Zablocki VA Medical Center
You must complete all of the following forms by hand. You may not type into them. Return all forms as indicated on the home page ASAP. You will be scheduled for an on-site orientation and all forms must be submitted before you can attend.
- Statement of Commitment. Print name, sign name, and date.
- Acknowledgement of Orientation. Read the Orientation Handbook, check student, and sign and date first line.
- Rules of Behavior. Print name, sign name, and date. Only return the last page of this document.
- WOC Letter. Enter dates of clinical at top and complete the bottom. Take one copy to fingerprinting and return one copy to school.
- Declaration of Federal Employment. Complete as much as you can.
- Application for VA. Complete as much as you can.
- SAC Form. Complete as much as you can.
- Click here to complete the online training. Print only the Certificate of Completion to send to school. For instructions click here.
At least one week prior to your scheduled orientation you must be fingerprinted by the VA. You can do this anytime between 0800-1530, M-F in room 70-E-38. No appointment is needed. Students showing up at orientation without having this done will be turned away. Take with you:
- WOC Letter
- Two (2) forms of ID. One (1) must be a photo ID (driver's license) and neither can be expired. You can use your Birth Certificate of Social Security Card for the other ID.
- You will be turned away if you do not have the correct materials!
Parking: Park by building #6 if you are on the VA campus during day shift hours. You will take a shuttle from building #6 to the main hospital building #111.