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Forms Library for Faculty


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Form NumberNameRTF FormatPDF FormatOnlineExcel
125-076E "I" Grade Assignment Form RTF PDF
105-192 ADA: Accommodation Request Form PDF
105-194 ADA: Medical Professional’s Documentation of Disability PDF
125-386 Administrative and Professional Faculty Reward and Recognition ProgramNomination Overview and Instructions PDF
105-054 Advertising Submissions RTF PDF
105-153 Agreement for Musical/Artistic Performance PDF
125-180 Apostille International Authentication Request PDF
125-030 Application for Admission PDF
125-078 Application for Approval as an Interest Group RTF PDF
125-064 Application for Graduation Online Form ONLINE
105-112 Application for Use of Facilities RTF PDF
125-030_pg3 Application For Virginia In-State Tuition Rates RTF PDF
105-035 Application to Teach SDV Courses RTF PDF
200-025 Assessment and Placement Testing RTF PDF
125-152 Assumption of Risk PDF
125-381 Assumption of the Risk & Medical Release PDF
NA Audio-Visual Equipment Request Form RTF PDF
105-025 Authorization for Reimbursement of Higher Lodging Rate ONLINE
105-126 Budget Transfer EXCEL
105-091 Business Office Receipt (contact the Business Office Manager at your campus to reorder)
105-068 Campus Police Department Notice of Court Continuance RTF PDF
105-174 Campus Security Authority Jeanne Clery Act (Statistics Incident Report) RTF PDF
105-111 Check Request ONLINE
125-028 Class Schedule Worksheet RTF PDF
125-387 Classified Staff Reward and Recognition Program Nomination Overview and Instructions PDF
105-093 Collection Voucher PDF
125-3 Commonwealth of Virginia Voter Registration Agency Verification RTF PDF
105-200 Course Content & eText Fee Opt-Out Request PDF
125-053 Course Grade Appeal PDF
125-013 Course Repeat Request RTF PDF
125-032 Course Substitution Request Online Form ONLINE
200-029 Curriculum Advisory Committee Nomination Form PDF
125-030A Curriculum Codes PDF
125-139 Disability Services: Assistive Device Checkout Form RTF PDF
125-142 Disability Services: INTERPRETER/CART Services Agreement PDF
125-011 Disability Services: Request for Alternate Format PDF
125-352 Disability Support Services – Student Responsibilities PDF
105-193 Discrimination Complaint Form PDF
125-022 Domicile: Appeal for Reclassification (Level II) PDF
125-097 Domicile: Appeal for Reclassification (Level l) RTF PDF
125-360 Dual Enrollment Faculty Liaison Checklist PDF
125-209 Dual Enrollment Permission Form - Contract Class for High School Students RTF PDF
125-208 Dual Enrollment Recommendation: Home Schooled Students PDF
125-207 Dual Enrollmnt Recommendation: Individual High School Students PDF
125-168E Emergency Grant Application ONLINE
EmpAccidrpt Employer's Accident Report PDF
125-359 EMS Credit for Prior Learning Application PDF
125-065 F-1 Release of I-20 for Transferring Out of NOVA RTF PDF
125-136 F-1 Degree Statement of Responsibility - Academic Students RTF PDF
125-043 F-1 I-20 Application – Associate degree PDF
125-357 F-1 I-20 Application – Intensive English Program PDF
125-134 F-1 Nondegree Statement of Responsibility – Language Training (IEP) RTF PDF
125-066 F-1 Status Verification RTF PDF
125-045 F-1 Student Check-In Form PDF
125-067A F-1 Student Financial Statement – Associate Degree PDF
125-067B F-1 Student Financial Statement – Intensive English Program PDF
125-061 F-1 Student Request for Services RTF PDF
125-075 F-1:Recommendation for Reduced Course Load Based on Illness or Medical Condition RTF PDF
105-128 Facilities Planning Project/Building Permit Request PDF
