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Forms are in .rtf and .pdf format. Some forms can be submitted online only.

  • word logoThe .rtf documents can be read and completed online using Microsoft Word or any other word processor (Note: Always click the field to fill out the content instead of using the Tab key). These forms can also be saved,edited and printed.
  • pdf logoThe .pdf documents can be read and printed online using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader or would like to upgrade your current version, you may download Adobe Acrobat Reader on your home computer or request your campus IT Manager downloads it on your office computer for you. You can save and print this but you cannot edit it after you submit it.
  • world logoThe Online form is completed online and submitted to a database. When the login screen appears after you click on the form, you MUST complete the information in the login screen to access the form.
        a. Enter NVCC for the Domain Name (if requested)
        b. Type nvcc\ (be sure you use a backslash \ and not a forward slash /) before your User name and then your User name (ex. nvcc\jdoe); next enter your password in the space provided. Your NOVA User name and Password are what you use to sign on to your office computer (It is not your NOVAConnect/SIS/AIS User name and password.)
Form Number Name RTF Format PDF Format Online Excel
125-076

"I" Grade Assignment Form

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105-008

Access Authorization

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125-088

Accidental Injury Report

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105-039

Acknowledgment of Extraordinary Contribution

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105-080

Adjunct Faculty Check List

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105-095

Adjunct Faculty Evaluation

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105-016

Adjunct Faculty Promotion Recommendation

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105-054

Advertising Submissions

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125-159

Agreement for Academic Hearing Impaired Interpreting Assignment

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105-153

Agreement for Musical/Artistic Performance

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125-030

Application for Admission

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125-078

Application for Approval as an Interest Group

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AppEmp

Application for Employment

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125-064

Application for Graduation Online Form
Please use this form to apply graduation. If you encounter any problems with the online version of the form, please contact one of the student services center . Instructions can be found by clicking here.

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105-112

Application for Use of Facilities

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125-030_pg3

Application For Virginia In-State Tuition Rates

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105-035

Application to Teach SDV Courses

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200-025

Assessment and Placement Testing

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125-152

Assumption of Risk

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AvRequest

Audio-Visual Equipment Request Form

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105-126

Budget Transfer

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105-091

Business Office Receipt (contact the Business Office Manager at your campus to reorder)

105-068

Campus Police Department Notice of Court Continuance

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105-174

Campus Security Authority Jeanne Clery Act (Statistics Incident Report)

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105-124

Campus Surplus Property Manifest

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105-023A

Candidate Evaluation Form

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105-019

Change of Address

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105-022A

Check out Sheet -- Inter-Campus Transfer

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105-022

Check out Sheet -- Termination of Employment

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105-111

Check Request (Order copies of form 105-111, Check Request from Printing Services)

105-117

Child Support Enforcement

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125-028

Class Schedule Worksheet

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105-059

Classified Employee Interim Evaluation

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105-115

Classified Outside Employment Request and Approval

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105-056

Classified Staff Emeritus Awards

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105-094

Classified/Hourly Employment Request

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105-093

Collection Voucher (please order from your campus Business Manager)

105-093a

Collection Voucher ELI

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125-003

Commonwealth of Virginia Voter Registration Agency Verification

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105-041

Community Service/School Participation Form

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105-146

Confidentiality of Student Records (Family Educational Rights and Privacy Act)

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125-013

Course Repeat Request

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125-032

Course Substitution Request Online Form
Please use this form to apply for course substitution. If you encounter any problems with the online version of the form, please contact TAC. Instructions can be found by clicking here.

