City of Falls Church Workforce Training Request

Workforce Education & Development for City of Falls Church Employees

Training Request and Student Acknowledgement Form
The City of Falls Church has partnered with Northern Virginia Community College - NOVA Workforce to provide select tuition-free classes to City of Falls Church employees.

Visit https://nvcc.augusoft.net/info/landing/falls-church for available classes.

Please read and complete this form in its entirety. A copy will be emailed to your supervisor for approval. Once approved, NOVA Workforce staff will contact you and enroll you in the selected class. You are not enrolled until you receive confirmation from a NOVA Workforce staff member. Funding is limited and will be awarded on a first-come, first-served basis.

Questions? Please email NOVA Workforce at NOVAWorkforceAnswers@nvcc.edu.
Student Information:
Student Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you currently taking classes at NOVA?
Course Information:

Visit https://nvcc.augusoft.net/info/landing/falls-church for available courses. Enter the required information for the class you would like to take. Classes may be taken during business hours. City employees may take multiple classes, however, only one class at a time. Your supervisor must approve your class selection. Important: Read the class description carefully. You must meet any prerequisite before enrolling.
Class Title
Class ID
5-digit number listed next to class title
Class URL
Copy/paste the URL link from the class information page
Class Schedule
Copy/paste the Schedule Information from the class description. Make sure to include all schedules for your class.
Tuition
Student Acknowledgement
- I, {studentName}, understand and fully agree with each of the following conditions associated with applying for and receiving tuition-free classes through the City of Falls Church Workforce Education & Development initiative:
  - I understand that I must adhere to all of NOVA’s policies and procedures.
  - I understand that the City of Falls Church Workforce Education & Development initiative covers tuition only. Any additional costs associated with the course, such as textbooks and parking fees, are solely my expense;
  - I agree to respond promptly to requests for information related to this acknowledgment and/or the course(s) if contacted before, during, or after the course. I understand it is my responsibility that the college has up-to-date contact information in order to reach me for any changes and/or cancellations.
  - I agree to complete any evaluations, surveys, and forms as requested by NOVA for up to one year following the program's conclusion;
  - I understand that FastForward programs have additional requirements (see FastForward class descriptions), and I am expected to sit for the industry credential exam as part of the program. A Virginia domicile application will be part of the FastForward registration process. The City of Falls Church Workforce Education & Development initiative will cover tuition for domiciled and non-domiciled employees.
  - I agree to the attendance requirements for the course, in addition to completing any other requirements set by the instructor.
  - I understand that if I wish to drop a course or I am unable to attend, I must notify NOVA Workforce by the refund deadline (see below). If I do not notify NOVA Workforce or drop my courses within this timeframe, I may lose the ability to receive additional funding.
    
    For Workforce and FastForward courses:
    E-mail your drop request to wddrefunds@nvcc.edu at least 4 calendar days prior to the first class session.
    
    For ACLI – ESL courses:
    E-mail your drop request to wddrefunds@nvcc.edu within 7 days after the start date of the first scheduled class session.
  - I have accurately and truthfully completed this form. Failure to fully disclose information or false statements/information will disqualify me from receiving funding.
- Release of Student Information to a Third Party
  
  In accordance with the "Family Education Rights and Privacy Act of 1974" Public Law 93-380 (Education Amendment of 1974), enrollment verifications cannot be released without a written request and signature from the student, except to certain authorized college officials.
- By signing this form, I am giving permission to NOVA Workforce to release enrollment verification to the City of Falls Church related to the course listed in this form. Enrollment verification includes enrollment status and dates of attendance.
- Signature
- Today's Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit year
- Supervisor Information
  
  City employees must receive supervisor approval before enrolling in classes. Please provide your supervisor's information below. After you submit the form, an email will be sent to your supervisor to review and approve your request. If your request gets denied, please submit a new form with the modified class selection.
- Supervisor Name
  
  First NameLast Name
- Supervisor Email
  example@example.com
- Supervisor Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Department
- By submitting this form, I certify that the information provided in this form is true and accurate.
- Should be Empty:

Workforce Education & Development for City of Falls Church Employees

Student Information:

Course Information:

Student Acknowledgement

Release of Student Information to a Third Party

Supervisor Information