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Northern Virginia Community College
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Number
Form Name
Format
HR: Salary Reduction Agreement Form
PDF
HR: Cash Match Agreement Form
PDF
HR: Post-tax Salary Deduction Authorization Form
PDF
HR: Certification of Health Care Provider for Employee’s Serious Health Condition (Family & Medical Leave Act)
PDF
HR: Certification of Health Care Provider for Family Member’s Serious Health Condition (Family & Medical Leave Act)
PDF
HR: Adjunct Faculty Evaluation
Online
HR: Telework Time & Effort Log Entry
Online
HR: Annual Performance Evaluation Classified Staff
Online
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
105-014
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
105-068
Campus Police Department Notice of Court Continuance
PDF
105-069
Request for Court Continuance
PDF
105-077
HR: Personnel Information Form
PDF
105-078
IT Security Agreement
PDF
105-081
Postage and Freight Charge Back Form
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
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
Online
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
105-201
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
Online
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
125-008
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-A
Student Grievance Forms- Academic
Online
125-021-D
Student Grievance Forms- Discrimination
Online
125-021-N
Student Grievance Forms – Non-Academic
Online
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
125-030A
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
125-045
F-1 Student Check-In Form
Online
125-056
Printing Approval for Supplementary Classroom Materials for Sale in Campus Bookstore
PDF
125-064
Enrollment Services: Application for Graduation Online Form
Online
125-076
"I" Grade Assignment Form
Online
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
125-088
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
125-207
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
125-381
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
Virginia Credit Union Payroll Deduction Authorization
PDF
NA
HR: Instructions for Completing Employee Work Profile (EWP)
PDF
NA
Honors: Master Checklist for NOVA Honors Program Scholarship
PDF
NA
NOVA HeW Participant Intake Form
PDF
NA
NOVA Individual Service Plan Survey
PDF
NA
Audio-Visual Equipment Request Form
PDF
NA
Marquee Use
PDF
W-9
Request for Taxpayer Identification Number and Certification
Online