College Forms for Faculty/Staff

Welcome to NOVA’s Forms Library for Faculty/Staff. Please download the form to your computer and then complete all of the fillable fields and sign the form. Forms that are not fully completed and signed may not be accepted.

Please use Adobe Acrobat Reader to view, complete, and electronically sign PDF forms.  

If you need a form that is not available in the Forms Library, please contact the office responsible for that form. Please contact the IT Help Desk at (855) 259-1019 or at ithelpdesk@nvcc.edu if you have an issue accessing a form on this webpage.

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: FML Certification of Health Care Provider for Employee’s Serious Health Condition (Family & Medical Leave Act) PDF
HR: FML Certification of Health Care Provider for Eligible 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
105-241 HR: Request for Letter of Condolence 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
125-362 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 Honors: Master Checklist for NOVA Honors Program Scholarship PDF
NA HR: Instructions for Completing Employee Work Profile (EWP) 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
NA Virginia Credit Union Payroll Deduction Authorization PDF
W-9 Request for Taxpayer Identification Number and Certification Online