Nursing Resident & Nursing Student Education

Student completes all of the below bulleted forms in ink- INCLUDING the ones entitled “optional”. Forms must be received at the VA 4 WEEKS PRIOR to the first day of your clinical rotation:

1. Employment Eligibility Verification Form (I-9)
2. Application for Health Professions Trainees (Complete sections I-III, skip section IV. Complete sections V-IX as applicable, answer NO TO ALL in section X and sign on the bottom of pages 3 and 4)
3. Declaration for Federal Employment

4. Fingerprint Form 
   NOTE: IF YOU WERE NOT U.S. BORN, please include a photocopy of a citizenship document to show you are legal to be in the U.S., i.e. naturalization certification, resident alien card, passport, etc.  The photocopy must be legible.

   Please ensure all forms are signed and dated prior to mailing. Forms DO NOT need to be notarized. 

Submit completed paper work to Jennifer Jalloh at the address below:

Ms. Jennifer Jalloh
VA Providence Health care system, 7th Floor
Nursing Office (118)
830 Chalkstone Avenue
Providence, RI 02908

After ALL paperwork is submitted and reviewed, you will be contacted by the Nursing Department to make appointments to process in through Human Resources (HR) for fingerprinting and photo ID at least two weeks prior to the first day of your clinical rotation. You will need two forms of ID on that day. Use the link to the list of acceptable IDs list.

• All students must complete the on-line course ‘Mandatory Training for Trainees’ (please allow up to 2-4 hours for this training)
• The embedded attachment has directions - VA Mandatory Training for Trainees

Students on Independent Clinical Rotations or Leadership Rotations: You will be contacted to schedule an appointment for fingerprinting and photo ID badge after application forms are received.