VA Form 10-10154: EISP Mobility Agreement | Official Guide

VA Form 10-10154: EISP Mobility Agreement | Official Guide – VA Form 10-10154, titled Employee Incentive Scholarship Program—Mobility Agreement, is a key document for Veterans Health Administration (VHA) employees participating in the Department of Veterans Affairs (VA) Employee Incentive Scholarship Program (EISP) and its related initiatives. These include the National Nursing Education Initiative (NNEI), VA National Education for Employees Program (VANEEP), and the VA/DOD Certified Registered Nurse Anesthetist (CRNA) program.

This one-page form requires participants to acknowledge that their post-graduation assignment and service obligation will be determined by VHA staffing needs. They may be required to relocate—at their own expense—to a VA facility selected by the Under Secretary for Health or designee. Understanding and properly completing this form is essential for VHA employees pursuing scholarships to advance their careers while helping VA address critical workforce shortages in hard-to-fill health professional occupations.

Download the official form here:
Download VA Form 10-10154 (PDF)

What Is VA Form 10-10154?

VA Form 10-10154 is the official Mobility Agreement associated with the Employee Incentive Scholarship Program. It is a fillable PDF (revised August 2017) that VHA employees sign as part of their EISP participation package.

The form contains:

  • Introductory language explaining the purpose of EISP and eligibility under Title 38 U.S. Code Chapter 76.
  • Checkboxes to select the specific EISP initiative (EISP, NNEI, VANEEP, or VA/DOD CRNA).
  • Several acknowledgment statements that participants must initial.
  • Fields for employee name, current VA facility, date, and signature (electronic signature enabled).
  • A Privacy Act notice citing authority under 38 U.S.C. 7671-7675.

This form works alongside the main EISP Agreement and application documents. It specifically addresses the mobility and relocation expectations tied to fulfilling the service obligation.

Purpose of the Employee Incentive Scholarship Program (EISP) Mobility Agreement

The EISP helps VHA meet its staffing needs in health professional occupations where recruitment or retention of qualified personnel is difficult. Scholarships support tuition, fees, and books (tax-free, up to approximately $46,307 depending on the program) for eligible VHA employees pursuing degrees or training that prepare them for Title 38 or hybrid Title 38 positions.

In return, participants agree to a service obligation—typically 1 to 3 years of full-time employment in the occupation for which the scholarship prepared them, at a VHA facility selected based on agency needs. The Mobility Agreement formalizes the participant’s understanding that:

  • Assignment is based on VHA workforce requirements (preferences are considered but not guaranteed).
  • Relocation may be required at the employee’s own expense.
  • No additional relocation benefits or concurrent service obligations from other incentives are permitted in most cases.

This agreement supports VA’s ability to direct newly trained professionals to facilities with the greatest need.

Who Needs to Complete VA Form 10-10154?

Current permanent full-time or part-time VHA employees who are:

  • Applying for or have been selected to participate in EISP, NNEI, VANEEP, or the VA/DOD CRNA program.
  • Enrolled in or accepted into an accredited academic program leading to a Title 38 or hybrid Title 38 occupation where recruitment/retention challenges exist.
  • Required to sign various EISP agreements as part of the approval process (particularly referenced for CRNA participants in VHA Directive 1426.01, Appendix E).

Eligibility generally requires at least one year of continuous VHA employment in a permanent position prior to application, among other criteria detailed in VHA Directive 1426.01.

New applicants or those changing occupations should confirm requirements with their facility’s EISP Program Coordinator.

Key Provisions and Statements in the Mobility Agreement

Participants must initial several statements confirming they understand:

  • Their initial assignment after graduation and licensure/certification will be based on VHA needs and may be at any facility where their services are required.
  • They agree to relocate, if necessary, at their own expense to complete the service obligation period (referencing Sections C.10 and C.11 of the main EISP/NNEI/VANEEP Agreement).
  • If the initial assignment is not at their preferred facility, relocation benefits will not be paid by the Scholarships and Clinical Education Office.
  • They cannot accept additional incentives that would create a concurrent service obligation.
  • They remain subject to all provisions in Section C of their primary EISP Agreement.

By signing, the employee certifies they have read, understand, and agree to abide by these terms.

Step-by-Step Guide to Completing VA Form 10-10154

  1. Download the current form from the official VA Forms site or the direct PDF link above.
  2. Select the applicable initiative — Check the box for EISP, NNEI, VANEEP, or VA/DOD CRNA.
  3. Enter your information — Provide your full name (as it appears in VA records) and your current VA facility.
  4. Initial each acknowledgment statement — Carefully read and initial every required line. These cover assignment based on VHA needs, relocation responsibility, benefits limitations, and subjection to the main agreement terms.
  5. Sign and date the form — Use the signature field (electronic signatures are accepted). Include the date.
  6. Review the Privacy Act notice — Understand how your information will be used and protected under 38 U.S.C. 7671-7675.

