Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

VA Boston Healthcare System

 

Nursing and Allied Health Education

 

Here you will find instructions and forms for:

  • Undergraduate nursing student programs
  • Graduate nurse student programs
  • Surgical and medical technician student programs
  • Certified nursing assistant, high school-based programs
  • Affiliating Faculty (patient contact and no patient contact information)


Please note that you may need to download viewers to access the forms listed below. If so, visit
 http://www.va.gov/viewers/ for more information.

 

Undergraduate and Pre RN Licensure Students

  1. Instruction Guidelines
    a. Undergraduate Nursing FIRST time student instructions
    b. Checklist of requirements 
  2. VA ID Personal Identification Verification (PIV)
  3. Health Information template 
  4. Online Orientation (VA National test)
    a. VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
    b. Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
    c. VA Boston Healthcare System orientation supplement for clinical trainees (print and sign page 14) 
  5. Administrative Credentialing Forms 
    a. I9 form
    b. 612 form
    c. statement of commitment
    d. 306 form (2 copies)

6. Fingerprinting

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified. Each student is required to be fingerprinted. Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

Available all day by appointment.

7. Computer Application Class

a. Will be scheduled for you by Nursing Affiliation staff.
b. You will not be allowed to attend until steps 1-4 have been fulfilled.
c. Need social security number submitted with health information so that computer access codes may be requested.
d. Computer access codes will be given to you at the time of your scheduled class.
e. Arrive to your scheduled computer application class 10 minutes prior to start time for registration.

Returning Undergraduate Students

Instruction Guidelines 

Graduate students:

  1. Health Information template 
  2. Online Orientation (VA National test)
    a. VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
    b. Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
    c. VA Boston Healthcare System orientation supplement for clinical trainees (print and sign page 14)
  3. Administrative Credentialing Forms
    a. I9 form
    b. 2850a RN Application
    c. statement of commitment
    d. 306 form (2 copies)
    e. RN License
    f. BLS card

6. Fingerprinting 

Fingerprinting will be arranged by Nursing Affialiation staff, unless otherwise notified. Each student is required to be fingerprinted. Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

(Available all day by appointment)

7. Computer Application Class

a. Will be scheduled for you by Nursing Affiliation staff.
b. You will not be allowed to attend until steps 1-4 have been fulfilled.
c. Need social security number submitted with health information so that computer access codes may be requested.
d. Computer access codes will be given to you at the time of your scheduled class.
e. Arrive to your scheduled computer application class 10 minutes prior to start time for registration.

Returning Graduate Students

Instruction Guidelines

Surgical/Medical Assistant Technician Undergraduate Students:

  1. Instruction Guidelines
    a. Undergraduate FIRST time student instructions
    b. Checklist of requirements 
  2. VA ID Personal Identification Verification (PIV)
  3. Health Information template 
  4. Online Orientation (VA National test)
    a. VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
    b. Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
    c. VA Boston Healthcare System orientation supplement for clinical trainees. (print and sign page 14) 
  5. Administrative Credentialing
    a. I9 form
    b. 612 form
    c. statement of commitment
    d. 306 form (2 copies) 

6. Fingerprinting 

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified. Each student is required to be fingerprinted. Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

(Available all day by appointment)

Certified Nursing Assistant Students and High School Students:

        Credentialing Instruction Sheet
 

  1. Health Information template 
  2. Administrative Credentialing Forms
    a. I9 form
    b. 612 form
    c. 306 form (2 copies)
    d. Fingerprinting (under 18 parental consent form)

3. Fingerprinting 

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified. Each student is required to be fingerprinted. Fingerprinting must be completed prior to any clinical placement.

Faculty (First Time Clinical Faculty Non-VA):

  1. Instruction Guidelines
    a. Faculty Instructions
    b. Checklist of requirements 
  2. VA ID Personal Identification Verification (PIV)
  3. Health Information template 
  4. Online Orientation (VA National test)
    a. VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
    b. Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
    c. VA Boston Healthcare System orientation supplement for clinical trainees. (print and sign page 14)
  5. Administrative Credentialing Forms 
    a. I9 form
    b. 2850a RN Application
    c. statement of commitment
    d. 306 form (2 copies)
    e. RN License
    f. Clinical instructor profile
    g. BLS card
    h. Letter of recommendation from affiliating school
    i. Original sealed transcripts

6. Fingerprinting 

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified. Each student is required to be fingerprinted. Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

(Available all day by appointment)

7. Computer Application Class and Barcode Medication Administration Class

a. Will be scheduled for you by Nursing Affiliation staff.
b. You will not be allowed to attend until steps 1-4 have been fulfilled.
c. Need social security number submitted with health information so that computer access codes may be requested.
d. Computer access codes will be given to you at the time of your scheduled class.
e. Arrive to your scheduled computer application class 10 minutes prior to start time for registration.

