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Vha 10 2850c Fill 10 2850c (U.S. Department of Veterans Affairs)

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10-2850c
VA FORM
NOV 2016 (R)
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Approved Exception To SF 171
OMB No. 2900-0205
Estimated burden: 30 minutes
APPLICATION FOR ASSOCIATED HEALTH OCCUPATIONS
SEE LAST PAGE FOR PAPERWORK REDUCTION ACT, PRIVACY ACT AND INFORMATION ABOUT DISCLOSURE OF YOUR SOCIAL SECURITY NUMBER.
INSTRUCTIONS: Please submit this application furnishing all information in sufficient detail to enable the Department of Veterans Affairs to
determine your eligibility for appointment in Veterans Health Administration.
Type, or print in ink. If additional space is required, please attach a separate sheet and refer to items being answered by number.
1. OCCUPATION FOR WHICH APPLYING
A
CERTIFIED RESPIRATORY THERAPY TECHNICIAN
B
REGISTERED RESPIRATORY THERAPIST
C LICENSED PHYSICAL THERAPIST
D LICENSED PRACTICAL/VOCATIONAL NURSE
E LICENSED PHARMACIST
F
PHYSICIAN ASSISTANT
G
EXPANDED-FUNCTION DENTAL AUXILIARY
H OCCUPATIONAL THERAPIST
OTHER (Specify)
2. NAME (Last, First, Middle) 3. APPLICATION FOR (Check one)
GENERAL PRACTICE SPECIALTY (Identify Below)
4. PRESENT ADDRESS (Include ZIP Code) STREET ADDRESS 2 APT. NO.
CITY
STATE ZIP CODE COUNTRY
5. TELEPHONE NUMBER (Include Area Code)
5A. RESlDENCE 5B. BUSINESS
6. DATE OF BIRTH 7. PLACE OF BIRTH (City) STATE 8. SOCIAL SECURITY NUMBER
9A. CITIZENSHIP
U.S. CITIZEN BY BIRTH NATURALIZED U.S. CITIZEN NOT A U.S. CITIZEN (Complete item 9B)
9B. COUNTRY OF WHICH YOU ARE A CITIZEN
10A. HAVE YOU EVER FILED APPLICATION FOR APPOINTMENT IN THE VA
YES
NO (If "YES" complete items 10B and 10C)
10B. NAME OF OFFICE WHERE FILED 10C. DATE FILED
11. WHEN MAY INQUIRY BE MADE OF YOUR PRESENT EMPLOYER 12. DATE AVAILABLE FOR EMPLOYMENT
I - ACTIVE MILITARY DUTY
13A. DATE FROM 13B. DATE TO 13C. SERIAL OR SERVICE NO. 13D. BRANCH OF SERVICE 13E. TYPE OF DISCHARGE
(Explain on
separate sheet)
II - LICENSURE, DEA CERTIFICATION, REGISTRATION AND CLINICAL PRIVILEGES (As applicable)
14A. LIST ALL STATES/TERRITORIES IN WHICH
YOU ARE NOW OR HAVE EVER BEEN LICENSED
(If not held now, explain on separate sheet)
14B. LICENSE NO.
14C. CURRENT REGISTRATION
(If "NO" explain on separate sheet)
14D. EXPIRATION DATE
YES
NO NOT REQUIRED
15A.