105-184 Faculty Develop and Evaluation Plan: Annual Performance and Professional Development Objective Setting Instrument RTF PDF
105-096 Faculty Development and Evaluation Plan for Associate Instructors PDF
105-181 Faculty Development and Evaluation Plan: Probationary First-Year Appointment RTF PDF
105-182 Faculty Development and Evaluation Plan: Second/Third-Year Appointment RTF PDF
105-183 Faculty Development and Evaluation Plan: Senior Faculty Appointments RTF PDF
105-125 Faculty of the Year Nomination Form RTF PDF
125-362 Formal Administrative Hearing Opinion PDF
105-180 General Ledger ACTUAL Expense/Revenue Transfers and Adjustments ONLINE
GM ASEP Candidate Application Form PDF
105-188 Good Housekeeping Findings & Follow-up Form PDF
105-052 Grant Proposal Transmittal Form PDF
125-150 Honors Course Evaluation RTF PDF
125-147 Honors Course Permission RTF PDF
125-148 Honors Option Agreement RTF PDF
125-149 Honors Program Application RTF PDF
125-146 Honors/Honors Option Faculty Course Proposal PDF
105-043B HR: Employee Educational Assistance Request – External Course ONLINE
105-043A HR: Employee Educational Assistance Request - NOVA Credit Course ONLINE
105-039 HR: Acknowledgement of Extraordinary Contribution PDF
105-095 HR: Adjunct Faculty Evaluation PDF
105-080 HR: Adjunct Faculty Personnel File Check List RTF PDF
105-016 HR: Adjunct Faculty Promotion Recommendation RTF PDF
105-199 HR: Administrative and Professional Faculty - Annual Objectives & Mid-Year Feedback Instrument (VCCS 2016) PDF
105-198 HR: Administrative and Professional Faculty - Performance Evaluation (VCCS 2016) PDF
105-197 HR: Administrative and Professional Faculty - Self-Assessment (VCCS 2016) PDF
HR: Annual Performance Evaluation Classified Staff ONLINE
HR: Application for Employment
105-023A HR: Candidate Evaluation PDF
HR: Cash Match Agreement Form PDF
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
105-019 HR: Change of Address PDF
105-022 HR: Check out Sheet -- Termination of Employment RTF PDF
105-022A HR: Check-Out Sheet for Internal Transfer PDF
105-117 HR: Child Support Enforcement PDF
105-059 HR: Classified Employee Interim Evaluation PDF
105-115 HR: Classified Outside Employment Request and Approval PDF
105-056 HR: Classified Staff Emeritus Awards RTF PDF
105-038B HR: Classified Staff Leave Without Pay (LWOP) Notification PDF
105-041 HR: Community Service/School Participation Leave Form PDF
105-144 HR: Compensatory Pay Request PDF
105-110 HR: Earned Compensatory Time Leave Notification PDF
105-027 HR: Employee Direct Deposit Authorization PDF
105-001 HR: Employment Verification PDF
105-130 HR: Exit Survey PDF
105-075 HR: Faculty Applicant Referral RTF PDF
105-166 HR: Faculty Grievance Procedures RTF PDF
105-038A HR: Faculty Leave Without Pay (LWOP) Notification PDF
105-116 HR: Faculty Personnel Record Update RTF PDF
105-010 HR: Faculty Promotion Recommendation PDF
105-085 HR: Faculty Reassigned Time RTF PDF
HR: FML Certification of Health Care Provider for Eligible Family Member’s Health Condition PDF
HR: FML Certification of Health Care Provider for Employee’s Health Condition PDF
105-078 HR: Information Technology Employee Acceptable Use Agreement RTF PDF
105-011 HR: Information Technology Employee Ethic Agreement PDF
NA HR: Instructions for Completing Employee Work Profile (EWP) PDF
105-023 HR: Interview and Selection Form PDF
NA HR: Job Description Portion of Employee Work Profile RTF
105-015 HR: Justification Request for Faculty Competence PDF
105-021 HR: Letter of Resignation/Retirement ONLINE
105-051 HR: Multi-Year Appointment Recommendation RTF PDF
105-033 HR: New Hire Packet RTF PDF
NA HR: New Hire Packet for P14 PDF
