Upskill Fairfax City Eligibility Form

Upskill Fairfax City Tuition Assistance

Eligibility Verification and Student Acknowledgement Form
Fairfax City residents and employees of Fairfax City businesses can now enroll in select FastForward programs at no cost through Upskill Fairfax City, a new tuition assistance program from Fairfax City Economic Development and Northern Virginia Community College.

Visit https://www.nvcc.edu/academics/workforce/upskill-fairfax-city.html for more information.

Please read and complete this form in its entirety. Once eligibility is verified, NOVA Workforce staff will contact 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. If you qualify for Workforce Financial Assistance (FANTIC), you will be asked to apply for FANTIC first before using Upskill Fairfax City Tuition Assistance.

Questions? Please email NOVA Workforce at NOVAWorkforceAnswers@nvcc.edu.
Eligibility Verification:
Name*

First NameLast Name
I'm applying as a*

Fairfax City ResidentEmployee of a Fairfax City Business
Business Name*
Address - This must be a Fairfax City address. *

Street Address

Street Address Line 2

CityState

Zip Code
This address is located in:
The above field is automatically populated with the county based on your address. To proceed with completing the form, the address must be located in Fairfax City (see map for city limits). If you encounter an error or if the county does not display correctly, please reload the form or try a different browser. If the issue continues, email NOVAWorkforce@nvcc.edu for assistance.
This address is not located in Fairfax City. Therefore, you are not eligible for Upskill Fairfax City tuition assistance. If you believe this to be in error, please explain your situation and submit the form. We will verify your address and contact you within 7 business days.
Comment*
Email address*
example@example.com
If you would like to receive text message updates about your application, please provide a mobile phone number.
Please enter a valid mobile phone number (optional).

Fairfax City Resident
Fairfax City Proof of Residency: Select and submit one of the following with your name and address preprinted on the document.*

Driver’s License or State IDUtility or Tax BillHousing ContractVoter CardRent Receipt
Please make sure your uploaded document is clear and legible to avoid any delays in the registration process.*

File types accepted: pdf, jpg, jpeg, png
Cancelof

Employee of a Fairfax City Business
Employee of a Fairfax City Business: Submit a document that shows the business name, your name and business address (must be in Fairfax City), such as a business card, pay stub, or letter from the business, etc.*

Please make sure your uploaded document is clear and legible to avoid any delays in the registration process. File types accepted: pdf, jpg, jpeg, png
Cancelof
Supervisor Information

A supervisor, manager, or business owner must verify that you are an employee of a Fairfax City business. 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.
Supervisor Name*

First NameLast Name
Supervisor Email (business email)*

Confirmation EmailConfirm email address
Supervisor Phone Number*
Please enter a valid phone number.

Course Selection
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.

If you know the class you’d like to take, please enter the Class ID and start date below. If you don’t see a class that fits your preferred schedule, please check back later -- we’re constantly adding new courses.
Select the FastForward Program in which you wish to enroll*
Class ID
5-digit number listed under the class title
Class Start Date
See class schedule
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

Student Acknowledgement
I, {studentName74}, understand and fully agree with each of the following conditions associated with applying for and receiving funding through the Upskill Fairfax City tuition assistance fund:

General:
- I understand that I must adhere to all of NOVA’s policies and procedures.
- I understand that the Upskill Fairfax City 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 related to this funding for up to one year following the program's conclusion;
- 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 fail to complete the funded course, I may be ineligible for additional funding;
- 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.
- I have accurately and truthfully completed this form. Failure to fully disclose information or false statements/information will disqualify me from receiving funding;
FastForward Programs only:
- I understand that I must meet Virginia domicile requirements to qualify for FastForward (WCG) funding. Upskill Fairfax City funding will only be available for domiciled students. A domicile determination form will be part of the registration process.
- I understand that the Upskill Fairfax City tuition assistance fund will cover the FastForward tuition (1/3 of the total tuition). Any additional costs required for credential attainment not included in the cost of the program are solely my expense;
- I understand the purpose of this funding is to financially assist me in gaining the knowledge AND the applicable industry credential or licensure. Seeking the applicable credential, whether it is incorporated in my program or requires me to obtain the certification at additional cost, is an expectation for accepting these funds for a FastForward program;
- I understand that as part of the FastForward expectation, if I fail to successfully complete the course, I will be responsible for paying 1/3 of the total cost of my program; however, I will not be required to pay back the Upskill Fairfax City-funded tuition.
Signature*

Clear
Today's Date*

MonthDayYear

End of Student Acknowledgement
By submitting this form, I certify that the information provided in this form is true and accurate.
Should be Empty:

Upskill Fairfax City Tuition Assistance

Eligibility Verification:

Supervisor Information