Returning Faculty:
--Instruction Guidelines
Faculty No Patient Contact:
--Instruction Guidelines 

a.so that computer access codes may be requested.
d.  Computer access codes will be given to you at the time of your scheduled class.
e.  Arrive to your scheduled computer application class 10 minutes prior to start time for registration.
 
Returning Undergraduate Students

      Instruction Guidelines 

Graduate students

Instruction Guidelines
a.  Graduate Nursing FIRST time student
b.  Checklist of requirements 

2. VA ID Personal Identification Verification (PIV)

3. Health Information template

4. Online Orientation (VA National test)
a.  VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
b.  Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
c.  VA Boston Healthcare System orientation supplement for clinical trainees (print and sign page 14)

5. Administrative Credentialing Forms
a.  I9 form 
b.  2850a RN Application
c.  statement of commitment
d.  306 form (2 copies)
e.  RN Licensef.  
f.  BLS card

  6.  Fingerprinting

Fingerprinting will be arranged by Nursing Affialiation staff, unless otherwise notified.  Each student is required to be fingerprinted.  Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

(Available all day by appointment)

  7.  Computer Application Class

a.  Will be scheduled for you by Nursing Affiliation staff.
b.  You will not be allowed to attend until steps 1-4 have been fulfilled.
c.  Need social security number submitted with health information so that computer access codes may be requested.
d.  Computer access codes will be given to you at the time of your scheduled class.
e.  Arrive to your scheduled computer application class 10 minutes prior to start time for registration.

Returning Graduate Students

Instruction Guidelines
Surgical/Medical Assistant Technician Undergraduate Students:

Instruction Guidelines
a.  Undergraduate FIRST time student instructions
b.  Checklist of requirements 

2. VA ID Personal Identification Verification (PIV)

3. Health Information template 

4. Online Orientation (VA National test)
a.  VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
b.Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
c.  VA Boston Healthcare System orientation supplement for clinical trainees.  (print and sign page 14) 

5. Administrative Credentialing 
a.  I9 form
b.  612 form
c.  statement of commitment
d.  306 form (2 copies)

  6.  Fingerprinting

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified.  Each student is required to be fingerprinted.  Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

(Available all day by appointment)

Certified Nursing Assistant Students and High School Students:

1. Credentialing Instruction Sheet 
2. Health Information template 

3. Administrative Credentialing Forms
a.  I9 form
b.  612 form
c.  306 form (2 copies)
d.  Fingerprinting (under 18 parental consent form)

  4.  Fingerprinting

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified.  Each student is required to be fingerprinted.  Fingerprinting must be completed prior to any clinical placement.
 
Faculty (First Time Clinical Faculty Non-VA):

1.  Instruction Guidelines
a.  Faculty Instructions
b.  Checklist of requirements

2.  VA ID Personal Identification Verification (PIV)

3. Health Information template 

4. Online Orientation (VA National test)
a.  VHA Mandatory Training for Trainees (Separate instruction sheet provided) please print and bring certificate of completion
b.  Massachusetts Centralized Clinical Placement Online Orientation (print ticket and bring)
c.  VA Boston Healthcare System orientation supplement for clinical trainees.  (print and sign page 14)

5. Administrative Credentialing Forms
a.  I9 form
b.  2850a RN Application
c.  statement of commitment
d.  306 form (2 copies)
e.  RN License
f.   Clinical instructor profile
g.  BLS card
h.  Letter of recommendation from affiliating school
i.   Original sealed transcripts

  6.  Fingerprinting

Fingerprinting will be arranged by Nursing Affiliation staff, unless otherwise notified.  Each student is required to be fingerprinted.  Fingerprinting must be completed prior to any clinical placement.

-- Brockton - contact telephone 774-826-1164 or 774-826-1119
-- Jamaica Plain - contact 857-364-5562 or 857-364-5561
-- West Roxbury - contact 857-203-6064 or 857-203-6252

(Available all day by appointment)

  7.  Computer Application Class and Barcode Medication Administration Class

a.  Will be scheduled for you by Nursing Affiliation staff.
b.  You will not be allowed to attend until steps 1-4 have been fulfilled.
c.  Need social security number submitted with health information so that computer access codes may be requested.
d.  Computer access codes will be given to you at the time of your scheduled class.
e.  Arrive to your scheduled computer application class 10 minutes prior to start time for registration.
 
Returning Faculty:

      --Instruction Guidelines

Faculty No Patient Contact:

      --Instruction Guidelines 

Let us know!  Once you have completed your VA rotations, please complete the VA learners' perception survey here.  This survey takes approximately 15 minute to complete.  If you have already completed the survey, thank you for your response.