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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.
  • online buttonThe 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.)
  • excel logoThe Excel Spreadsheet documents can be read and completed online using Microsoft Office Excel. These forms can also be saved,edited and printed.
Form Number Name RTF Format PDF Format Online Excel
105-002 Travel Request
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105-003 Request for Expenditure of State M&O or Grant Funds for Food Refreshments
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105-005 Equipment Assignment/Loan
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105-007 Immobilization Notice
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105-008 NOVACard Door Access Request
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105-009 Printing Request
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105-010 HR: Faculty Promotion Recommendation
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105-011 Information Technology Employee Ethic Agreement
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105-014 HR: Request for Review of Credentials for Promotion
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105-015 HR: Justification Request for Faculty Competence
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105-016 HR: Adjunct Faculty Promotion Recommendation
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105-018 Television Center Invoice
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105-019 Change of Address
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105-021 HR: Letter of Resignation/Retirement
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105-022 HR: Check out Sheet -- Termination of Employment
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105-022A Check-Out Sheet for Internal Transfer
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105-023 HR: Interview and Selection Form
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105-023A HR: Candidate Evaluation Form
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105-024 Purchasing: Purchasing Card Monthly Log
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105-025 Authorization for Reimbursement of Higher Lodging Rate
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105-027 HR: Employee Direct Deposit Authorization
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105-028 Request for Travel Advance
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105-032 Local Supply Requisition
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105-033 HR: Employment Checklist
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105-034 Volunteer Statement
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105-035 Application to Teach SDV Courses
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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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105-038 HR: Leave Without Pay (LWOP) Notification
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105-039 HR: Acknowledgment of Extraordinary Contribution
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105-040 HR: Notice of Improvement Needed/Substandard Performance
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105-041 HR: Community Service/School Participation Form
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105-043 HR: Employee Education Assistance 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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105-046 HR: Probationary Progress Review
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105-047 HR: Proposal for New Faculty Appointment (Full)
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105-047A HR: Proposal for Adjunct Faculty Initial Appointment
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105-049 HR: Workplace Harassment DHRM Policy
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105-051 HR: Multi-Year Appointment Recommendation
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105-052 Proposal Transmittal Form
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105-054 Advertising Submissions
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105-055 NVCC Speakers Bureau Information Form
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105-056 HR: Classified Staff Emeritus Awards
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105-057 NOVACARD Access Request Form
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105-058 NVCC Certificate of Hard Drive Erasure
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105-059 HR: Classified Employee Interim Evaluation
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105-062 The Northern Virginia Review Copyright Release Form
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105-063 NOVA Employee Vehicle Registration
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105-064 NovaCard Inventory Supply
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105-065 Outstanding Service Awards Nomination
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105-068 Campus Police Department Notice of Court Continuance
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105-069 Request for Court Continuance
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105-070 HR: Pay Action Worksheet
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105-072 Parking Ticket Appeal
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105-075 HR: Faculty Applicant Referral
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105-077 HR: Personnel Information Form
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105-078 HR: Information Technology Employee Acceptable Use Agreement
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105-080 HR: Adjunct Faculty Personnel File Check List
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105-081 Postal Charge Form
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105-083 Parking Services: Permit Refund Request
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105-084 HR: Report on the Evaluation of Faculty Personnel
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105-085 HR: Faculty Reassigned Time
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105-088 Senior Citizen Certificate of Eligibility for Tuition
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105-089 HR: Notice of Vacancy
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105-090 Renovation/Modification Request Form
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105-091 Business Office Receipt (contact the Business Office Manager at your campus to reorder)
105-092 Equipment Record Card
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105-093 Collection Voucher (please order from your campus Business Manager)
105-093a Collection Voucher ELI
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105-094 HR: Personnel Action Request
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105-095 HR: Adjunct Faculty Evaluation
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105-097 403-b Salary Reduction
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105-098 Notification and Release
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105-099 HR: Sabbatical Leave Request
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105-100 President’s Sabbatical Award Request
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105-101 NOVACard—Graduating/Closing Account Request
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105-106 Service/Maintenance Form
