| Number | Form Name | Format |
|
|
HR: Cash Match Agreement Form
|
PDF
|
|
|
HR: Post-tax Salary Deduction Authorization Form
|
PDF
|
|
|
HR: FML Certification of Health Care Provider for Eligible Family Member’s Health Condition
|
PDF
|
|
|
HR: Adjunct Faculty Evaluation
|
Online
|
|
|
HR: Telework Time & Effort Log Entry
|
Online
|
|
|
GM ASEP Candidate Application Form
|
PDF
|
|
|
HR: FML Certification of Health Care Provider for Employee’s Health Condition
|
PDF
|
|
|
HR: Salary Reduction Agreement Form
|
PDF
|
|
|
HR: Annual Performance Evaluation Classified Staff
|
Online
|
|
|
HR: Application for Employment
|
|
|
105-003
|
Business Meal Approval Request Form (Non Travel Meals)
|
PDF
|
|
105-004
|
Supplemental Form for Business Meal Approval Requests
|
PDF
|
|
105-005
|
Inventory: Asset Loan Request
|
Online
|
|
105-007
|
Parking Services: Vehicle Immobilization Notice
|
PDF
|
|
105-014
|
HR: Request for Review of Credentials for Promotion
|
PDF
|
|
105-015
|
HR: Justification Request for Faculty Competence
|
PDF
|
|
105-019
|
HR: Change of Address
|
PDF
|
|
105-021
|
HR: Employee Separation Notification
|
Online
|
|
105-023
|
HR: Interview and Selection Form
|
PDF
|
|
105-023A
|
HR: Candidate Evaluation
|
PDF
|
|
105-032
|
Local Supply Requisition
|
PDF
|
|
105-034
|
HR: Volunteer Status / Workers’ Compensation Act
|
PDF
|
|
105-035
|
Application to Teach SDV Courses
|
PDF
|
|
105-036
|
NOVACard Special Affiliate or Contractor Card Request
|
Online
|
|
105-037
|
NOVACard Transaction Refund Request
|
PDF
|
|
105-038A
|
HR: Faculty Leave Without Pay (LWOP) Notification
|
PDF
|
|
105-038B
|
HR: Classified Staff Leave Without Pay (LWOP) Notification
|
PDF
|
|
105-039
|
HR: Acknowledgement of Extraordinary Contribution
|
PDF
|
|
105-040
|
HR: Notice of Improvement Needed/Substandard Performance
|
PDF
|
|
105-041
|
HR: Community Service/School Participation Leave Form
|
PDF
|
|
105-043A
|
HR: Employee Educational Assistance Request - NOVA Credit Course
|
Online
|
|
105-043B
|
HR: Employee Educational Assistance Request – External Course
|
Online
|
|
105-045
|
Access Request Form
|
Online
|
|
105-046
|
HR: Probationary Progress Review Fact Sheet
|
PDF
|
|
105-047
|
HR: Proposal for New Faculty Appointment (Full)
|
PDF
|
|
105-047A
|
HR: Proposal for Adjunct Faculty Initial Appointment
|
PDF
|
|
105-051
|
HR: Multi-Year Appointment Recommendation
|
PDF
|
|
105-052
|
Grant Proposal Transmittal Form
|
PDF
|
|
105-054
|
Advertising Submissions
|
PDF
|
|
105-055
|
NVCC Speakers Bureau Information Form
|
PDF
|
|
105-058
|
NVCC Certificate of Hard Drive Erasure
|
PDF
|
|
105-059
|
HR: Classified Employee Interim Evaluation
|
PDF
|
|
105-062
|
The Northern Virginia Review Copyright Release Form
|
PDF
|
|
105-065
|
Outstanding Service to the College - Educational Foundation -Awards Nomination Form
|
PDF
|
|
105-066
|
Parking Services: Vehicle Registration Form
|
PDF
|
|
105-068
|
Campus Police Department Notice of Court Continuance
|
PDF
|
|
105-069
|
Request for Court Continuance
|
PDF
|
|
105-072
|
Parking Services: Parking Citation Appeal
|
PDF
|
|
105-077
|
HR: Personnel Information Form
|
PDF
|
|
105-078
|
IT Security Agreement
|
PDF
|
|
105-081
|
Postage and Freight Charge Back Form
|
PDF
|
|
105-083
|
Parking Services: Permit Refund Request
|
PDF
|
|
105-085
|
HR: Faculty Reassigned Time
|
PDF
|
|
105-088E
|
Enrollment Services: Senior Citizen Enrollment Tuition Waiver
|
Online
|
|
105-090
|
Renovation/Modification Request Form
|
PDF
|
|
105-091
|
Business Office Receipt (contact the Business Office Manager at your campus to reorder)
|
|
|
105-092
|
HR: Volunteer Agreement
|
PDF
|
|
