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|Owner |Item |Resource |Trainee Responsibility |DVAMC POC Responsibility |

|Education Service |Academic Affiliation |Affiliation Agreement |None |Check with Education Service at ext. 6909. |

| |with institution |Kept on file in Education | |Education Service must have an Affiliation |

| | |Service | |Agreement (AA) on file. |

|Education Service |Training Qualifications | |None |TQCVL Agreement must be updated annually or for |

| |and Credentials |[pic] | |each training cycle by the affiliate. Submit to |

| |Verification Letter |Maintained in Education | |Education Service. TQCVL must be signed by VA |

| |(TQCVL) |Copies should be kept at the | |Leadership prior to rotation. |

| | |service level | | |

| |Non-US Citizen must have|[pic] | |TQCVL should be processed by Education at least 30|

| |separate TQCVL | | |DAYS BEFORE ACTUAL ROTATION date. |

| | | | | |

| | | | |Save copy at Service level |

|HRMS |VA Form 10-2850d, | |Print out, complete and turn |Submit to Education Service for first signature, |

| |Application for Health |[pic] |in DVAMC Service Point of |once Education has signed document is returned to |

| |Professions Trainee | |Contact |Service POC. Service submits this document to |

| | | | |HRMS. |

|HRMS |WOC Appointment Letter | |Print out, complete and turn |Submit to HRMS WOC documents to HRMS for |

| |Form Letter (FL) 10-294 |[pic] |in DVAMC Service Point of |record-keeping maintenance. |

| | | |Contact | |

|HRMS |NON-US |[pic] |None |Service Chief will sign letter. Submit to HRMS who|

| |Citizen Letter | | |will obtain Medical Center Director approval. |

| |(If applicable) | | |Must be submitted for each Non-US Citizen. |

| |Form Letter (FL) 10-294 | | | |

|HRMS |Form (OF) 306, |[pic] |Print out, complete and turn |Submit to HRMS. |

| |Declaration for Federal | DVAMC Service Point of | |

| |Employment |fill/of0306.pdf |Contact | |

|HRMS |Determination & |[pic] |Print out, complete and turn |DVAMC Service Chief signs Submit to HRMS |

| |Certification of English| |in DVAMC Service Point of | |

| |Language Proficiency | |Contact. | |

| | | | | |

| | | | | |

| | | | | |

|Owner |Item |Resource |Trainee Responsibility |DVAMC POC Responsibility |

|HRMS/PIV Staff |Fingerprint Prep Sheet |[pic] |Print out, complete and turn |Schedule fingerprint appointment with HRMS/PIV |

| | | |in DVAMC Service Point of |staff ext. 4944 or 4945 |

| | | |Contact. | |

|HRMS/PIV Staff |Personal Identification | |Bring two picture forms of |Service PIV Sponsor coordinates appointment with |

| |Verification non-PIV |[pic] |ID’s to Fingerprint/ |HRMS PIV Coordinator. School ID is NOT acceptable |

| |card | |non-PIV appointment. | |

| | | | |Service PIV Sponsor has resources |

|Talent Management |VHA Mandatory Training | |Self-register in TMS |Provide to Trainee |

|System(TMS)Education |for Trainees (MTT) |tms. |Obtain Point of Contact name |Service Point of Contact (POC): |

| | | |and email from DVAMC Service |-First and Last Name |

| | |[pic] |VA Location: Durham |-POC Email address |

| | |Or Direct Link: | |-POC Phone number |

| | | Certificate of |-VA Location: Durham |

| | |ng/user/selfEnrollmentUserSel|Completion | |

| | |ection.do?emp_id=2 | |The TMS Domain Manager (14A) has access to these |

| | | |Turn in to DVAMC service Point|certificates. For concerns, contact Education, |

| | | |of Contact. |ext. 5534 or Service Point of Contact |

|Office of Information |VISN 6 Standardized | |Print out, complete personal |Complete and send the form via PKI encrypted email|

|&Technology(OI&T) |Computer Access Request | |info and turn in DVAMC Service|to VHADUR ISO. |

| |Form |[pic] |Point of Contact. |An ISO will review the request and if appropriate,|

| | | | |digitally sign and send to OIT staff for |

| | | | |processing. |

| | | | |Once the account has been created/modified, OIT |

| | | | |staff will notify the requesting service ADPAC or |

| | | | |AO that the request is complete. |

| | | | |In the event that outlook is down, paper request |

| | | | |forms can be submitted. |

|Education Service |Learners Perception |[pic] |If you have trouble logging |AFTER Clinical/Rotation Experience is completed |

| |Survey | |in, call 1-888-877-9869 or | |

| | | |e-mail OAA Help Desk. |Encourage Trainee to take the 15 minute Survey. |

| | | | |Trainee responses will be kept confidential. |

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