I also have a letter stating that I can now apply for an interim permit. I need your advice Ms Suzanne. I am a US Citizen (yes, I have an actual US passport), but I graduated nursing here in the Philippines. Will it be harder (even for a US citizen) to find work in the US with just an interim permit? I will take the NCLEX, that's for sure but Im having a hard time deciding on whether to leave this country and return to the US and take the NCLEX there or just leave my interim permit alone and take the NCLEX here in the Philippines. Honestly, are there still nursing jobs left for Foreign trained US citizen nurses like me?