105-093
|
Collection Voucher
|
PDF
|
|
105-094
|
HR: Personnel Action Request
|
PDF
|
|
105-096
|
Faculty Development and Evaluation Plan for Associate Instructors
|
PDF
|
|
105-099
|
HR: Sabbatical Leave Request
|
PDF
|
|
105-099A
|
Sabbatical Request for Fulbright or Similar Award
|
PDF
|
|
105-100
|
President’s Sabbatical Award Request
|
PDF
|
|
105-101
|
NOVACard Graduating/Closing Account/Refund Request
|
Online
|
|
105-104
|
HR: Leave Carryover Request
|
Online
|
|
105-106
|
Service/Maintenance Form
|
PDF
|
|
105-107
|
HR: Summer Flex Schedule Form
|
Online
|
|
105-108
|
HR: Under the Conditions of the Privacy Protection Act of 1976 Acknowledge Review of Personnel Files Below
|
PDF
|
|
105-109
|
HR: Telework Agreement
|
Online
|
|
105-109c
|
HR: Temporary Telework Agreement
|
Online
|
|
105-110
|
HR: Earned Compensatory Time Leave Notification
|
PDF
|
|
105-111
|
Check Request
|
Online
|
|
105-112
|
Application for Use of Facilities
|
PDF
|
|
105-113
|
HR: Telephone Reference
|
PDF
|
|
105-114
|
Parking Services: Parking Fee Waiver Request
|
PDF
|
|
105-115
|
HR: Classified Outside Employment Request and Approval
|
PDF
|
|
105-118
|
Charge Card Program: Small Purchase Charge Card Request and Employee Agreement
|
Online
|
|
105-121
|
Inventory: Surplus Request
|
Online
|
|
105-125
|
Faculty of the Year Nomination Form
|
PDF
|
|
105-126
|
Budget Transfer
|
Online
|
|
105-127
|
Senior Citizen Certification of Eligibility for Free Tuition – Workforce Development Courses (Non-Credit)
|
PDF
|
|
105-128
|
Facilities Planning Project/Building Permit Request
|
PDF
|
|
105-133
|
Request for Payment for Guest Speakers
|
PDF
|
|
105-135
|
Disposal Authorization
|
Online
|
|
105-137
|
Inventory: Asset Update Request
|
Online
|
|
105-138
|
Unserviceability & Destruction
|
PDF
|
|
105-139
|
Special Assignment Request for NOVA Employees
|
Online
|
|
105-146
|
Enrollment Services: Student Records (FERPA): Employee Agreement
|
PDF
|
|
105-148
|
Inventory: Asset Tag Request
|
Online
|
|
105-151
|
Inventory: Verification of Inventory Performed
|
PDF
|
|
105-152
|
HR: Nomination for Emeritus Status
|
PDF
|
|
105-153
|
Agreement for Musical/Artistic Performance
|
PDF
|
|
105-155
|
Signature for Key Authorization - Police Department
|
PDF
|
|
105-156
|
Key and Electronic Door Access Request Form
|
Online
|
|
105-158
|
NOVAGraphics: Request for Promotional Item Artwork
|
PDF
|
|
105-159
|
NOVAGraphics: Request for Stationery and Invitation Artwork
|
PDF
|
|
105-160
|
NOVAGraphics: Request for Graphic Design Artwork
|
PDF
|
|
105-161
|
NOVAGraphics: Request for Photography Services
|
PDF
|
|
105-164
|
NOVAGraphics: Release Agreement
|
PDF
|
|
105-165
|
Request for Advertising or Promotional Item Artwork
|
PDF
|
|
105-166
|
HR: Alternative Dispute and Grievance Procedure
|
PDF
|
|
105-171
|
Receiving Report/Delivery Ticket
|
PDF
|
|
105-174
|
Campus Security Authority Jeanne Clery Act (Statistics Incident Report)
|
PDF
|
|
105-179
|
Return Authorization Request Form
|
PDF
|
|
105-180
|
General Ledger ACTUAL Expense/Revenue Transfers and Adjustments
|
Online
|
|
105-181
|
Faculty Development and Evaluation Plan: Probationary First-Year Appointment
|
PDF
|
|
105-182
|
Faculty Development and Evaluation Plan: Second/Third-Year Appointment
|
PDF
|
|
105-183
|
Faculty Development and Evaluation Plan: Senior Faculty Appointments
|
PDF
|
|
105-184
|
Faculty Develop and Evaluation Plan: Annual Performance and Professional Development Objective Setting Instrument
|
PDF
|
|
105-185
|
Class Observation Assessment
|
PDF
|
|
105-186
|
Trip Log (State Vehicle Mileage Log)
|
PDF
|
|
105-187
|
Vehicle Request and Acknowledgement Form
