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Veterans Affairs Application Information

Information for Resident's Application Package
PLEASE READ INSTRUCTIONS BELOW

Welcome to the Southern Arizona VA Health Care System (SAVAHCS). In an effort to help make your transition a smooth one, the following information is provided:

Your application package includes the following:
Welcome Letter - Medical Education Office
VA Form 10-2850d - Application for Health Profession Trainees
Welcome Letter - Director
SF 61 - Appointment Affidavits
SAVAHCS Map
Trainee Registration Information For VISTA
Statement of Commitment and Understanding
Department of Veterans Affairs (VA) National Rules of Behavior
Mandatory Training for Trainees

All applicants must provide a valid Social Security Number issued through the Social Security Administration.

Applications without a valid Social Security Number will not be processed.
Ensure that your name and Social Security Number appear at the top of pages 2 through 4.
Please answer all questions on pages 1 through 4.
Please include any additional information on plain bond paper.
Please sign and date blocks 26A and 26B on page3.
Don't forget to fill out, sign and date page 4.

Privacy and Information Security Training for AY 11-12

These are online training courses required before VA assignment begins. A certificate of completion is required for each course (instructions are provided).

Welcome Letters - Director and Medical Education

Director-Please provide the requested information at the top of the letter and sign and date on the bottom.
Medical Education - Please refer to the individual listed on the letter if you have questions concerning your VA specialty orientation.

SF 61 - Appointment Affidavits

Please print your name on the 3rd line and sign just below item C.
Do not fill in anything below your signature, below item C.
Do not stamp or notarize.

Trainee Registration Information for VISTA

For online survey purposes the Office of Academic Affiliations requires the requested information. Please be sure to include either your home or your university email address.

Statement of commitment and Understanding for VA Trainees and the Department of Veterans Affairs (VA) National Rules of Behvavior)

This form must be read, signed and dated with the requested information.

NOTE: Incomplete information will result in a delay in authorization of clinical privileges to include, computer access/authorization to write meds and perform procedures etc.

For any questions, please contact Sharon via e-mail at
Sharon.Coleman2@va.gov or at
(520) 629-1880 (No Voicemail)
(520) 548-1564 (Cell Phone)

Please complete and print the attached documents. Once they are completed please mail them to:

Graduate Medical Education Office
P.O. Box 245085
Tucson, AZ 85724