Items 1 to 6: record details
Review date and career development number (both Leave Blank), facility number, Social Security number, date of last submission and VA facility.
10-0102
Career Development Application
- Agency
- VA
- Revision
- March 2005
- Fillable fields
- 47
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 10-0102: Career Development Application
VA Form 10-0102 is the U.S. Department of Veterans Affairs Career Development Application, which VA's page lists under the Veterans Health Administration (VHA). It is an application for career development in one of four VA research and development services named on the form: Biomedical Laboratory R&D (BLR&D), Clinical Science R&D (CSR&D), Health Services R&D (HSR&D) and Rehabilitation R&D (RR&D). The award types it lists are CDA-1, CDA-2, CDTA and CDEA. It is a VA research form, not a Veterans benefit application.
The form is two pages. Page 1 covers the applicant and VA facility, the program title and preceptors, the research service and award type, citizenship and licensing, research interests, VA hospital service, academic rank and the program use questions, then the signatures of the applicant and the ACOS for Research and Development. Page 2 holds keywords and a brief statement of research objectives. The form prints no separate instructions or mailing address.
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What's on VA Form 10-0102
Items 7 to 9: applicant and program
Applicant name, degrees and phone, the program title, which the form says may not exceed 72 characters including spaces, and the preceptors.
Items 10 and 11: service and award
The research and development service (BLR&D, CSR&D, HSR&D or RR&D), the award type (CDA-1, CDA-2, CDTA or CDEA) and the proposed starting date as mm/dd/yyyy.
Item 12: citizenship and boards
Whether the applicant is a U.S. citizen, the state licensed in, the specialty board and the subspecialty board.
Items 13 to 16: research and program use
Primary and secondary research interest, VA hospital service and section, academic rank, department and affiliation, and yes or no answers on human subjects, animal subjects, investigational drugs and devices, radioisotopes and biohazards.
Page 2: keywords and objectives
The applicant and program title again, keywords (NEST terms only, three minimum) and a brief statement of research objectives.
How to fill out VA Form 10-0102
- 1
Skip Items 1 and 2
The form marks the review date and career development number as Leave Blank.
- 2
Identify the applicant and program
Fill in Items 3 to 9. Keep the program title within 72 characters, including spaces.
- 3
Choose the service and award type
Check the research and development service in Item 10A and the award type in Item 10B, then enter the proposed starting date.
- 4
Answer every program use item
The form says each item in Item 16 must have a response.
- 5
Complete page 2
List at least three keywords using NEST terms only, and write a brief statement of research objectives. The form says not to use a continuation sheet.
- 6
Collect the signatures
The applicant signs and dates page 1, and the ACOS for Research and Development signs and dates below.
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Signatures and submission
Signatures
Page 1 has signature and date lines for the applicant and for the ACOS for Research and Development.
Where to send it
Neither the form nor VA's page prints a mailing address or submission instructions.
Edition
The PDF footer reads VA FORM MAR 2005 10-0102, matching the March 2005 revision date on VA's page. The form prints no OMB number.
Related forms
10-1314
Health Services Research and Development Service Career Development Awardee—Annual Progress Report
126 fields, 2 pages
10-1313-1
Merit Review Application
65 fields, 1 page
10-1313-2
Research and Development Program
6 fields, 1 page
10-1313-5
Research and Development Program—Investigator's Biographic Sketch
8 fields, 1 page
10-1313-13
VHA Research & Development Letter of Intent Cover Page
46 fields, 1 page
Who completes VA Form 10-0102?
The form names the people who fill in and sign it.
Official sources and the blank
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Questions about Form 10-0102
What is VA Form 10-0102?
It is the Career Development Application, a VHA form for career development in a VA research and development service. It is completed by the applicant and signed by the ACOS for Research and Development.
Which research services does the form cover?
Item 10A lists Biomedical Laboratory R&D Service (BLR&D), Clinical Science R&D Service (CSR&D), Health Services R&D Service (HSR&D) and Rehabilitation R&D Service (RR&D).
Which award types can be checked?
Item 10B lists CDA-1, CDA-2, CDTA and CDEA. The form does not spell these out.
How long can the program title be?
Item 8 says the program title may not exceed 72 characters, including spaces.
How many keywords does page 2 ask for?
Page 2 asks for keywords using NEST terms only, with three minimum.
Where do I send VA Form 10-0102?
The form and VA's page do not print a mailing address or submission instructions.