|
PDF
|
|
105-188
|
Good Housekeeping Findings & Follow-up Form
|
PDF
|
|
105-189
|
eVA Receiving Request Form
|
Online
|
|
105-190
|
Charge Card Program: PCard Missing Receipt Affidavit
|
Online
|
|
105-192
|
ADA: Accommodation Request Form
|
PDF
|
|
105-193
|
Discrimination Complaint Form
|
PDF
|
|
105-194
|
ADA: Medical Professional’s Documentation of Disability
|
PDF
|
|
105-195
|
HR: Request for Twelve-Month Administrative & Professional Faculty Teaching Credit Courses
|
Online
|
|
105-196
|
Request for Classified Staff Teaching Credit Courses
|
Online
|
|
105-197
|
HR: Administrative and Professional Faculty - Self-Assessment (VCCS 2016)
|
PDF
|
|
105-198
|
HR: Administrative and Professional Faculty - Performance Evaluation (VCCS 2016)
|
PDF
|
|
105-199
|
HR: Administrative and Professional Faculty - Annual Objectives & Mid-Year Feedback Instrument (VCCS 2016)
|
PDF
|
|
105-200
|
Course Content & eText Fee Opt-Out Request
|
PDF
|
|
105-201
|
XOER Designation Approval Form
|
PDF
|
|
105-202
|
OER Checklist
|
PDF
|
|
105-203
|
OER Agreement Form
|
PDF
|
|
105-205
|
President’s Scheduling Request Form
|
Online
|
|
105-206
|
Charge Card Program: Employee Paid Individual Liability Travel Card Employee Request Agreement
|
PDF
|
|
105-207
|
Request for Recognition
|
Online
|
|
105-209
|
HR: Position Request Form
|
PDF
|
|
105-213
|
Report of Loss to State Owned Property
|
PDF
|
|
105-215
|
Charge Card Program: Restriction Removal Request
|
PDF
|
|
105-216
|
Charge Card Program: Limit Increase Request
|
PDF
|
|
105-217
|
Professional Development Plan for Faculty Promotion
|
PDF
|
|
105-218
|
Parking Services: Semester-Long Permit Request
|
PDF
|
|
105-220
|
Charge Card Program: GOLD Card Application
|
PDF
|
|
105-221
|
Charge Card Program: GOLD Card Limit Increase Request
|
PDF
|
|
105-222
|
Charge Card Program: Request To Pay Past Due Invoice
|
PDF
|
|
105-223
|
Editorial Calendar Submission
|
Online
|
|
105-227
|
Payroll Deduction Card
|
Online
|
|
105-230
|
NOVA Instructional Software Request
|
Online
|
|
105-235
|
Microsoft Teams Request
|
Online
|
|
105-236
|
Request for Data/Information
|
Online
|
|
105-245
|
HR: Classified Staff/P14 Spot Award Program
|
Online
|
|
105-246
|
HR: Adjunct Faculty Professional Development Form - 1st Year Evaluation
|
PDF
|
|
105-247
|
HR: Adjunct Faculty Professional Development Form - 3rd Year Evaluation
|
PDF
|
|
125-004
|
Grade Change Request
|
Online
|
|
125-007
|
Preadmission Health History and Physical for NOVA Allied Health Programs
|
PDF
|
|
125-008
|
Update Plan/Program Placement Form
|
Online
|
|
125-011
|
Accommodations and Accessibility Services: Request for Alternate Format
|
PDF
|
|
125-017
|
Preadmission Health History and Physical for NOVA Nursing Program
|
PDF
|
|
125-018
|
Sexual Misconduct Complaint Form
|
Online
|
|
125-021
|
Student Grievance Forms
|
PDF
|
|
125-022
|
Enrollment Services: Domicile: Appeal for Reclassification (Level II)
|
PDF
|
|
125-024
|
Annual NOVA Nighthawk SEAL Awards Nomination Form
|
Online
|
|
125-028
|
Enrollment Services: Class Schedule Worksheet
|
PDF
|
|
125-030
|
Enrollment Services: Enrollment Services: Application for Admission
|
PDF
|
|
125-030_pg3
|
Enrollment Services: Application For Virginia In-State Tuition Rates
|
PDF
|
|
125-030A
|
Curriculum Codes
|
PDF
|
|
125-031
|
Withdrawal Initiated by Instructor (Following Attendance by Student)
|
PDF
|
|
125-032
|
Course Substitution Request Online Form
|
Online
|
|
125-034E
|
Withdrawal Initiated by Instructor - Never Attending Student (NVRK)
|
Online
|
|
125-042
|
I-20 Application Checklist
|
PDF
|
|
125-043
|
F-1 I-20 Application – Associate degree