ARE YOU FULLY LICENSED IN EVERY STATE
IN WHICH YOU RECEIVED A LICENSE
(If restricted, limited or probational in any State(s),
explain on separate sheet)
15B. DO YOU HAVE PENDING OR HAVE YOU EVER HAD A
STATE LICENSE TO PRACTICE REVOKED, SUSPENDED,
DENIED, RESTRICTED, LIMITED, OR ISSUED/PLACED ON A
PROBATIONAL STATUS OR VOLUNTARILY RELINQUISHED
15C. HAVE YOU EVER HELD A
REGISTRATION TO PRACTICE THAT IS
NO LONGER HELD OR CURRENT
YES
NO NOT APPLICABLE
YES
YES
(If "YES" explain on
separate sheet)
NO
YES
NO
YES
NO
(If "YES" explain on
separate sheet)
(If "YES" explain on
separate sheet)
NO
YES
NO (If "YES" explain on separate sheet)
16A. NAME THE CERTIFYING BODY
FOR YOUR HEALTH
OCCUPATION
16B. DATE OF MOST RECENT
REGISTRATION/CERTIFICATION
(Give Month and Year)
16C. WHAT IS YOUR REGISTRY/
CERTIFICATION NUMBER
16D. HAS ACTION EVER BEEN TAKEN AGAINST
YOUR CERTIFICATION OR REGISTRATION
17A. DO YOU CURRENTLY HAVE OR HAVE YOU EVER
HAD CLINICAL PRIVILEGES AT ANY HEALTH
CARE INSTITUTION, AGENCY OR ORGANIZATION
(If "YES" complete Item 17B)
17B. NAME OF CURRENT OR MOST RECENT
INSTITUTION, AGENCY OR
ORGANIZATION WHERE HELD
17C. HAVE ANY OF YOUR STAFF APPOINTMENTS OR
CLINICAL PRIVILEGES EVER BEEN DENIED,
REVOKED, SUSPENDED, REDUCED, LIMITED, OR
VOLUNTARILY RELINQUISHED
III - THIS SECTION TO BE COMPLETED BY FACILITY DIRECTOR OR DESIGNEE
CERTIFICATION:
I certify that I have verified licensure and registration with State boards, and cited visa or evidence of citizenship.
Board certification has been verified (if appropriate).
18. EVIDENCE HAS BEEN CITED IN REGARDS TO:
CERTIFICATION OR REGISTRATION
NATURALIZED CITIZENSHIP
LICENSURE/REGISTRATION FOR ALL STATES LISTED BY APPLICANT
VISA
CURRENT OR MOST RECENT CLINICAL PRIVILEGES
NO CURRENT OR PREVIOUS CLINICAL PRIVILEGES
19A. SIGNATURE OF AUTHORIZED OFFICIAL 19B. TITLE 19C. DATE (MONTH, DAY, YEAR)
HONORABLE
OTHER
EXISTING STOCK OF VA FORM 10-2850c, JUN 2006, WILL BE USED.
PAGE 1
COUNTRY
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10-2850c
VA FORM
NOV 2016 (R)
20A. PRESENT LIABILITY
INSURANCE CARRIER
IV - LIABILITY INSURANCE (As applicable)
20C. NAMES OF PRIOR CARRIERS 20D. DATE OF COVERAGE
21. HAS ANY CARRIER EVER
CANCELLED, DENIED OR
REFUSED TO RENEW YOUR
INSURANCE
20B. DATE COVERAGE
BEGAN
FROM
TO
V - QUALIFICATIONS
BASIC ALLIED HEALTH EDUCATION (Continue on separate sheet, if necessary)
(If "YES" explain on separate sheet)
22A. NAME OF SCHOOL 22B. ADDRESS (City, State and ZIP Code)
22C. LENGTH OF
PROGRAM
22D. DATE
COMPLETED
22E. DIPLOMA OR
DEGREE RECEIVED
ADDITIONAL EDUCATION (Continue on separate sheet, if necessary)
23A. NAME OF SCHOOL 23B. ADDRESS (City, State and ZIP Code) 23C. MAJOR
23D. DATE
COMPLETED
23E.
CREDITS
23F.
DEGREE
Vl - PROFESSIONAL EXPERIENCE
24C. POSITION (Where
applicable, also specify
whether General
Practitioner or Specialist)
26D.
FULL-
TIME
26E. PART-TIME
AVERAGE HOURS
PER WEEK
26F. DATES EMPLOYED
24A. EMPLOYER 24B. ADDRESS (City, State and ZIP Code)
FROM TO
Vll - GENERAL INFORMATION
25. NAMES UNDER WHICH YOU WERE EMPLOYED, IF DIFFERENT FROM NAME GIVEN IN ITEM 1.
26. LIST ALL PUBLICATIONS, SCIENTIFIC PAPERS, HONORS, AWARDS, RESEARCH GRANTS, FELLOWSHIPS (If additional space is required, attach separate sheet).
