NOVA Workforce - FANTIC Application Form

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Application Status
Important: An email will be sent to the student based on the status selected every time you submit this form. Make sure the status and message for student are correct/matching before submitting.
Enrollment Status
Important: An email will be sent to the student based on the status selected every time you submit this form. Make sure the status and message for student are correct/matching before submitting.
Staff Contact
WES Student ID
Message for Student
This message will be included in the email template to the student based on Application Status selected: Submit missing docs (include list of documents needed), Denied (include reason for denial). IMPORTANT! Remove/update message when changing Application Status.
Internal Comments
Included in email template for Application Status - Review Needed and Approved (for staff email notification only)
Reply Email
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Workforce Financial Assistance (FANTIC) Application Form
Carefully read the FANTIC Application Packet before filling out this form. You must meet all the qualifications listed in the packet before applying.

Please complete this application at least two (2) weeks before the class start date. Funding is limited and will be awarded on a first-come, first-served basis.

We will contact you regarding your eligibility for FANTIC or G3. Our primary method of communication will be via the email address you provide in this form. You are responsible for monitoring all emails (and your voicemail) and responding promptly to avoid delays in processing your application. If your email or phone number changes, it is your responsibility to contact us.

We recommend that you add FANTIC@nvcc.edu to your contact list as a safe sender to ensure you receive all communications promptly. Please check your spam and junk folders for emails from "NOVA Workforce Financial Assistance"

Questions? Please email NOVA Workforce at FANTIC@nvcc.edu.
Course Selection:

Visit our website to browse upcoming FastForward classes.
Important: Please read the class description, prerequisites, and expectations carefully. You must meet any prerequisites before enrolling.

Select one FastForward program from the drop-down list. All programs are FANTIC and G3 eligible unless noted otherwise.

If you know the class you would like to take, you may enter the Class ID and start date below. You can leave this information blank if you need help selecting a specific class or don't see any available classes. We will follow up with you about the class selection.
Select the FastForward Training Program in which you wish to enroll*
Course Prerequisites for {selectThe}:
Have you completed or met the course prerequisites?*

YesNo
Which of the following best describes the reason you are interested in this FastForward program?*

Gain skills to re-enter the workforceImprove skills used in my current jobLearn new skills to advance in my current line of workPosition myself for a better jobExplore a possible job or career changePersonal enrichment or curious about the topicPreparation to enter or continue a NOVA degree programPreparation to enter or continue a degree program at another college or universityOther
Campus/Class Location Preference (may select multiple):*

AlexandriaAnnandaleLoudoun (including Reston Center)ManassasWoodbridgeOnline
Class Starting Date Preference:*

ASAP or next available classwithin 1 monthwithin 2-3 months
Class ID
5-digit number listed under the class title
Class Start Date
See class schedule
Personal Information:
Name*

First NameMiddle NameLast Name
Address*

Street Address

Apt #

CityState

Zip Code
Date of Birth*

MonthDayYear
Phone Number*
Email*

Confirmation EmailPlease confirm your email by entering it twice.

Please answer the following questions to help us determine the appropriate funding source for you. If you answer YES to any of the questions, please provide details in the comments.*

	Select Yes or No	Comments
A. Are you currently unemployed? Enter the dates of unemployment in the comments.
B. Are you receiving any other tuition assistance from other sources? If yes, list the funding sources in the comments.
C. Have you used FANTIC or G3 funding previously at NOVA or any other Virginia Community College? If yes, list the semester and course in the comments.
D. Are you under 18 years of age? If yes, list in the comments if you are still in high school or have earned a high school diploma or GED.

What is the highest level of education you have completed?*

Some High SchoolHigh School Graduate/GEDSome College/Trade SchoolAssociate/Trade School DegreeBachelor’s DegreeMaster’s Degree or higher
Are you currently enrolled in an Associate or Bachelor’s degree program?*

Not currently enrolledCurrently enrolled
What is your program of study and are you receiving financial aid?
If you are male, are you currently in compliance with the Selective Service Act requirements?*

YesNoFemale Applicant (SSA does not apply)
Please go to https://www.sss.gov/verify/ to verify your selective service status.

If you entered the United States on or after your 26th birthday, please provide proof of your entry into the country that also has your birthdate on it – i.e. passport (showing stamp of entry), visa, etc.
Upload Proof of Entry

Supported file formats: pdf, jpg, jpeg, png, gif
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Required Documents:
The following documents are required for Workforce Financial Assistance. Please select and submit the documents below. See the FANTIC Application Packet for details. Make sure your uploaded documents are complete, clear, and legible so your application won't be delayed.
Identification and Age Verification:*

Driver's LicensePassportState-Issued Photo IDOther
Upload Identification Document*

Your identification document should show a photo and your age. Supported file formats: pdf, jpg, jpeg, png, gif
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Proof of Virginia Residency: One of the following with your name and current address preprinted on the document*

Utility BillHousing ContractVoter CardPreprinted Rent ReceiptBank StatementVehicle Registration
Upload Proof of Virginia Residency*

