Purpose and authority
Two paragraphs describe the purpose of EISP, the NNEI and VANEEP initiatives, and the service requirement for EISP eligibility under Title 38 United States Code Chapter 76.
10-10154
Employee Incentive Scholarship Program—Mobility Agreement
- Agency
- VA
- Revision
- August 2017
- Fillable fields
- 14
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 10-10154: Employee Incentive Scholarship Program Mobility Agreement
VA Form 10-10154 is the Department of Veterans Affairs Employee Incentive Scholarship Program (EISP) Mobility Agreement. The form says EISP is an incentive program for Veterans Health Administration (VHA) employees, meant to help VHA meet its staffing needs for health professional occupations in which recruitment or retention of qualified personnel is difficult. The National Nursing Education Initiative (NNEI) and the VA National Education for Employees Program (VANEEP) stem from the same legislative authority. It is a VA employee form, not a Veterans benefit application.
The form says eligibility for EISP under Title 38 United States Code Chapter 76 requires a participant's agreement to serve in the position the program prepared them for, as a full-time employee in a VHA facility selected by the Secretary. This one-page agreement records that commitment: the employee names the initiative, initials four statements about assignment and relocation, and signs a certification. The statements refer to Section C of the employee's EISP, NNEI or VANEEP Agreement.
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What's on VA Form 10-10154
Employee name and initiative
A line for the employee name and a choice of EISP, NNEI, VANEEP or VA/DOD CRNA as the initiative the agreement supports.
Initial assignment statement
Preferences will be considered to the extent possible, the assignment is based on the needs of VHA, and the employee may be required to accept assignment at any VHA facility where their services are needed.
Relocation and other incentives
Statements on relocating if necessary at the employee's own expense under Sections C.10 and C.11 of the EISP, NNEI or VANEEP Agreement, no relocation benefits from the Scholarships and Clinical Education Office in one case, and no concurrent service obligation from another incentive.
Certification and signature
A certification that the employee has read and understands the agreement, then the employee name, current VA facility, date and a signature field marked electronic signature enabled.
Privacy Act notice
VA asks for the information under the authority of 38 U.S.C. 7671-7675 to determine eligibility to receive a scholarship award, and lists the routine uses it may make of it.
How to complete VA Form 10-10154
- 1
Enter the employee name
Write the employee name in the opening line that begins: This Mobility Agreement is being executed by.
- 2
Check the initiative
Mark EISP, NNEI, VANEEP or VA/DOD CRNA to show which initiative the agreement is tied to.
- 3
Initial each statement
Each of the four statements about assignment, relocation and Section C of the scholarship agreement has its own Initial box.
- 4
Fill in the certification block
Enter the employee name, the current VA facility and the date below the certification.
- 5
Sign it
Sign in the signature field, which the form marks as electronic signature enabled.
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Signing and edition
Where it goes
The PDF prints no mailing address, fax number or submission instructions.
What the signature means
The employee certifies having read and understood the Mobility Agreement and, by accepting the scholarship, agrees to abide by its terms and conditions.
Electronic signature
The signature field is marked electronic signature enabled.
Edition
The PDF footer reads VA FORM AUG 2017 10-10154, matching the August 2017 revision date on VA's page.
Related forms
Who signs VA Form 10-10154?
The agreement is written for VHA employees taking part in a VA scholarship initiative.
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Questions about Form 10-10154
What is VA Form 10-10154?
It is the Employee Incentive Scholarship Program (EISP) Mobility Agreement, a one-page agreement a VHA employee signs in connection with an EISP, NNEI, VANEEP or VA/DOD CRNA scholarship.
Who decides the first assignment after graduation?
The form says preferences will be considered to the extent possible, but the initial assignment after graduation and licensure or certification is made based on the needs of VHA.
Who pays for relocation?
The form has the employee agree to relocate, if necessary, at their own expense to complete the service obligation period, in accordance with Sections C.10 and C.11 of the EISP, NNEI or VANEEP Agreement.
Can another incentive be accepted at the same time?
The form says the employee cannot accept any additional incentive or benefit that will result in a service obligation running concurrently with the EISP, NNEI or VANEEP service obligation.
Is giving the information voluntary?
The Privacy Act notice says you do not have to provide the information to VA, but if you do not, VA will be unable to process your request for a scholarship.