English proficiency requirements for undergraduate nursing programs:

A high level of English proficiency is necessary for academic success in nursing as well as for patient safety. In addition to Pacific Lutheran University’s English proficiency requirements, all applicants to the School of Nursing whose first language is not English (including international and/or U.S. residents) must meet additional requirements.

Two options are currently available for international applicants:

The Test of English as a Foreign Language (TOEFL) is required of all applicants to the School of Nursing whose first language is not English with the exception of licensed practical nurses and registered nurses who hold current United States LPN or RN licensure.

The International English Language Test System (IELTS) provides an alternative to the TOEFL and may also be accepted from international students who wish to enter our program.

Minimum TOEFL Scores for Consideration of Admission:

To be considered for admission to the School of Nursing, applicants may take the TOEFL Internet-based test (TOEFL iBT) and must achieve:

Minimum Cumulative Score of:
86 combined

AND Minimum Individual Scores of:
26 in Speaking
20 in Writing
20 in Reading
20 in Listening

Test Preparation and Registration

TOEFL iBT Registration:

  • Complete information on the TOEFL iBT, including free test preparation materials, testing sites, and registration, is available online. Applicants may register for the TOEFL iBT by Internet, telephone (1-800-468-6335) or mail.
  • To request official TOEFL iBT scores to be sent to Pacific Lutheran University, enter Institution Code 4597.
  • Students who have taken previous versions of the TOEFL (computer-based or paper-based tests) should contact the School of Nursing at 253-535-7672.
  • Only official score reports will be accepted. TOEFL scores are valid for two years from the test date (see score information online).

Minimum IELTS Scores for Consideration of Admission:

To be considered for admission to the School of Nursing, applicants may take the IELTS and must achieve:

Minimum Cumulative Score of:
6.5 combined

AND Minimum Individual Scores of:
8 in Speaking
6.5 in Listening
6.5 in Reading
5.5 in Writing

IELTS Test Preparation and Registration

Complete information on the IELTS, including free test preparation materials, testing sites, and registration, is available online. Applicants may register for the IELTS by internet at IELTS Essentials.

Policy for Continuing Nursing Students

Current students who have difficulty in the program may be encouraged to take extra steps (e.g., participate in ESL courses or activities) to increase the probability of their success in the program and on the certifying examinations.

Enrolled nursing students whose first language is not English are encouraged to meet with an adviser on a regular basis during their program of study.