105-152 HR: Nomination for the Rank of Professor Emeritus or President Emeritus PDF
105-143 HR: Notice of Hourly/P-14 Extended Absence RTF PDF
105-040 HR: Notice of Improvement Needed/Substandard Performance RTF PDF
105-098 HR: Notification and Release PDF
105-070 HR: Pay Action Worksheet RTF PDF
105-094 HR: Personnel Action Request RTF PDF
105-077 HR: Personnel Information Form PDF
HR: Post-tax Salary Deduction Authorization Form PDF
105-046 HR: Probationary Progress Review Fact Sheet PDF
105-047A HR: Proposal for Adjunct Faculty Initial Appointment PDF
105-047 HR: Proposal for New Faculty Appointment (Full) RTF PDF
105-147 HR: Recommended Hire Verification PDF
105-084 HR: Report on the Evaluation of Faculty Personnel at NOVA - Confidential PDF
105-178 HR: Request for Faculty Substitute RTF PDF
105-014 HR: Request for Review of Credentials for Promotion PDF
105-195 HR: Request for Twelve-Month Administrative & Professional Faculty Teaching Credit Courses PDF
105-099 HR: Sabbatical Leave Request RTF PDF
HR: Salary Reduction Agreement Form PDF
105-141 HR: Summary of the Commonwealth of Virginia’s Policy on Alcohol and Other Drugs PDF
105-109 HR: Telecommuting Memorandum of Agreement RTF PDF
105-113 HR: Telephone Reference PDF
105-108 HR: Under the Conditions of the Privacy Protection Act of 1976 Acknowledge Review of Personnel Files Below PDF
105-034 HR: Volunteer Status / Workers’ Compensation Act PDF
105-049 HR: Workplace Harassment DHRM Policy #2.30 PDF
129-01-004 HR: Written Notice PDF
125-042 I-20 Application Checklist RTF PDF
125-088 Incident Report Form - Student/Vistors RTF PDF
125-087 Incident/Infectious Exposure Report Form - Health Technologies Division RTF PDF
Instruction for eVA Receiving Request Form PDF
125-180b International Authentication Request PDF
105-124 Inventory: Campus Surplus Property Manifest RTF PDF
105-092 Inventory: Equipment Record Card RTF PDF
105-134 Inventory: Equipment Removed from Campus for Repair RTF PDF
105-149 Inventory: Inventory Control Office: Physical Inventory Discrepancy Listing RTF PDF
105-135 Inventory: Inventory Deletion Authorization RTF PDF
105-137 Inventory: Inventory Transfer Update Request RTF PDF
105-150 Inventory: Multiple Location Update RTF PDF
105-005E Inventory: Property Loan Request ONLINE
105-148 Inventory: Property Tag Request Form RTF PDF
105-121 Inventory: Surplus Property Report RTF PDF
105-151 Inventory: Verification of Inventory Performed RTF PDF
105-045 IT Accounts Request Online Form ONLINE
105-156 Key and Electronic Door Access Request Form ONLINE
105-140 Letter of Agreement RTF PDF
105-032 Local Supply Requisition RTF PDF
NA Marquee Use RTF PDF
VCCS-29 Normal Minimum Criteria for Each Faculty Rank PDF
125-051 Note Paper RTF PDF
NA NOVA HeW Participant Intake Form PDF
NA NOVA Individual Service Plan Survey PDF
105-185 NOVACard Mobile Reader Reservation Form RTF PDF
105-036 NOVACard Special Affiliate or Contractor Card Request ONLINE
105-037 NOVACard Transaction Refund Request RTF PDF
105-101 NOVACard—Graduating/Closing Account Request RTF PDF
105-164 NOVAGraphics: Release Agreement RTF PDF
105-160 NOVAGraphics: Request for Graphic Design Artwork RTF PDF
105-161 NOVAGraphics: Request for Photography Services RTF PDF
105-158 NOVAGraphics: Request for Promotional Item Artwork RTF PDF
105-162 NOVAGraphics: Request for Publications (Distribution) RTF PDF
105-159 NOVAGraphics: Request for Stationery and Invitation Artwork RTF PDF
105-058 NVCC Certificate of Hard Drive Erasure RTF PDF
125-081 NVCC Field Trip/Course Request for Approval Form RTF PDF
105-055 NVCC Speakers Bureau Information Form RTF PDF
105-203 OER Agreement Form PDF
105-202 OER Checklist PDF
