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New york form 1 lpn 2026
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- Click ‘Get Form’ to open New York Form 1 LPN in the editor.
- Begin by filling in your personal information, including your name, Social Security Number, and date of birth. Ensure that the name matches exactly with your identification documents.
- Indicate whether you are applying for a Registered Nurse or Licensed Practical Nurse license by checking the appropriate box.
- Provide your contact details, including your mailing address and phone number. Specify if these are home or business addresses.
- Complete the education section by listing all schools attended. Attach additional sheets if necessary, especially if you graduated from a non-New York State approved nursing program.
- Answer all questions regarding previous licenses and any criminal history accurately. If applicable, provide detailed explanations for any 'Yes' responses.
- Finally, sign and date the affidavit in front of a Notary Public to validate your application before submission.
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