Student Interest Form
The Adult Career Pathways (ACP) Program is a program that provides guidance and support in navigating NOVA; while providing opportunities to succeed through tailored advising and resources designed to assist students in earning a certificate, degree or other credential(s) that may help them secure greater economic security.

Please read the form carefully and complete in its entirety.

PLEASE PAY CLOSE ATTENTION TO QUESTION #6

Please complete the form in its entirety. Once your form is submitted, please allow up to 48 hours (or the next business day) for a staff member to contact you via email or phone.

If you have any questions, please contact an ACP staff member at acp@nvcc.edu or at 703.425.5245.
Date *
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Full Name *
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Valid Phone Number *
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Email Address *
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NOVA EMPLID *
If you are a current NOVA student (or have a NOVA ID#), please enter it below. If you don't have a NOVA ID #, please enter "000000".
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Adult Career Pathways Program Eligibility Criteria
Potential or current NOVA students who are 25 years of age or older and meet at least five (5) of the criteria below; OR any potential or current NOVA student who is a parent and/or above the age of 25 who has experienced housing insecurity, homelessness, loss of employment, and/or no employment within the past 18 months. **NOTE: Students do not necessarily need to be 25 years of age or older to qualify. Final eligibility is determined on a case-by-case basis and accounts for all factors. We encourage anyone who meets any of the criteria below to apply regardless of age.** ***PLEASE SELECT ALL THAT APPLY***
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What services are you seeking from the ACP Program? *
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