YOUR ROUTE
1. US diploma? This is your path
- Certificate of Professional CompetenceFor diplomas from outside Europe
- Your diploma gets assessedCompared with Dutch nursing education
- Then BIG registrationThe Dutch register of healthcare professionals
Source: BIG register (CIBG).
LANGUAGE
2. You'll need Dutch
- B1 Dutch for MBO-level nursingB2 for higher vocational education
- Accepted proofThe NT2 State Exam or a CNaVT test
- Other language certificates don't countPlan your exam early
Source: BIG register, Dutch language proficiency.
THE TEST
3. A professional test for nurses
- The BI testA professional content test that nurses must take
- A commission reviews youEducation, diploma and work experience
- 6 to 18 months on averageAfter your application is complete
Source: BIG register, Certificate of Professional Competence.
THE VISA
4. Your employer applies
- Highly skilled migrant permitA common route for professionals
- Only an IND-recognised sponsorCan apply for your permit
- Salary must meet the income rulesCheck the IND's current amounts
Source: IND (Immigration and Naturalisation Service).
US TAXES
5. The IRS still wants a return
- Taxed on your worldwide incomeEven while living abroad
- Foreign earned income exclusionUp to $132,900 of foreign earnings in 2026
- Find a tax pro who knows expatsThe rules have conditions
Source: IRS.
YOUR PLAN
6. Start here
- Start learning Dutch now
- Gather certified copies of your diploma and transcripts
- Read the BIG register's roadmap
- Look for employers that are recognised sponsors
Educational only, not immigration, legal or tax advice. Rules, pay and costs change; confirm with the country's nursing regulator and immigration authority.
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