Student Interest Form

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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.

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Full Name *

Valid Phone Number *

Email Address *

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".

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***

Low socioeconomic status (e.g., 20 percent below median income, see above)

First-Generation College Student

Single Parent (Parenting Student)

Student who delayed enrollment out of high school (5 or more years)

Minority Student

Underemployed student/low wage worker

Recently arrived/work-eligible immigrant with multiple barriers

High Risk of Academic Failure

Need for immediate revenue source/job

Referral by a Community Based Organization (CBO)

Loss of employment or no employment in the last six months

Workforce referral for intensive academic counseling

Student experiencing housing insecurity and/or homelessness

Ongoing major financial difficulties

Previous ACP Student

Other:

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