Submit the completed form as directed by your EISP Program Coordinator or through your facility’s application packet. Incomplete or unsigned forms can delay scholarship approval.

When and Where to Submit VA Form 10-10154?

Submit the signed Mobility Agreement as part of your complete EISP application package to your facility’s designated EISP Program Coordinator (usually in HR, Education, or Scholarships office). The coordinator forwards materials for review and approval by the Under Secretary for Health or designee.

There is no public nationwide deadline—the program operates on a continuous or cyclical basis depending on funding and facility needs. Contact your local coordinator for current submission windows and required supporting documents (transcripts, acceptance letters, academic plans, etc.).

Employees typically complete several related forms:

  • VA Form 10-0003K — Employee Incentive Scholarship Program (EISP) Application.
  • VA Form 10-0003K-2 — Employee Incentive Scholarship Program (EISP) Agreement (covers scholarship terms, service obligation details, and breach provisions).
  • Supporting documentation such as the EISP Application Checklist and facility endorsement.

Access these on the official VA Forms website: VA Forms.

Governing Laws, Regulations, and VA Policies

EISP authority comes from Title 38 United States Code, Sections 7671–7675 (and related sections in Chapter 76). The primary implementing policy is VHA Directive 1426.01, Employee Incentive Scholarship Program (issued September 16, 2019, with amendments through 2023; still active national policy).

This directive covers eligibility, application procedures, service obligations (including facility assignment based on VHA needs), breach consequences, waivers, and specific appendices for NNEI, VANEEP, and the VA/DoD CRNA program (which explicitly references VA Form 10-10154).

Additional guidance appears in related directives such as VHA Directive 1183 for nurse anesthetist education.

Potential Consequences of Breaching the Mobility Agreement or Service Obligation

Failure to fulfill the service obligation (for example, by resigning, retiring, changing occupations, converting to part-time without approval, or refusing an assigned facility) can result in significant financial liability. This generally includes repayment of scholarship funds (often triple the amount paid, prorated for time served) plus interest, and possible liquidated damages of $1,500 in certain cases.

The directive outlines specific breach scenarios and collection procedures aligned with VA debt management policies. Waivers or suspensions may be requested in cases of hardship or circumstances beyond the participant’s control, subject to Under Secretary for Health approval.

Participants should maintain open communication with their coordinator and avoid actions that could be interpreted as a breach.

Frequently Asked Questions About VA Form 10-10154

Is relocation always required?
Not always, but it is possible. The form makes clear that assignment depends on VHA needs, and you may be required to relocate at your own expense.

Can I choose my preferred facility?
Preferences are considered to the extent possible, but the final decision rests with VA leadership based on staffing requirements.

What if I am already working at a facility with needs in my occupation?
You may be able to fulfill your obligation locally, but this is not guaranteed. The Mobility Agreement ensures you understand the possibility of reassignment.

Does signing this form lock me into the scholarship?
No. The scholarship offer is not final until the full EISP acceptance agreement is approved and signed by the appropriate VA official.

Where can I get help completing or understanding the form?
Start with your facility’s EISP Program Coordinator or HR office. They can provide guidance specific to your situation and initiative.

Additional Resources and Where to Get Help

Tips for VHA Employees Considering or Participating in EISP

  • Review the full EISP Agreement (VA Form 10-0003K-2) alongside the Mobility Agreement so you understand both the scholarship benefits and all service obligations.
  • Discuss potential assignment locations and relocation realities with your coordinator early in the process.
  • Maintain strong academic performance and timely licensure/certification to meet service commencement deadlines (generally within 180 days of meeting degree requirements for certain roles).
  • Keep copies of all signed agreements and correspondence in your personal records.
  • If circumstances change (health, family, or career), notify your coordinator promptly—proactive communication can help explore options before issues escalate to breach status.

How to Download and Use VA Form 10-10154?

The most current version is available directly from VA:

Primary Download Link:
Download VA Form 10-10154 (PDF)

Official Form Information Page:
VA Form 10-10154 – Employee Incentive Scholarship Program—Mobility Agreement

Always download from official va.gov sources to ensure you have the correct, fillable version. Do not use third-party sites that may host outdated or altered forms.

For the most accurate and personalized guidance, consult your facility’s EISP Program Coordinator or HR representative before submitting any scholarship-related forms. They can confirm current requirements, funding availability, and how the Mobility Agreement applies to your specific initiative and career path.

This guide is for informational purposes and is based on official VA sources. Policies and forms can be updated; always verify the latest versions on va.gov and follow instructions from your local VA program officials.