VlIl - REFERENCES
27. REFERENCES: List at least four persons living in the United States who are not related to you by blood or marriage and who have been in a position to judge your
qualifications during the past five years.
27A. NAME 27B. ADDRESS (Number, Street, City, State and ZIP Code) 27C. AREA CODE/PHONE NO. 27D. BUSINESS OR OCCUPATION
NO
YES
PAGE 2
10-2850c
VA FORM
NOV 2016 (R)
REFERENCES (Continued)
ITEM NO. PLACE AN "X" IN APPROPRIATE SPACE. IF "YES" EXPLAIN DETAILS ON SEPARATE SHEET YES NO
28.
Do you receive or do you have a pending application for retirement or retainer pay, pension, or other compensation based
upon military, Federal civilian, or District of Columbia service?
29.
Does the Department of Veterans Affairs employ any relative of yours (by blood or marriage)? If "YES" give separately such
relative's (1) full name; (2) relationship; (3) VA position and employment location.
30.
ARE YOU NOW, OR HAVE YOU EVER BEEN, INVOLVED IN ADMINISTRATIVE OR JUDICIAL PROCEEDINGS
IN WHICH MALPRACTICE ON YOUR PART IS OR WAS ALLEGED? (If "YES" give details including name of action or
proceedings, date filed, court or reviewing agency, and the status or disposition of case concerning allegations, together with
your explanation of the circumstances involved.)
(As a provider of health care services, the VA has an obligation to exercise reasonable care in determining that applicants are
properly qualified. It is recognized that many allegations of malpractice are proven groundless. Any conclusion concerning
your answer as it relates to your qualifications will be made only after a full evaluation of the circumstances involved.)
NOTE: A conviction or a discharge does not necessarily mean you cannot be appointed. The nature of the conviction or discharge and how long ago it
occurred is important. Give all the facts so that a decision can be made. If your answer to question 33, 34 or 35 is "YES" give for each offense: (1) date;
(2) charge; (3) place; (4) court and (5) action taken. When answering item 33 or 34, you may omit (1) traffic fines for which you paid a fine of $100.00
or less; (2) any offense committed before your 18th birthday which was finally adjudicated in a juvenile court or under a youth offender law; (3) any
conviction the record of which has been expunged under Federal or State law; and (4) any conviction set aside under the Federal Youth Corrections Act
or similar State authority.
31.
Within the last five years have you been discharged from any position for any reason?
32.
Within the last five years have you resigned or retired from a position after being notified you would be disciplined or
discharged, or after questions about your clinical competence were raised?
33.
Have you ever been convicted, forfeited collateral, or are you now under charges for any felony or any firearms or explosives
offense against the law? (A felony is defined as any offense punishable by imprisonment for a term exceeding one year, but
does not include any offense classified as a misdemeanor under the laws of a State and punishable by a term of imprisonment
of two years or less.)
34.
During the past seven years have you been convicted, imprisoned, on probation or parole, or forfeited collateral, or are you
now under charges for any offense against the law not included in 33 above?
35.
While in the military service were you ever convicted by a general court-martial?
36.
If you were in the military service in one of these health occupations, did you ever receive a non-judicial punishment
(Article 15)?
37.
Are you delinquent on any Federal debt? (Include delinquencies arising from Federal taxes, loans, overpayment of benefits,
and other debts to the U.S. Government, plus defaults on any Federally guaranteed or insured loans such as student and home
mortgage loans.)
If "Yes" explain on a separate sheet the type, length, and amount of the delinquency or default and steps you are taking to
correct errors or repay the debt. Give any identification numbers associated with the debt and the address of the Federal
agency involved.
IX - SIGNATURE OF APPLICANT
NOTE: A false statement on any part of your application may be grounds for not hiring you, or for terminating you after you begin work. Also, you may
be punished by fine or imprisonment (U.S. Code, Title 18, Section 1001).
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL OF MY STATEMENTS ARE
TRUE, CORRECT, COMPLETE, AND MADE IN GOOD FAITH.
