United States Department of Veterans Affairs
United States Department of Veterans Affairs

Portland VA Medical Center

Education - Application Forms for "Without Compensation" Allied Health and Professional Students

  • Complete all  required forms in ink.

  • You must submit the forms to the address below 4 weeks prior to your start date.

  • Please be sure to sign and date wherever required.

  • If you were not U.S. born, please include a photocopy of a citizenship document to show you are legal to be in the U.S., i.e.: naturalization certification, resident alien card, passport, etc. The photocopy must be legible.
     

  • Return the completed forms to:

    Cynthia Sarrazin
    Education Division (P2EDUC)
    VA Medical Center
    PO Box 1034
    Portland, OR  97207

        Questions call: 503 220-8262 Ext 53302


Complete the one most appropriate application from the following three forms:

 

Then complete all of the following forms:

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