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If you are an international nurse intending to work in Canada, you will need to meet requirements of the nursing association in your preferred province or territory. Among the general requirements, including a four-year bachelor’s degree in nursing, a nursing license for the province, the Next Generation NCLEX (NGN) exam, and a valid visa to work in Canada, is a requirement for proof of English (or French) language proficiency. The IELTS is one of the tests accepted as proof.
International nurses who intend to practice in Canada must submit English language proficiency test results while applying for registration with a provincial nursing regulator. These results should be valid for two years from the date of the test.
It is always advisable to check with provincial regulatory bodies for the latest requirements. For example, according to BC College of Nurses and Midwives, the regulator for nursing and midwifery in British Columbia, all applicants for registration must show a minimum level of English language proficiency before BCCNM grants registration. Applicants can demonstrate proficiency by submitting evidence that must be no more than two years old.
For those applying in Alberta, the College of Registered Nurses of Alberta (CRNA) says that applicants meet the English language proficiency requirement if they have successfully completed a nursing education program of at least two years of full-time study in Canada where the theory and clinical were provided in English. Others must offer test results within two years from the date of completing the test.

IELTS score requirements depend upon the province where nurses intend to apply in Canada, but all applicants must be able to demonstrate proficiency in English, or French if applying to Québec. Applicants must have an overall IELTS score of at least 7 to be accepted as a skilled worker. This is a minimum of 7 in the Speaking and Writing components, with 7.5 in Listening and 6.5 in Reading.
Here are examples of what some regulatory bodies require:
Province | Regulatory Body | Minimum IELTS Score |
|---|---|---|
Ontario | Overall band score: 7.0 Reading: 6.5 Listening: 7.0 Writing: 6.5 Speaking: 7.0 | |
BC | Overall band score: 7.0 Reading: 6.5 Listening: 7.0 Writing: 6.5 Speaking: 7.0 | |
Alberta | Overall band score: 7.0 Reading: 6.5 Listening: 7.0 Writing: 6.5 Speaking: 7.0 | |
Nova Scotia | Overall band score: 7.0 Reading: 6.5 Listening: 7.0 Writing: 6.5 Speaking: 7.0 |
The College of Nurses of Ontario asks all applicants to demonstrate language proficiency prior to attaining registration. Benchmark scores set the minimum language proficiency score required for each test. Scores from both the IELTS General Training and IELTS Academic are accepted, as well as a score from the One Skill Retake written within 60 days of the original test date.
These are the minimum benchmark scores that must be achieved, which include a standard error of measurement of 0.5.
Test Component | IELTS Scores |
|---|---|
Writing | 6.5 |
Speaking | 7 |
Listening | 7 |
Reading | 6.5 |
Total | 7 |
International nurses applying to Canada can use two types of assessments to show proof of English language proficiency: CELBAN (Canadian English Language Benchmark Assessment for Nurses) and IELTS. Applicants applying as Federal Skilled Workers need the IELTS General Training test and must have an overall score of at least 7.
It is always best to check with provincial regulatory bodies before applying. The College of Nurses of Ontario accepts scores from both IELTS General Training and IELTS Academic, when written within two years prior to applying for registration.
IELTS General Training is a better choice for those planning to relocate and work in an English-speaking country, because the test assesses everyday language that is used in daily conversations and at work. This is important for nurses to keep in mind because although IELTS General Training is required for immigration, regulatory bodies in Canadian provinces require IELTS Academic scores.
Passing the General Training test ensures that test takers can communicate effectively while abroad, while IELTS Academic helps assess your level of proficiency in English at an academic level.
Immigration programs including Express Entry, programs related to permanent residency, and work visas, prefer IELTS General Training because it assesses an applicant’s proficiency in practical, everyday, and workplace contexts. The test is also trusted by over 12,500 organizations worldwide.
IELTS One Skill Retake allows test takers to retake any one component of the test: Listening, Reading, Writing or Speaking, without redoing all four sections. If you are a nurse applying to a provincial regulatory body, check to see if they accept One Skill Retake. You're eligible to book IELTS One Skill Retake after you have recently completed a full test on computer and received your IELTS test score, from an eligible test centre. You must book your IELTS One Skill Retake within 60 days of your original test date.
IELTS One Skill Retake is accepted by various universities and professional bodies, including the College of Nurses of Ontario, and College of Registered Psychiatric Nurses of Saskatchewan, among other provincial regulatory bodies.

International nurses often choose to work in Canada because of the demand for qualified healthcare workers. Many qualify as skilled workers and use that as a pathway to permanent residency. Immigration programs require applicants to prove language proficiency though, and IELTS is one of the tests approved by IRCC.
Here’s how you can apply to work as a nurse in Canada:
Federal Skilled Worker Program (Express Entry): For applicants who have at least one year of continuous experience working in nursing and can meet all other requirements.
Québec’s PSTQ (Skilled worker selection program): For applicants with the approved National Occupational Classification (NOC) code of their main occupation and the corresponding stream.
Provincial Nominee Programs (PNP): Each province and territory has its own requirements and set the number of people they can nominate each year.
