ELP exam requirements prior to May 12, 2026

English requirements prior to May 12, 2026

NOTE: TruMerit does not accept the at-home versions of English language proficiency exams.

TruMerit requires evidence of English language competency for both spoken and written English as demonstrated through passing scores on one of the following approved exams:

  • Cambridge English (B2 First, C1 Advanced, or C2 Proficiency exams)
  • TOEFL iBT (Test of English as a Foreign Language, Internet-based Test)
  • TOEIC (Test of English for International Communication)
  • IELTS (International English Language Testing System)
  • MET (Michigan English Test)
  • OET (Occupational English Test)
  • Pearson PTE Academic

The minimum required score varies depending on the profession of the applicant. Please refer to the table below to see the score for your profession.

English exam score requirements for VisaScreen

Applicants for VisaScreen must demonstrate oral and written competency of the English language as mandated by federal law. The English proficiency requirement varies by profession and is demonstrated by achieving a passing score in one of the tests listed below.

Effective December 1, 2024, TruMerit requires applicants who use the PTE Academic to meet the English language proficiency requirement to receive a 63 on the speaking section. The overall score of 55 and minimum score of 50 on the other sections have not changed.

Exemption due to English-based professional education

A VisaScreen applicant may be exempt from taking an English language proficiency examination if they have completed an English-based professional education. To be exempted, an applicant must meet both of the following two criteria:

  • Entry-level professional education must have occurred in the United Kingdom, Australia, Canada (except Quebec), New Zealand, Ireland, or the United States; AND
  • English must have been the language of instruction, including the language of the textbooks.

Exemption for U.S. work experience – VisaScreen Renewal only

To be exempt from having to take an English language proficiency examination based on having worked in the United States, an applicant must meet the following three criteria:

  • Demonstrate employment in the United States for at least 27 months, including nine (9) months employment prior to the date of the renewal order.
  • The applicant must be employed in the profession for which they are seeking the VisaScreen service.
  • The U.S. employer must sign and submit an employment summary on corporate letterhead.

For additional information on English language proficiency examinations, please visit:

https://www.hrsa.gov/office-global-health

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