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105-107 Off Campus Request
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105-108 Right to Privacy Act
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105-109 HR: Telecommuting Memorandum of Agreement
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105-110 HR: Earned Compensatory Time Leave Notification
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105-111 Check Request (Order copies of form 105-111, Check Request from Printing Services)
105-112 Application for Use of Facilities
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105-113 HR: Telephone Reference
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105-114 Parking Services: Parking Fee Waiver Request
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105-115 Classified Outside Employment Request and Approval
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105-116 HR: Faculty Personnel Record Update
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105-117 HR: Child Support Enforcement
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105-118 Small Purchase Charge Card Request and Employee Agreement
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105-119 Parking Services: Permit Replacement Request
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105-121 Surplus Property Report
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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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105-124 Campus Surplus Property Manifest
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105-125 Faculty of the Year Nomination Form
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105-126 Budget Transfer
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105-128 Facilities Planning Project/Building Permit Request
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105-130 HR: Exit Survey
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105-133 Request for Payment for Guest Speakers
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105-134 Equipment Removed from Campus for Repair
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105-135 Inventory Deletion Authorization
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105-136 Insurance Loss Report
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105-137 Inventory Transfer Update Request
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105-138 Unserviceability & Destruction
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105-139 Special Assignment Request for NOVA Employees
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105-140 Letter of Agreement
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105-141 Summary of the Commonwealth of Virginia’s Policy on Alcohol and Other Drugs
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105-143 HR: Notice of Hourly/P-14 Extended Absence
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105-144 HR: Compensatory Pay Request
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105-146 HR: Confidentiality of Student Records (Family Educational Rights and Privacy Act)
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105-147 Recommended Hire Verification
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105-148 Property Tag Request Form
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105-149 Inventory Control Office: Physical Inventory Discrepancy Listing
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105-150 Multiple Location Update
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105-151 Verification of Inventory Performed
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105-152 HR: Nomination for the Rank of Professor Emeritus
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105-153 Agreement for Musical/Artistic Performance
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105-155 Signature for Key Authorization
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105-156 Key Application and Approval Instructions
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105-158 NOVAGraphics: Request for Promotional Item Artwork
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105-159 NOVAGraphics: Request for Stationery and Invitation Artwork
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105-161 NOVAGraphics: Request for Photography Services
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105-162 NOVAGraphics: Request for Publications
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105-163 NOVAGraphics: Request for Presentation Folders
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105-164 NOVAGraphics: Release Agreement
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105-165 Request for Advertising or Promotional Item Artwork
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105-166 HR: Faculty Grievance Procedures
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105-171 Receiving Report/Delivery Ticket
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105-174 Campus Security Authority Jeanne Clery Act (Statistics Incident Report)
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105-176 VCCS Employment Certification and Notice of Part-time Hours
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105-178 HR: Request for Faculty Substitute
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105-179 Warehouse/Storeroom Complaint/Return Form
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105-180 General Ledger ACTUAL Expense/Revenue Transfers and Adjustments
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105-181 Faculty Development and Evaluation Plan (Probationary First-Year Appointment)
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105-182 Faculty Development and Evaluation Plan (Second/Third-Year Appointment)
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105-183 Faculty Development and Evaluation Plan (Senior Faculty Appointments)
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105-184 Faculty Develop and Evaluation Plan (Annual Performance and Professional Development Objective Setting Instrument)
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125-003 Commonwealth of Virginia Voter Registration Agency Verification
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125-007 Preadmission Health History and Physical for Allied Health and Nursing Programs
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125-008 Update Plan/Program Placement Form
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125-011 Disability Services: Request for Alternate Format
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125-013 Course Repeat Request
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125-017 Preadminission Health History and Physical for Practical Nursing Program
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125-018 Sexual Misconduct Complaint Form
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125-021 Student Grievance Forms
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125-022 Domicile: Appeal for Reclassification (Level II)
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125-028 Class Schedule Worksheet
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125-030 Application for Admission
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125-030_pg3 Application For Virginia In-State Tuition Rates
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125-030A Curriculum Codes
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125-031 Withdrawal Initiated by Instructor (Following Attendance by Student)