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200-029

Curriculum Advisory Committee Nomination

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125-030A

Curriculum Codes

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125-139

Disability Services: Assistive Device Checkout Form

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125-022

Domicile: Appeal for Reclassification (Level II)

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125-097

Domicile: Appeal for Reclassification (Level l)

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125-209

Dual Enrollment Permission Form Contract Class for High School Students

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125-208

Dual Enrollment Recommendation Concurrent Enrollment of Home School Students

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125-207

Dual Enrollmnt Recommendation Individual High School Students

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105-027

Employee Direct Deposit Authorization

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105-043

Employee Education Assistance Request Form

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EmpAccidrpt

Employer's Accident Report

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105-033

Employment Checklist

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105-005

Equipment Assignment/Loan

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105-092

Equipment Record Card

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105-134

Equipment Removed from Campus for Repair

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105-130

Exit Survey

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125-075

F-1 Course Load Reduction – Medical

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125-042

F-1 I-20 Application Checklist

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125-043

F-1 I-20 Application Form

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125-065

F-1 Request for Release of SEVIS (I-20) Record

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125-066

F-1 Status Verification

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125-045

F-1 Student Check-In Form

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125-067

F-1 Student Financial Statement

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125-061

F-1 Student Request for Services

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105-128

Facilities Planning Project/Building Permit Request

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105-075

Faculty Applicant Referral

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105-166

Faculty Grievance Procedures

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105-125

Faculty of the Year Nomination Form

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105-116

Faculty Personnel Record Update

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105-010

Faculty Promotion Recommendation

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105-085

Faculty Reassigned Time

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125-317

Federal Pell Grant Calculation of Remaining Eligibility

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125-327(12-13)

Financial Aid: Consortium Agreement 12-13

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125-327(13-14)

Financial Aid: Consortium Agreement 13-14

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125-285

Financial Aid: Determining Loan Eligibility

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125-125

Financial Aid: External Scholarship Guidelines

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125-260

Financial Aid: Federal Student Financial Aid Application -Signature Certification Page

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125-336_10-11

Financial Aid: File Review Worksheet 10-11 Verification Required

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125-278

Financial Aid: Hope Scholarship Tax Credit

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125-292

Financial Aid: Immigration Documentation

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125-098

Financial Aid: Ineligible Majors for Student Financial Aid

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125-318

Financial Aid: NovaConnect Students Financial Aid

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125-275

Financial Aid: Physician's Certification of Borrower's Condition

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125-323(13-14)

Financial Aid: Satisfactory Academic Progress (SAP) Appeal Form and Instructions

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125-323(12-13)

Financial Aid: Satisfactory Academic Progress (SAP) Appeal Form and Instructions

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125-263

Financial Aid: Student Federal Loan Re-Instatement Eligibility 10-11

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125-168

Financial Aid:NOVA Student Assistance Application

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105-180

General Ledger ACTUAL Expense/Revenue Transfers and Adjustments

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125-048

Grant Proposal Transmittal Form

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125-150

Honors Course Evaluation

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125-147

Honors Course Permission

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125-148

Honors Option Agreement

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125-149

Honors Program Application

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125-146

Honors/Honors Option Faculty Course Proposal

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105-007

Immobilization Notice

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125-087

Incident/Infectious Exposure Report Form

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105-078

Information Technology Employee Acceptable Use Agreement

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105-011

Information Technology Employee Ethic Agreement

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105-136

Insurance Loss Report

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125-180

International Authentication Request

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125-140

Interpreter Services Agreement

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105-023

Interview and Selection Form

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105-149

Inventory Control Office: Physical Inventory Discrepancy Listing

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105-135

Inventory Deletion Authorization

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105-137

Inventory Update Request

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105-045

IT Accounts Request Online Form
Please use this form for all IT Account and Telephone Requests for both Employees and Contractors. Should you require assistance with completing the 105-045 access request form, please contact the IT Helpdesk at 703-426-4141 or ithelpdesk@nvcc.edu

