Get Va 10-2850a 1998

The VA 10-2850a form is essential for individuals applying for employment as nurses and nurse anesthetists within the Department of Veterans Affairs. This guide provides a comprehensive, step-by-step approach to filling out the form online to ensure a smooth application process.

Follow the steps to complete the VA 10-2850a form online.

1. Press the 'Get Form' button to access the VA 10-2850a form and open it for editing.
2. In the first section, enter your full name (last, first, middle) in the designated fields.
3. Indicate the application type by checking the appropriate box for general practice or specialty.
4. Provide your present address, including street address, city, state, and zip code.
5. Fill in your date of birth as prompted, along with your telephone number and residence information.
6. Indicate your place of birth and citizenship status; select whether you are a U.S. citizen or not.
7. If applicable, provide information regarding any previous applications filed with the VA, including the office and date.
8. Specify your available date for employment and inquire when your current employer may be contacted.
9. List all states where you are or have been registered as a nurse along with your registration numbers.
10. Complete the section on professional privileges, detailing any past denials or current restrictions.
11. Nurse anesthetists should fill out the certification section if applicable, including certification dates and information.
12. Provide information about your professional liability insurance if you currently hold any.
13. Outline your basic nursing education and additional education if necessary, including school names and degrees received.
14. Detail your nursing experience by indicating previous employers, positions, and dates of employment.
15. List any professional publications, awards, or honors received, providing additional details as needed.
16. Include references from four individuals who can assess your professional qualifications.
17. Finally, review all your provided information for accuracy and completeness before signing the application.
18. Upon completion, save your changes to the form, and choose to download, print, or share your application as necessary.

Start filling out your VA 10-2850a form online today for a smooth application process.