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Question: I am a registered Nurse in the Philippines and I have passed the CGFNS. I have heard that there are new regulations for health care workers. Is that true?
Answer: Yes, new regulations were just implemented. These new regulations apply to temporary health care workers as well as the health care workers applying for lawful permanent residency. The new rules become effective September 23, 2003.
There are several new regulations for firms to be able to apply to be able to submit the necessary application to issue the certificates needed for these health care professionals.
Question: Do these new regulations apply to every type of health care professional?
Answer: No. They do not apply to Physicians and non-clinical positions such as researches or administrative positions. Also, people coming into the U.S. on training related visas do not need the certificate. The types of medical fields covered are Licensed Practical Nurses, Licensed Vocational Nurses, and Registered Nurses; Occupational Therapists; Physical Therapists; Speech Language Pathologists and Audiologists; Medical Technologists; Physician Assistants and Medical Technicians.
Question: When does the certificate have to be presented and who issues this certificate?
Answer: For the nonimmigrant, he or she will have to show the certificate to the embassy or consulate and to the Department of Homeland Security each and every time they enter the United States. The Commission on Graduates of Foreign Nurses (CGFNS) can issue the certificate for nurses, physical therapists, occupational therapists, speech language pathologists and audiologists, medical technicians and physician assistants.
Question: What does one have to do to get this certificate?
Answer: The person must show that his/her education, training, license, and experience are comparable with that required for an American health care worker of the same type; That the education, training, license, and experience are authentic and, in the case of a license, unencumbered; That the education, training, license, and experience meet all applicable statutory and regulatory requirements for admission into the United States. Also, you must either pass an examination showing it is likely you will pass the actual licensing examination in the U.S., or you must pass the actual licensing examination itself.
Finally, you must show that you have passed the English language requirements.
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Question: I have been here for several months on a Visitor Visa and have found that I love the U.S. I do not want to return to my home country. I have a Visa that states it is a Multiple Entry Visitor Visa for the next ten years. However, when I entered the U.S., I was given a white card that states that I must leave by next month. Is there anything I can do?
Answer: First, while you get the Visa at the U.S. Consulate or Embassy, it is the INS who actually controls how long you will stay in the U.S. They are the organization that you must pass at any port of entry into the U.S. A port of entry can be by road (i.e., from Canada or Mexico), or by airport (anywhere in the world.) When you enter the U.S., the INS (Immigration and Naturalization Service) will issue what is known as an I-94. This is a white card that is stapled to your passport. It will state exactly when you are authorized to stay in the U.S. If the visa in your passport lasts longer than the I-94, that is irrelevant. Further, if your passport expires during your stay in the U.S. that is also irrelevant as long as the time on your I-94 is still available.
You can file for a change of status. What this means is that as long as the application to change your status is done PRIOR to the expiration of your current stay, you will be able to remain in the U.S. while that application for change of status is being ruled upon.
Question: I read somewhere that the INS wants these type of applications at least 45 days before the expiration of your status. Is that true?
Answer: Normally that is true. However, the law is very specific. As long as you are currently in status at the time the application is received by INS, it will be timely. As a matter of fact, there have been many occasion when my office gets someone in the day before expiration of their status. We prepare the application and actually have it hand delivered on the day of expiration. In that event, it is still timely.
Question: What are the possibilities for changing my status and what types of applications will work?
Answer: Actually, there is a variety of different applications you can do. There are many different kinds of work visas such as the H-1B, H-2B, O-1, P-1 and so on. You can also change to a Student Status such as F-1 or M-1. To change to a working status you would need an employer who would agree to sponsor you. To change to a Student Status, you would need to get the I-20 from a school and then have that submitted with the application for Change of Status.
Question: Once I file the application for Change of Status can I start working or going to school right away?
Answer: No. You must wait while INS rules on the matter. However, you are given an automatic extension of your current status while the Change of Status is pending. Therefore, if you want to stay in the U.S. and your current status is about to expire, there are many ways to change your status and you should take advantage of the appropriate one.
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