|
PDF
|
|
125-045
|
F-1 Student Check-In Form
|
Online
|
|
125-047
|
Late Withdrawal for Mitigating Circumstances
|
PDF
|
|
125-051
|
Note Paper
|
PDF
|
|
125-053
|
Course Grade Appeal
|
PDF
|
|
125-056
|
Printing Approval for Supplementary Classroom Materials for Sale in Campus Bookstore
|
PDF
|
|
125-064
|
Enrollment Services: Application for Graduation Online Form
|
Online
|
|
125-065
|
F-1 Release of I-20 for Transferring Out of NOVA
|
PDF
|
|
125-067A
|
F-1 Student Financial Statement
|
PDF
|
|
125-070
|
Enrollment Services: Enrollment with Permission
|
PDF
|
|
125-075
|
F-1:Recommendation for Reduced Course Load Based on Illness or Medical Condition
|
PDF
|
|
125-076
|
"I" Grade Assignment Form
|
Online
|
|
125-078
|
Application for Approval as an Interest Group
|
PDF
|
|
125-079
|
Student Activity Transfer of Funds Request - Revenue Fund Budget
|
PDF
|
|
125-080
|
Request to Serve Alcoholic Beverages
|
PDF
|
|
125-081
|
NVCC Field Trip/Course Request for Approval Form
|
PDF
|
|
125-087
|
Incident/Infectious Exposure Report Form - Health Technologies Division
|
PDF
|
|
125-088
|
Incident Report Form - Student/Vistors
|
PDF
|
|
125-097
|
Domicile: Appeal for Reclassification (Level l)
|
PDF
|
|
125-146
|
Honors/Honors Option Faculty Course Proposal
|
PDF
|
|
125-147
|
Honors Course Permission
|
PDF
|
|
125-148
|
Honors Option Agreement
|
PDF
|
|
125-149
|
Honors Program Application
|
Online
|
|
125-150
|
Honors Course Evaluation
|
PDF
|
|
125-152
|
Assumption of Risk
|
PDF
|
|
125-180
|
Apostille International Authentication Request
|
PDF
|
|
125-180b
|
International Authentication Request
|
PDF
|
|
125-207
|
Dual Enrollment Recommendation: Individual High School Students
|
PDF
|
|
125-208
|
Dual Enrollment Recommendation: Home Schooled Students
|
PDF
|
|
125-282
|
Virginia Guaranteed Assistance Program (VGAP) A Program for Virginia High School Graduates
|
PDF
|
|
125-3
|
Commonwealth of Virginia Voter Registration Agency Verification
|
PDF
|
|
125-338
|
Accommodations and Accessibility Services: Personal Care Assistant (PCA) Agreement
|
PDF
|
|
125-360
|
Dual Enrollment Faculty Liaison Checklist
|
PDF
|
|
125-362
|
Formal Administrative Hearing Opinion
|
PDF
|
|
125-381
|
Assumption of the Risk & Medical Release
|
PDF
|
|
125-392
|
Programs Involving Minors – Approval and Registration
|
PDF
|
|
125-398
|
Application for Full-Time Teaching Faculty Voluntary Pre-Retirement Workload Reduction Program
|
PDF
|
|
125-399
|
HR: Leave Share Recipient Form
|
PDF
|
|
125-400
|
HR: Leave Share Donor Form
|
PDF
|
|
125-401
|
NVCC Intellectual Ownership
|
PDF
|
|
125-402
|
NVCC Intellectual Property Notification Form
|
PDF
|
|
200-025
|
Assessment and Placement Testing
|
PDF
|
|
200-029
|
Curriculum Advisory Committee Nomination Form
|
PDF
|
|
EmpAccidrpt
|
Employer's Accident Report
|
PDF
|
|
NA
|
HR: Instructions for Completing Employee Work Profile (EWP)
|
PDF
|
|
NA
|
HR: Job Description Portion of Employee Work Profile
|
|
|
NA
|
Virginia Credit Union Payroll Deduction Authorization
|
PDF
|
|
NA
|
Audio-Visual Equipment Request Form
|
PDF
|
|
NA
|
Marquee Use
|
PDF
|
|
NA
|
NOVA HeW Participant Intake Form
|
PDF
|
|
NA
|
NOVA Individual Service Plan Survey
|
PDF
|
|
VCCS-29
|
Normal Minimum Criteria for Each Faculty Rank
|
PDF
|
|
W-9
|
Request for Taxpayer Identification Number and Certification
|
Online
|
|
WH-380-E
|
HR: Certification of Health Care Provider for Employee’s Serious Health Condition (Family & Medical Leave Act)
|
PDF
|
|
WH-380-F
|
HR: Certification of Health Care Provider for Family Member’s Serious Health Condition (Family & Medical Leave Act)
|
PDF
|