Central Alabama Veterans Health Care System (CAVHCS)

Geriatrics Residency Application Information

All residents wanting to perform a clinical training assignment at the Central Alabama Veterans Health Care System (CAVHCS) must complete the items listed below.  Once ALL items are complete, the entire packet of original printed items must be returned to the Geriatrics Service Line at least four weeks before the scheduled clinical training date.

Getting Started:

Make sure you have a printer available, as some of these forms cannot be saved.

Follow all instructions carefully.

• Complete, print and sign the Application for Residents form (10-2850b).
• Complete, print and sign the Declaration of Federal Employment, form OF-306.
• Complete and print VA Clinical Trainee Registration Form - VA Form 10-0410.
• Special Agreement Check (SAC)- Please note that Morehouse Residents are fingerprinted at the Atlanta VAMC and are not fingerprinted at CAHVCS. CPRS Training is scheduled on an individual basis and is included on the Resident's individual orientation schedule, which Residents receive upon their arrival. We work with ITM on a monthly basis to schedule this training.
• Complete section 1, print, and sign the Request for Personal Identity Verification Card, VA Form 0711. NOTE: The day you come for finger printing and ID badge you must present two forms of identification as listed on page 5 of this form.
• Complete, print, and sign the Geriatrics Scope of Practice form.
• Complete the VHA mandatory trainings for trainees. Directions for logging in and locating requirements are included in the attachment (see attached Signing up for the VA Employee Education System). Be sure to read/print this first. Log into the following website and complete the mandatory training course (annual requirements) and print the certificate.
  https://www.ees-learning.net/
• Please read, print, then initial and date each page and then sign and date the last page of the National Rules of Behavior (Attached VA Handbook 6500).
• Complete, print and sign Special Agreement Form (SAC).

Send completed processing packet to the following address:

Central Alabama Veterans Health Care System
Attn: Debra Hill
Geriatrics, Extended Care and Rehabilitaton (114)
2400 Hospital Road

Tuskegee, AL 36083

If you have any questions or if additional clarification is needed, please contact Debra Hill at 334-727-0550, ext. 5422 or email to:Debra.Hill2@va.gov.

NOTE: Incomplete student processing packets will not be processed and you will not be able to start your residency training.

All incoming Residents must be fingerprinted before their arrival at CAVHCS. To complete this requirement, residents are to report to the Atlanta VA Medical Center; 1670 Clairmont Road, Decatur, GA 30033. Contact person at the Atlanta VAMC is Ms. Freida Philpotts. Please see Ms. Danyala Cotton of Morehous regarding scheduling your appointment with Ms. Philpotts for fingerprinting. This is to be completed at least one (1) month prior to your arrival.

• One government issued photo ID (i.e. driver license, military ID, passport) and one non-photo ID (see list on VA Form 0711, page 5, item 4 above).
• Permanent Resident Card (if applicable).
• Vehicle Registration and proof of insurance (if applying for a VA parking permit).