105-065 Outstanding Service to the College - Educational Foundation -Awards Nomination Form RTF PDF
105-072 Parking Services: Parking Citation Appeal PDF
105-114 Parking Services: Parking Fee Waiver Request PDF
105-083 Parking Services: Permit Refund Request PDF
105-119 Parking Services: Permit Replacement Request PDF
105-007 Parking Services: Vehicle Immobilization Notice PDF
105-066 Parking Services: Vehicle Registration Form RTF PDF
105-081 Postage and Freight Charge Back Form RTF PDF
125-007 Preadmission Health History and Physical for NOVA Allied Health Programs PDF
125-017 Preadmission Health History and Physical for NOVA Nursing Program PDF
105-100 President’s Sabbatical Award Request RTF PDF
125-056 Printing Approval for Supplementary Classroom Materials for Sale in Campus Bookstore RTF PDF
105-009 Printing Request RTF PDF
NA Purchasing: eVA Electronia Procurement System Security Standards and Acknowledgment PDF
105-189E Purchasing: eVA Receiving Request Form ONLINE
NA Purchasing: Gift Card Authorization EXCEL
NA Purchasing: Notes on the New Gift Card Policy RTF PDF
NA Purchasing: NOVA Purchasing Charge Card Request and Employee Agreement PDF
105-190E Purchasing: PCard Missing Receipt Affidavit ONLINE
105-024 Purchasing: Purchasing Card Monthly Log RTF PDF EXCEL
105-118 Purchasing: Small Purchase Charge Card Request and Employee Agreement RTF PDF
105-171 Receiving Report/Delivery Ticket RTF PDF
105-090 Renovation/Modification Request Form RTF PDF
105-165 Request for Advertising or Promotional Item Artwork RTF PDF
105-196 Request for Classified Staff Teaching Credit Courses PDF
105-069 Request for Court Continuance RTF PDF
105-003 Request for Expenditure of State M&O or Grant Funds for Food Refreshments RTF PDF
NA Request for New Curriculum(VCCS-102) RTF PDF
VCCS-103 Request for New, Revised, or Reactivated Course RTF PDF
105-133 Request for Payment for Guest Speakers RTF PDF
W-9 Request for Taxpayer Identification Number and Certification ONLINE
105-028 Request for Travel Advance ONLINE
125-080 Request to Serve Alcoholic Beverages PDF
105-179 Return Authorization Request Form RTF PDF
125-077 Schedule Adjustment: Registration with Permission RTF PDF
105-127 Senior Citizen Certification of Eligibility for Free Tuition – Workforce Development Courses (Non-Credit) PDF
105-088E Senior Citizen Enrollment Tuition Waiver ONLINE
105-106 Service/Maintenance Form RTF PDF
125-018 Sexual Misconduct Complaint Form RTF PDF
105-155 Signature for Key Authorization - Police Department RTF PDF
125-079 Student Activity Transfer of Funds Request - Revenue Fund Budget RTF PDF
125-021 Student Grievance Forms RTF PDF
105-146 Student Records (FERPA): Employee Agreement PDF
105-018 Television Center Invoice RTF PDF
105-062 The Northern Virginia Review Copyright Release Form RTF PDF
125-339 Threat Assessment Team Referral Form RTF PDF
105-002 Travel Request ONLINE
105-186 Trip Log (State Vehicle Mileage Log) RTF PDF
105-138 Unserviceability & Destruction RTF PDF
125-008 Update Plan/Program Placement Form ONLINE
105-176 VCCS Employment Certification and Notice of Part-time Hours RTF PDF
105-187 Vehicle Request and Acknowledgement Form RTF PDF
NA Virginia Credit Union Payroll Deduction Authorization RTF PDF
125-282 Virginia Guaranteed Assistance Program (VGAP) A Program for Virginia High School Graduates RTF PDF
125-034E Withdrawal Initiated by Instructor - Never Attending Student (NVRK) ONLINE
125-031 Withdrawal Initiated by Instructor (Following Attendance by Student) RTF PDF
125-047 Withdrawal Initiated by Student RTF PDF
129-01-004 Written Notice Form RTF PDF
105-201 XOER Designation Approval Form PDF