Application Forms & Mandatory Training - Office of Academic Affiliations
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Application Forms & Mandatory Training

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Am I Eligible? Download this Checklist to be sure you meet all Eligibility requirements to train at VA Facilities

Males born since 1960, between the ages of 18 and 25, MUST register for Selective Service. Click Here to Register or Check Registration

All Health Professions Trainees MUST have a US Social Security Number. If you don't, please stop here and alert your Program Director of Training.

VA is a Drug-Free Workplace. Click Here to see what that Means for Health Professions Trainees

VA Form 10-2850D, Application for Health Professions Trainees, required for ALL Health Professions Trainees

  • Do NOT use VA Forms 10-2850, 102850a or 10-2850c

The forms and mandatory training below are required for all health professions trainees

  • Additional forms may be required depending on your type of appointment
  • Any additional forms will be available through your local VA facility
Application Forms In Adobe AcrobatForm NumbersRequired for...
Application for Health Professions Trainees

VA 10-2850D 

All Trainees

Declaration for Federal Employment

 OF 306 

All Trainees*

Appointment Affidavit
DO NOT SIGN: Until you are instructed to sign while in the presence of a VA Official

SF 61 

All Trainees*

Appointment Letter for WOC Health Professions Trainees

 Human Resources staff will
provide an appointment

All Trainees

Health Professions Trainee Random Drug Testing Notification and Acknowledgement Memo 

 Memo to be signed and returned

All Trainees** 

Request for Personal Identity Verification Card
PIV / Non-PIV / Flash Badge
List of Specific Identification Documents Required

Your local VHA Staff
will provide directions
on how to obtain
a PIV card

All Trainees

Questionnaire for Non-Sensitive Positions
(all trainees except physician residents) 

OPM's online eQIP
Human Resources Staff
will provide directions

Trainees at VA for
Greater than 180 days
in aggregate ***

Questionnaire for Non-Sensitive Positions
(physician residents)***

OPM's online eQIP
Human Resources Staff
will provide directions

Physician Residents at a VA facility continuously
 for over 365 days****

VHA Mandatory Training for Trainees (Includes VA Rules of Behavior)

Online Course

All Trainees

* Department of Defense Trainees who are not paid by VA are exempt from completing Forms SF-61 and OF-306.

** The only VHA Training Programs exempt from Random Drug Testing per policy are:  Clinical Pastoral Education, Social Work, Dietetics, Occupational Therapy, Optometry, Audiology, Speech Pathology and non-Clinical or Administrative

*** OPM's online eQIP uses an online form that is completed by non-physician-resident health professions trainees who are appointed for more than 180 days in aggregate. Your local Human Resources staff will provide you with an access code and a link to eQIP if you are required to complete the online eQIP.

**** OPM's online eQIP uses an online form that is completed by physician-residents who have a greater than one year, continuous appointment and are at the VA continuously for greater than a year. Your local Human Resources staff will provide you with an access code and a link to eQIP if you are required to complete the online eQIP.