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Becoming a nurse in Germany through the Ausbildung

How the paid training works, the German level required, the contract before the visa and realistic timelines.

The Easyfly editorial teamUpdated 15 October 20263 min read

The Ausbildung is a work-study vocational training, usually three years long, split between a school and a care facility (hospital, care home). For nursing (Pflegefachfrau, Pflegefachmann), it is the most common route for Cameroonian applicants.

A paid training

You sign a training contract with the facility and are paid throughout the Ausbildung. Pay is set by the contract and rises each year; it usually covers a large share of living costs.

The requirements

  • B2-level German, with a certificate. It is the longest step: several months of intensive classes.
  • A signed training contract with a facility before applying for the visa.
  • Pre-approval from the Federal Employment Agency (Vorabzustimmung), requested with the employer, which speeds up the visa.
  • Your diplomas translated: facilities ask for them, then the consulate.

Care experience is not compulsory, but an internship or volunteering clearly strengthens your application.

Steps and timelines

  1. Language

    Up to B2, with a certificate.

  2. Finding a facility

    Applications and interviews, often by video call.

  3. Contract and pre-approval

    Signing the contract, then the Vorabzustimmung.

  4. Visa and arrival

    Vocational training visa file, housing, start of training.

Allow 9 to 18 months depending on your starting German level.

And afterwards?

Completing the training opens access to a residence permit to work in your profession. If you are already a qualified nurse, your case is rather one of diploma recognition: the procedure is different.

Key points

  • Three years, paid, work-study.
  • B2 German and a signed contract before the visa.
  • 9 to 18 months of preparation depending on your level.
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