CERTIFICATION:
38A. SIGNATURE OF APPLICANT 38B. DATE (Month, Day,Year)
PAGE 3
27A. NAME 27B. ADDRESS (Number, Street, City, State and ZIP Code) 27C. AREA CODE/PHONE NO. 27D. BUSINESS OR OCCUPATION
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10-2850c
VA FORM
NOV 2016 (R)
AUTHORIZATION FOR RELEASE OF INFORMATION
In order for the Department of Veterans Affairs (VA) to assess and verify my educational background, professional qualifications and suitability for
employment, I:
Authorize VA to make inquiries concerning such information about me to my previous employer(s), current employer, educational institutions, State
Medical Boards, other professional organizations and/or persons, agencies, organizations or institutions listed by me as references, and to State
licensing boards, professional liability insurance carriers, national practitioner data bank, American Medical Association, Federation of any other
appropriate sources to whom VA may be referred by those contacted or deemed appropriate;
Authorize release of such information and copies of related records and/or documents to VA officials;
Release from liability all those who provide information to VA in good faith and without malice in response to such inquiries; and
Authorize VA to disclose to such persons, employers, institutions, boards or agencies identifying and other information about me to enable VA to
make such inquiries.
PAPERWORK REDUCTION ACT AND PRIVACY ACT NOTICE
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of
section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information
unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 30 minutes. This
includes the time it will take to read instructions, gather the necessary facts and fill out the form.
AUTHORITY: The information requested on the attached application form and Authorization for Release of Information is solicited under Title 38, United
States Code, Chapters 73 and 74.
PURPOSES AND USES: The information requested on the application is collected primarily to determine your qualifications and suitability for
employment. If you are employed by the VA, the information will be used to make pay and benefit determinations and, as necessary, in personnel
administration processes carried out in accordance with established regulations and the published notice of the system of records "Applicants for
Employment under Title 38, U.S.C.-VA" (02VA135)
ROUTINE USES: Information on the form or the form itself may be released without your prior consent outside the VA to another Federal, State or local
agency, to the National Practitioner Data Bank which is administered by the Department of Health and Human Services, to State licensing boards, and/or
appropriate professional organizations or agencies to assist the VA in determining your suitability for hiring and for employment, to periodically verify,
evaluate and update your clinical privileges and licensure status, to report apparent or potential violations of law, to provide statistical data upon proper
request, or to provide information to a Congressional office in response to an inquiry made at your request. Such information may also be released without
your prior consent to Federal agencies, State licensing boards, or similar boards or entities, in connection with the VA's reporting of information concerning
your separation or resignation as a professional staff member under circumstances which raise serious concerns about your professional competence.
Information concerning payments related to malpractice claims and adverse actions which affect clinical privileges also may be released to State licensing
boards and the National Practitioner Data Bank. The information you supply may be verified through a computer matching program at any time.
EFFECTS OF NON-DISCLOSURE: See statement below concerning disclosure of your social security number. Disclosure of the other information is
voluntary; however, failure to provide this information may delay or make impossible the proper application of Civil Service rules and regulations and VA
personnel policies and thus may prevent you from obtaining employment, employees benefits, or other entitlements.
INFORMATION REGARDING DISCLOSURE OF YOUR SOCIAL SECURITY NUMBER UNDER PUBLIC LAW 93-579 SECTION 7(b)
Disclosure of your SSN (social security number) is mandatory to obtain the employment and related benefits that you are seeking. Solicitation of the SSN is
authorized under the provisions of Executive Order 9397, dated November 22, 1943. The SSN is used as an identifier throughout your Federal career from
the time of application through retirement. It will be used primarily to identify your records. The SSN also will be used by Federal agencies in connection
with lawful requests for information about you from your former employers, educational institutions, and financial or other organizations. The information
gathered through the use of the number will be used only as necessary in personnel administration processes carried out in accordance with established
regulations and published notices of systems of records. The SSN also will be used for the selection of persons to be included in statistical studies of
personnel management matters. The use of the SSN is made necessary because of the large number of present and former Federal employees and applicants
who have identical names and birth dates, and whose identities can only be distinguished by the SSN.
PAGE 4
SIGNATURE DATE
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