APPLICANT PROFILE: Lorenzo, Paul Lexus Gomez FACEBOOK ACCOUNT NAME: Paul Lexus Gomez Lorenzo CHOSEN STATE BOARD: Texas FIRST NAME: Paul Lexus MIDDLE NAME: Gomez LAST NAME: Lorenzo MARITAL STATUS: Single IF MARRIED, INDICATE THE SINGLE NAME: n/a DATE OF BIRTH: November 6, 1994 (11/06/1994) COUNTRY OF BIRTH: Philippines PLACE OF BIRTH: Paranaque, Metro Manila EMAIL ADDRESS: plgl.0611@gmail.com GENDER: Male COMPLETE MAILING ADDRESS: Block 5 Lot 5, Coneland Village Zone 2, Alasas, San Fernando, Pampanga 2000 CITY: San Fernando PROVINCE: Pampanga ZIPCODE: 2000 PHILIPPINES ADDRESS IF NOT THE SAME AS ABOVE: n/a PHILIPPINES MOBILE NUMBER: 0936-242-3639 RECENTLY WORKING IN (CITY/STATE/PROVINCE): n/a HOW MANY YEARS IN THE JOB: n/a NAME OF ELEMENTARY SCHOOL: San Fernando Elementary School STREET ADDRESS: B. Mendoza Street CITY: San Fernando ENTRY DATE: June, 2001 COMPLETION DATE: April, 2007 HAS THIS SCHOOL CLOSED?: No IF YES, (NAME OF NEW SCHOOL): n/a NAME OF SECONDARY SCHOOL: Pampanga High School STREET ADDRESS: High School Boulevard CITY: San Fernando ENTRY DATE: June, 2007 COMPLETION DATE: April, 2011 HAS THIS SCHOOL CLOSED?: No IF YES, (NAME OF NEW SCHOOL): n/a NAME OF UNIVERSITY: University of the Assumption STREET ADDRESS: Unisite Subdivision CITY: San Fernando ENTRY DATE: May, 2012 COMPLETION DATE: April, 2016 HAS THIS SCHOOL CLOSED?: No IF YES, (NAME OF NEW SCHOOL): n/a LICENSE INFORMATION NAME AS IT APPEARS IN YOUR LICENSE: Lorenzo, Paul Lexus Gomez COUNTRY: Philippines TITLE OF A PROFESSION: Nurse LICENSE ISSUED: 07/07/2016 LICENSED EXPIRATION: 11/06/2019 REGISTRATION LICENSE NUMBER/ STATUS: 0882342 (FOR PHILIPPINES), WHERE DID YOU TAKE YOUR PNLE?: St. Jude College HAVE YOU TAKEN NCLEX BEFORE?: No IF TAKEN, WHICH STATE AND WHEN IT WAS TAKEN: n/a CURRENTLY WORKING AS A NURSE?: No IF NOT, indicate the month and year that you last practiced as a nurse: n/a Country/Countries where you have license: Philippines Status of License : Professional/Valid