Va Letterhead Template PDF Details

As a business professional, you know the importance of keeping a strong and consistent brand image. This means that all of your stationery, including your letterhead, should be designed in a way that is representative of your company. If you're looking for a va letterhead template to help you get started, we've got just what you need. In this post, we'll discuss the different types of letterhead templates available and provide tips on how to choose the right one for your business. We'll also share some resources for creating custom designs.

Below, you will see quite a few specifics about va letterhead template PDF. You can browse it just before filling in the form.

QuestionAnswer
Form NameVa Letterhead Template
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespdf letterhead template, letterhead templates printable pdf, veterans administration letterhead template, veterans affairs letterhead

Form Preview Example

DEPARTMENT OF VETERANS AFFAIRS

Robert J. Dole

VA Medical Center

5500 E. Kellogg

Wichita, KS 67218

In Reply Refer To: 589A7/EDU

Robert J. Dole Medical Center

5500 E. Kellogg

Wichita, KS 67218

Dear _______________________:

(Student Name)

Welcome to the Department of Veterans Affairs, Robert J. Dole Medical Center, Wichita, KS.

You will be assigned to our facility as a Student fromthrough, under authority of 38 U.S.C. 7405(a) (1) (D). During your period of affiliation with our facility, you are authorized to perform services as directed by the Service Director(s), Associate Director of Patient Care.

In accepting this assignment, you will receive no monetary compensation and you will not be entitled to those benefits normally given to regularly paid employees of the Department of Veterans Health Administration, such as leave, retirement, etc. You will, however, be eligible to receive benefits indicated below. Cash cannot be paid in lieu of any of these benefits.

Quarters

Subsistence

Uniforms

Launder of uniforms

None

If you agree to these conditions, please fill in the information requested on the reverse side of this document and sign the statement. This agreement may be terminated at any time by either party by written notice of such intent.

Sincerely,

NANCY J. GERSTNER

Human Resources Director

Social Security No:

Date of Birth:

VHA Contact Phone Ext: 57905 VHA Supv/Mentor: Travis Nickelson, RN, BSN

I agree to serve in the above capacity under the conditions indicated. If you agree, sign below.

Veteran Status (Please circle one)

1 - Vietnam Veteran*

2 - Other Veteran

3 - Non-Veteran

*For this purpose, a Vietnam Veteran is one with service between August 5, 1964 and May 7, 1975.

Signature: ______________________________

Date:

Please indicate your veteran status in box at left.

Pursuant to the Privacy Act of 1974, the information about your veteran status is requested under Title 38 United States Code and will be used to help identify veterans status of all VA trainees for statistical and program planning purposes. It will not be used for any other purpose. Disclosure of the information sought is voluntary. Failure to furnish this information will have no adverse effect on any benefits to which you may be entitled.

 

RCS 10-0161 Report

 

 

 

 

 

 

 

 

 

 

 

 

 

School Affiliation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Program (Place X in box):

 

 

Doctoral

 

 

Masters

 

BA/BS

 

Associate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certificate

 

 

 

Diploma

 

 

Other (Specify) __________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WOC Position Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approximate total hours scheduled to be at VAMC:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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