Internationally educated nurses (IENs) in Canada must demonstrate English proficiency through approved tests that include CELBAN, IELTS Academic, Occupational English Test (OET), and PTE Academic, among others. Here are a few examples of what some provincial regulatory bodies accept.
Provincial Regulatory Body | Accepted Tests |
|---|---|
CNO | Canadian English Language Benchmark Assessment for Nurses (CELBAN) IELTS: General Training and Academic and One Skill Retake Occupational English Test (OET) Pearson Test of English (PTE): Academic Test d’évaluation de français (TEF) Test de connaissance du français pour le Canada (TCF) |
CRNA | CELBAN IELTS Academic test |
BCCN&M | CELBAN IELTS Academic test Occupation English Test (OET) |
CRNS | CELBAN IELTS Academic test Occupation English Test (OET) Pearson PTE Academic |
If you intend to work as a nurse in Canada, you must obtain licensure from a provincial or territorial regulatory body. This usually requires completing an approved nursing education program, passing the National Council Licensure Examination – Registered Nurses (NCLEX-RN) or REx-PN Regulatory Exam, demonstrating English or French proficiency, and providing proof of authorization to work in Canada.
Here are some eligibility requirements to keep in mind:
Nursing Education: Baccalaureate nursing degree for Registered Nurses (RNs) or practical nursing diploma for Registered Practical Nurses (RPNs/LPNs)
Registration Exam: Completion of NCLEX-RN for RNs or REx-PN for RPNs
Language Proficiency: Proof of fluency in English or French
Authorization to Work in Canada: Citizenship, permanent residency, or valid work permit
Evidence of Practice: Recent experience or graduation within the last few years
Background Check: Recent police criminal record check
There are additional requirements for Internationally Educated Nurses (IENS):
Assessment of Credentials: Evaluation by National Nursing Assessment Service (NNAS)
Gap Training: Additional assessments or bridging programs
Registration: Applying to provincial regulatory bodies
It is important for candidates to check if their preferred province or territory has its own regulatory body that may have other requirements.
If you’re a nurse preparing for the IELTS, it is important to target a band score of 7.0 or higher in all four components, focus on vocabulary related to healthcare, master writing tasks, and take as many IELTS practice tests as possible. While concentrating on the Speaking component, nurses can focus on professional communication and fluency. When it comes to practicing Writing, nurses can work on summarizing data in the form of graphs or charts, while practicing for the Listening and Reading components can involve the use of academic texts or lectures. Here are a few other things to keep in mind:
Understand the Format: A high score means scoring a minimum of 7.0 in each component, so familiarise yourself with each of them
Building Vocabulary: Familiarise yourself with terms related to medicine and healthcare wherever possible
Writing Tasks: IELTS Academic requires you to understand visual representation, summaries, and arguments
Speaking Fluency: Learning phrases and using them appropriately is key to a better performance
Nurses and healthcare professionals aiming for a high IELTS score need to have a thorough understanding of the test’s components, as well as their own strengths and weaknesses. Practice tests help with this information, and doing this under timed conditions makes it easier to approach the test with confidence. Here are a few other study tips that can help:
Enhance Vocabulary: Reading healthcare and medical journals can boost one’s vocabulary and enhance familiarity with terminology.
Manage Time: Take a few IELTS practice tests under timed conditions. Timed practice will help you to prepare better and manage all components on test day.
Simulate Speaking and Listening: Try recording yourself to identify possible errors related to pronunciation or fluency. Also listen to lectures online, or podcasts, because they help with understanding accents. Also try face-to-face interviews with colleagues so you can leverage your professional expertise as a nurse or healthcare worker.
Write More: The IELTS Academic Writing component is made up of two tasks, Writing Task 1 and Writing Task 2. Practice summarizing or describing what you gather from visual data, and work on developing points of view or arguments.
There are several reasons why using rich vocabulary related to health in your IELTS test is important:
Effective communication: Crucial for accurately comprehending and articulating ideas related to medical conditions, lifestyle choices, and healthcare systems
Real-world scenarios: Familiarity with terminology is important to effectively discuss health-related issues
Enhanced language competency: Improves overall language proficiency
Written responses: Strong health vocabulary aids in crafting well-structured and informative written responses to health-related prompts.
The IELTS by IDP website offers a range of high-quality free resources to help you prepare. There are study materials to suit all learning styles, no matter whether you like to read articles, watch explainer videos or complete mock tests. Successful test takers create a schedule to help them study everything they need to know before they sit an IELTS test. They make time to practise all four English components – Listening, Reading, Writing and Speaking – as they know that each one is different.
This comprehensive guide covers commonly asked questions about IELTS, including the difference between IELTS General Training and IELTS Academic. It’s designed to help people boost their scores.
When booking your IELTS test, plan ahead to meet your deadlines. Find a test centre in Canada and schedule your test. Choose a date at least 2 to 3 months before your earliest application deadline to ensure your scores are ready in time. Remember, results for IELTS on Computer are typically available in 48 hours.
With 180+ test centres in 50+ cities across Canada, IELTS test booking has never been more accessible. Whether you need to take the IELTS Academic for higher education or IELTS General Training for migration, you can easily find a test centre nearest to you.
Choose the format that suits you best, whether it is on computer or on paper. For IELTS Academic, you can also choose to take the test at home.
