Please indicate your state of residence and your VA-eligible date of birth. 2. This form is available on the VA website, 3. The online VA application form () is only an application to obtain an application number. There will be no contact or visit to VA Medical Centers or any other VA medical treatment area while obtaining an application number. No personal interviews or appointments are scheduled. If you have any questions regarding applying for veterans services through the online application (inertia nt.va.gov/vahome/havana-v.do), you may contact the Central Office at and request an appointment. 4. All veteran applicants who wish to apply online must apply online. If you are not a veteran, answer questions 1(A), 4, and 5. If you are a veteran, please answer all the questions you feel comfortable answering. The purpose is to create statistics for reports to the state government. Please indicate your state of residence and your VA-eligible date of birth. If your application has been accepted, and you are not a veteran, please complete the online application and submit for processing. No personal interviews or appointments are scheduled. If you have any questions regarding applying for veterans services through the online application (inertia nt.va.gov/vahome/, please call:) or telephone, you may contact the Central Office at or telephone. Please let us know when you receive the completed application form(s) so we can verify receipt and provide you with the next steps.
Veteran Employment Training
Veteran employment training through VA facilities has been found effective in improving employee retention, enhancing employee productivity, and providing an opportunity for veterans to acquire new knowledge and skills outside the workplace. Effective employment programs, including the Veterans Employment and Training Services (VISIT) Program, are identified in the Veterans Employment Opportunities Act (VEGA). In some instances, the program may entail an on-the-job component.
If you believe you qualify for employment or vocational training through the VISIT Program, contact your local VE Ombudsman (ECHO) organization for assistance.
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Information on the next form, the POST-EMPLOYMENT INFORMATION ON VETERAN STATUS 1. Everyone must fill in these two portions of the form: Name and badge number (top of form) Signature and date (bottom
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