VA Form 10-0491: HPSP & VIOMPSP Academic Verification

VA Form 10-0491: HPSP & VIOMPSP Academic Verification – VA Form 10-0491 is a critical document for students applying to the Health Professional Scholarship Program (HPSP) and the Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP). This academic verification form helps the U.S. Department of Veterans Affairs (VA) confirm an applicant’s enrollment status, academic standing, program details, and projected costs.

Download the official VA Form 10-0491 here: VA Form 10-0491 PDF.pdf)

What Is VA Form 10-0491 Used For?

VA Form 10-0491 serves as the Academic Verification component of the application package for HPSP and VIOMPSP. It must be completed by the Dean, Program Director, or Administrative Chair of the applicant’s academic program.

The form verifies:

  • Applicant’s enrollment status and admission details
  • Program accreditation
  • Cumulative GPA (CGPA)
  • Full-time or part-time status
  • Plan of study, including courses, credit hours, tuition, and allowable fees
  • Expected completion and degree conferral dates

This information allows VA to assess eligibility and determine scholarship award amounts.

Overview of the Health Professional Scholarship Program (HPSP)

The HPSP provides full tuition, a monthly stipend, and an annual book stipend to students pursuing degrees in high-need health care professions. In return, recipients commit to a service obligation (typically a minimum of 2 years) at a VA health care facility.

Key Benefits:

  • Full tuition and required fees at regionally accredited U.S. schools
  • Monthly living stipend
  • Annual book stipend
  • Pathway to a rewarding VA career serving Veterans

HPSP supports various disciplines, including physicians, nurses, social workers, psychologists, and more.

Overview of the Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)

VIOMPSP helps students pursuing degrees or certificates in visual impairment, orientation and mobility, low vision therapy, or related fields. Recipients agree to a minimum 3-year service obligation at a VA facility to support blind and visually impaired Veterans.

Supported Specialties Include:

  • Certified Visual Rehabilitation Therapist (CVRT)
  • Certified Low Vision Therapist (CLVT)
  • Certified Orientation and Mobility Specialists (COMS)
  • Certified Assistive Technology Instructional Specialists (CATIS)

Who Should Use VA Form 10-0491?

Applicants to HPSP or VIOMPSP who are:

  • U.S. citizens (by birth or naturalization), age 18 or older
  • Unconditionally admitted or enrolled full-time in an accredited qualifying program
  • Maintaining a minimum 3.3 CGPA (with recent transcripts showing 15+ credit hours)
  • Not in default on federal debt

Both Veterans and civilians are generally eligible (with specific rules for certain tracks like Physician Assistant).

Note: The program must be accredited. If not accredited, the applicant is ineligible.

Step-by-Step Guide to Completing VA Form 10-0491

  1. Applicant Section: Sign and date the Consent for Release of Information. Provide personal details, school name, degree sought, and program information.
  2. Accreditation: List the accrediting organization and expiration date.
  3. Enrollment Status: Indicate unconditional admission, full-time status (required for most HPSP), start dates, and expected completion.
  4. GPA Verification: Report CGPA per school guidelines (undergraduate and/or graduate as applicable).
  5. Plan of Study: Detail courses, credit hours, tuition, and allowable fees for each term. Include a copy of the curriculum.

Important: The form is part of a larger package including VA Form 10-0491g (Application), recommendations, transcripts, and more. Submit via the VA Application Management System (AMS).

How to Apply for HPSP and VIOMPSP Scholarships?

Applications are typically accepted in early-year cycles (e.g., January-February). Use the VA AMS portal for online submission.

Required Documents Often Include:

  • Completed application (10-0491g)
  • Academic Verification (10-0491)
  • Recommendations (10-0491e)
  • Transcripts, resume, and other forms

Start early, as coordination with your school is required. Check the official VA Careers site for current deadlines.

Benefits of VA Scholarships and Service Obligation

Beyond financial support, these programs offer hands-on experience with Veterans, potential loan repayment pathways, and long-term career stability at VA. Service obligations ensure you apply your skills where they are needed most.

Common Questions About VA Form 10-0491 and Scholarships

Is the form required? Yes, it is a mandatory part of the application package.

Can I submit unofficial transcripts? Unofficial are often accepted initially for CGPA verification.

What if my status changes? Submit an addendum immediately for changes in GPA, enrollment, or costs.

For the latest details, visit official VA sources and consult your academic advisor or the HPSP team.

Ready to apply? Download VA Form 10-0491 and visit VA Careers Scholarship Programs for full guidance.

This article is for informational purposes and based on official VA resources. Always verify the most current requirements directly from va.gov.