Document must have name and address preprinted. A picture of the outside of the envelope is NOT acceptable. Supported file formats: pdf, jpg, jpeg, png, gif
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US Residency Status:*

US CitizenPermanent ResidentOther
Upload Permanent Resident card or other document showing proof of current legal status *

Supported file formats: pdf, jpg, jpeg, png, gif
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Household Income:
Indicate the number of persons in your immediate family/household - this is usually the number of exemptions you claim on your tax return. Enter your estimated annual adjusted gross income from last year - this amount is included in your tax return. If your adjusted gross income is below the income threshold for the number of persons in your household, you may qualify for FANTIC or G3. (see chart below)
How many persons are in your immediate family/household?*
What is your estimated Annual Adjusted Gross Income from last year?*
Financial Need Verification: (see FANTIC application packet and checklist for details)*

SNAP or TANF: I will submit current documentation stating eligibility for either SNAP or TANF. This includes all the pages from the “Notice of Action of Benefits".IRS Tax Return Transcript: I will submit an IRS Tax Return Transcript from my most recent Tax Return (preferred).An IRS Tax Return Transcript is unavailable. I will submit satisfactory proof of prior year income, including copies of tax returns (1040 form).
Is anyone claiming you as a dependent on their tax return? *If you answer yes, the Tax Transcript submitted must be from the tax return you are claimed on, not your own tax return.*

YesNo
Upload Financial Need Verification*

Supported file formats: pdf, jpg, jpeg, png, gif
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Do you live in the Northern Virginia Community College service area, which includes the areas of Alexandria, Arlington, Loudoun, Fairfax, and Prince William?*

YesNo
Indicate the Jurisdiction where you reside: It must be a city or county in Virginia.
JURISDICTION
Additional Applicant Information for Clarification (if needed):
APPLICANT MEMORANDUM OF UNDERSTANDING (MOU)

Click To Open and Read the APPLICANT MEMORANDUM OF UNDERSTANDING (MOU)
I, {name}, understand and fully agree with each of the following conditions associated with applying for and receiving funding through Workforce Financial Assistance (FANTIC):

1. ACCOUNTABILITY: I have accurately and truthfully completed this application for Workforce Financial Assistance and have been evaluated/disqualified for all other forms of financial assistance, including, but not limited to, WIOA Funding. Failure to fully disclose information or false statements/information will disqualify me (the applicant) from consideration. Only fully complete applications will be reviewed and considered for funding.

2. GOAL OF FANTIC FUNDING: I understand the purpose of this funding is to financially assist me in gaining the knowledge AND the applicable industry-recognized credential or licensure. Seeking the applicable credential or licensure, whether it is incorporated into my program or requires me to obtain the certification at additional cost to the applicant, is an expectation for accepting these funds.

3. COVERED COSTS: I understand that Workforce Financial Assistance (FANTIC or G3) will cover 1/3 of the total tuition (student portion) of the FastForward program. Any additional costs required for credential/license attainment not included in the program's cost are solely my expense.

4. ATTENDANCE: I understand my obligation to attend all scheduled classes, as absences may compromise my success and ability to acquire the necessary information/training/preparation for certification. I will commit to successfully meeting the requirements to complete all class and program requirements and will promptly seek the related credentials.

5. FAILURE TO COMPLETE: I understand that as part of the FastForward expectation, if I fail to complete the class successfully, I will be responsible for paying an additional (second) 1/3 of the total cost of my program; however, I will not be required to pay back the first (FANTIC-funded) third. I understand that if I fail to complete a funded program, I am ineligible for additional awards.

6. CREDENTIAL SUBMISSION: I understand that once I successfully obtain my industry credential/license, I must present validation documentation to the NOVA Workforce Office or advise that I was unsuccessful in obtaining the related certification. I will provide documentation of the credential or licensure within 90 days of completing the NOVA Workforce program.

7. INFORMATION SHARING: I understand that NOVA Workforce may share my information with other supporting agencies.

8. COMMUNICATION & RESPONSIVENESS: I agree to monitor my email regularly and respond promptly to requests for information related to this agreement or the FastForward program if contacted before, during, or after the class. I also agree to provide NOVA Workforce with a current daytime phone number and email.

9. REFUND POLICY: I agree to NOVA Workforce's refund policy, which requires four calendar days' written notice prior to the start of the class. I understand that I am financially responsible for all FastForward financial obligations, including repayment of the second 1/3 of the program's cost, should I fail to complete it.

End of MOU
Name*
Today's Date*

MonthDayYear
Signature*

Clear
By submitting this form, I certify that the information in this form and any attachments are true and accurate. I acknowledge that any false statements will result in the rejection of the application, and no financial assistance will be provided.

Click Save to save your progress and continue the form later. You will receive an email with a link to your form. This will NOT submit your form. Make sure to click Submit when you are ready to submit your completed form to NOVA Workforce. You will receive an email confirmation with your completed application attached as reference.

Please do not submit duplicate applications for the same class, as this will slow the approval process.
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Workforce Financial Assistance (FANTIC) Application Form

APPLICANT MEMORANDUM OF UNDERSTANDING (MOU)