the course requirements
Signature
Application Completion Date

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Date

NCLEX-PN Exam Review

$299.00

NCLEX-RN Exam Review

$399.00

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NCLEX Exam Review