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105-015

Justification Request for Faculty Competence

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105-156

Key Application and Approval Instructions

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105-140

Letter of Agreement

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105-021

Letter of Resignation/Retirement

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105-032

Local Supply Requisition

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Marquee

Marquee Use

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125-095

Medical Agreement and Release

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105-051

Multi Year Appointment Recommendation

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105-150

Multiple Location Update

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105-152

Nomination for the Rank of Professor Emeritus

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125-051

Note Paper for the Hearing Impaired

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105-040

Notice of Improvement Needed/Substandard Performance

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105-089

Notice of Vacancy

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105-098

Notification and Release

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105-063

NOVA Employee Vehicle Registration

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105-057

NOVACARD Access Request Form

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105-064

NovaCard Inventory Supply

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105-036

NOVACard Special Affiliate or Contractor Card Request

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105-037

NOVACard Transaction Refund Request

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105-101

NOVACard—Graduating/Closing Account Request

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105-058

NVCC Certificate of Hard Drive Erasure

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125-081

NVCC Field Trip/Course Request for Approval Form

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105-055

NVCC Speakers Bureau Information Form

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105-107

Off Campus Request

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105-065

Outstanding Service Awards Nomination

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105-122A

Parking and NOVACard Deposit: Cash/Checks

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105-122B

Parking and NOVACard Deposit: Credit Card

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105-083

Parking Services: Web Permit Refund Request

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105-072

Parking Ticket Appeal

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105-070

Pay Action Worksheet

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105-077

Personnel Information Form

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105-161

Photography Services Request

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105-081

Postal Charge Form

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125-017

Preadminission Health History and Physical for Practical Nursing Program

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125-007

Preadmission Health History and Physical for Allied Health and Nursing Programs

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105-100

President’s Sabbatical Award Request

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105-009

Printing Request

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105-046

Probationary Progress Review

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105-148

Property Tag Request Form

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105-047A

Proposal for Adjunct Faculty Initial Appointment

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105-047

Proposal for New Faculty Appointment (Full)

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105-052

Proposal Transmittal Form

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105-024

Purchasing Card Monthly Log

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105-171

Receiving Report/Delivery Ticket

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105-147

Recommended Hire Verification

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105-164

Release Agreement

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105-090

Renovation/Modification Request Form

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105-084

Report on the Evaluation of Faculty Personnel

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105-165

Request for Advertising or Promotional Item Artwork

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105-069

Request for Court Continuance

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105-003

Request for Expenditure of State M&O or Grant Funds for Food Refreshments

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105-178

Request for Faculty Substitute

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VCCS -102

Request for New Curriculum(VCCS-102)

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VCCS-103

Request for New, Revised, or Reactivated Course

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105-133

Request for Payment for Guest Speakers

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105-163

Request for Presentation Folders

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105-162

Request for Publications

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105-014

Request for Review of Credentials for Promotion

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105-028

Request for Travel Advance

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125-080

Request to Serve Alcoholic Beverages

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105-108

Right to Privacy Act

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105-099

Sabbatical Leave Request

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105-097

Salary Reduction Agreement

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125-077

Schedule Adjustment: Registration with Permission

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105-088

Senior Citizen Certificate of Eligibility for Tuition

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105-106

Service/Maintenance Form

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125-018

Sexual Harassment Complaint Form

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105-155

Signature for Key Authorization

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105-118

Small Purchase Charge Card Request and Employee Agreement

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105-139

Special Assignment Request for NOVA Employees

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125-079

Student Activity Transfer of Funds Request

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125-053

Student Course Grade Appeal

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105-096

Student Evaluation of Adjunct Faculty

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105-141

Summary of the Commonwealth of Virginia’s Policy on Alcohol and Other Drugs

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125-056

Supplemental Classroom Materials-Campus Bookstores

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105-121

Surplus Property Report

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105-109

Telecommuting Memorandum of Agreement

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105-113

Telephone Reference

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105-018

Television Center Invoice

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105-062

The Northern Virginia Review Copyright Release Form

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Travel

Travel Expense Reimbursement Voucher

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TravelCont

Travel Expense Reimbursement Voucher Page 2 (continued)

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105-002

Travel Request

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105-138

Unserviceability & Destruction

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125-008

Update Plan/Program Placement Form

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105-151

Verification of Inventory Performed

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VACUpayroll

Virginia Credit Union Payroll Deduction Authorization

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125-282

Virginia Guaranteed Assistance Program (VGAP)

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105-034

Volunteer Statement

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105-179

Warehouse/Storeroom Complaint/Return Form

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125-034

Withdrawal Initiated by Instructor - Never Attending Student (NVRK)

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125-031

Withdrawal Initiated by Instructor (Following Attendance by Student)

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125-047

Withdrawal Initiated by Student

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105-049

Workplace Harassment DHRM Policy

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129-01-004

Written Notice

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