Office of Academic Affiliations
Resources for Health Professions Trainees Coming to VA | Eligibility and Forms
Application forms must be completed by all clinical trainees participating in programs offered at U.S. Department of Veterans Affairs (VA) facilities. Some forms are required of all trainees. Additional forms may be required depending on your clinical training program.
Eligibility Information
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 to Register or Check Registration.
All Health Professions Trainees MUST have a U.S. Social Security Number.
If you do not, please stop here and alert your Program Director of Training.
VA is a drug-free workplace.
Click here to see what that means for HPTs.
Application Forms
VA Form 10-2850D, Application for Health Professions Trainees, required for ALL HPTs
Do NOT use VA Forms 10-2850, 102850a or 10-2850c.
The forms and mandatory training below are required for all HPTs.
Additional forms may be required depending on your type of appointment. Any additional forms will be available through your local VA facility.
| Form name | Form number | Required 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 letter. |
- | All Trainees |
| Health Professions Trainee Random Drug Testing Notification and Acknowledgement Memo | Memo (to be signed and returned) |
All Trainees** |
| Request for Personal Identify Verification Credential Your local VHA staff will provide directions on how to obtain a PIV Credential. |
- | 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. |
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