Board of Regents - nebraska 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in Section A, including your legal name, address, and Social Security Number. Ensure all details are accurate.
3. In Section B, select your method of licensure. If applying for a temporary license, ensure you complete the relevant sections and provide necessary documentation.
4. Proceed to Section C to disclose any conviction information. Be thorough and honest; all responses must be explained in detail if applicable.
5. Complete the attestation in Section E, confirming your citizenship status and that all information provided is true. Sign and date the application.
6. Review your application for completeness before submitting it to the Licensure Unit along with any required documents and fees.

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