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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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125-034 Withdrawal Initiated by Instructor - Never Attending Student (NVRK)
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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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125-045 F-1 Student Check-In Form
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125-047 Withdrawal Initiated by Student
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125-048 Grant Proposal Transmittal Form
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125-051 Note Paper
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125-053 Course Grade Appeal
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125-056 Supplemental Classroom Materials-Campus Bookstores
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125-061 F-1 Student Request for Services
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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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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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125-067 F-1 Student Financial Statement
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125-075 F-1 Course Load Reduction – Medical
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125-076 "I" Grade Assignment Form
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125-077 Schedule Adjustment: Registration with Permission
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125-078 Application for Approval as an Interest Group
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125-079 Student Activity Transfer of Funds Request
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125-080 Request to Serve Alcoholic Beverages
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125-081 NVCC Field Trip/Course Request for Approval Form
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125-087 Incident/Infectious Exposure Report Form
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125-088 Incident Report Form
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125-095 Medical Agreement and Release
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125-097 Domicile: Appeal for Reclassification (Level l)
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125-098 Financial Aid: Ineligible Majors for Student Financial Aid
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125-125 Financial Aid: External Scholarship Guidelines
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125-134 F-1 Nondegree Statement of Responsibility
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125-136 F-1 Degree Statement of Responsibility
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125-139 Disability Services: Assistive Device Checkout Form
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125-140 Interpreter Services Agreement
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125-146 Honors/Honors Option Faculty Course Proposal
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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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125-150 Honors Course Evaluation
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125-152 Assumption of Risk
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125-168 Financial Aid:NOVA Student Assistance Application
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125-180 International Authentication Request
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125-207 Dual Enrollmnt Recommendation Individual High School Students
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125-208 Dual Enrollment Recommendation Concurrent Enrollment of Home School Students
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125-209 Dual Enrollment Permission Form Contract Class for High School Students
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125-260 Financial Aid: Federal Student Financial Aid Application -Signature Certification Page
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125-263 Financial Aid: Student Federal Loan Re-Instatement Eligibility 10-11
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125-275 Financial Aid: Physician's Certification of Borrower's Condition
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125-278 Financial Aid: Hope Scholarship Tax Credit
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125-282 Virginia Guaranteed Assistance Program (VGAP)
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125-285 Financial Aid: Determining Loan Eligibility
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125-292 Financial Aid: Immigration Documentation
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125-300 Request to Convert a Work-Study Student to a P-14 Hire
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125-317 Federal Pell Grant Calculation of Remaining Eligibility
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125-318 Financial Aid: NovaConnect Students Financial Aid
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125-323(13-14) Financial Aid: Satisfactory Academic Progress (SAP) Appeal Form and Instructions
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125-327(13-14) Financial Aid: Consortium Agreement 13-14
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125-336_10-11 Financial Aid: File Review Worksheet 10-11 Verification Required
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129-01-004 Written Notice
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200-025 Assessment and Placement Testing
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200-029 Curriculum Advisory Committee Nomination
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AppEmp HR: Application for Employment
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AppEmp Application for Employment
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AvRequest Audio-Visual Equipment Request Form
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ClassifiedEval HR: Annual Performance Evaluation Classified Staff
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EmpAccidrpt Employer's Accident Report
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eVA-Agreement Purchasing: eVA Acceptable Use Acknowledgment Agreement
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EWP-1 HR: Job Description Portion of Employee Work Profile
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Gift Card Authorization Purchasing: Gift Card Authorization
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HowTo HR: Instructions for Completing an EWP
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Marquee Marquee Use
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P14 HR: New Hire Packet
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P14AbsenceNotice HR: Notice of Hourly/P-14 Extended Absence
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ProcedureManual Purchasing: Administrative Services Procedures Manual
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PurchasingCard Purchasing: NOVA Purchasing Charge Card Request
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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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VACUpayroll Virginia Credit Union Payroll Deduction Authorization
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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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