Application Consent Form

Prior to Accessing Enrollment Application Screens - Disclosures and Consents:

Disclosures

You have chosen the Graduate application process. Generally, you can complete the admissions process and begin your first course within 30 days. If you have a question at any time, please contact an Enrollment Advisor at (888) 410-6109.

  1. Start with tab number one: "Application Consent Form".
  2. Upon successful completion of the "Application Consent Form", you can move on to the next step.
  3. After successfully completing all steps, click on the Finalize and Submit tab to complete the process.
  1. By completing and signing the electronic enrollment application, you are applying for acceptance to University of Fairfax in order to take online courses and conduct administrative activity in an electronic environment. In this environment there is no option to conduct business or receive instruction through the use of paper records. To participate in University of Fairfax online courses you must provide consent to use electronic records. If you do not provide such consent, you will not be able to complete the enrollment application or participate in online courses.

    Please review the options below. Indicate which one you choose by selecting the radio button beside your choice:

  2. There are certain hardware and software requirements necessary for participation in online courses. If the requirements change, you will be notified. Presently, they are:

    • Desktop or laptop PC with broadband Internet access
    • Internet Explorer 7.0 or higher; Firefox 3.0 or higher
    • Popup-blocking disabled; JavaScript enabled; Ajax enabled
    • Adobe Reader and Adobe Flash installed
    • Java Runtime Environment 1.4 or higher
    • Windows XP, Vista or 7 with most current updates installed; Macintosh OS/X or higher
    • A microphone and/or headset
    • Microsoft Office is highly recommended

    Note: Certain courses may require specific software. Contact your instructor or Online Student Services for specific information about your scheduled courses.

  3. In order to protect your privacy and to ensure the integrity of the online education process, your identity must be authenticated by a third party. This typically takes place as you enter data into the next screen, using the services of Veratad. If we are unable to verify your identity through this process, you will be required to provide a notarized statement, available from your Student Services Representative.

  4. Your participation in online courses with University of Fairfax requires the use of certain "shared secrets," such as a unique passcode to set up your University of Fairfax email account, and a unique login and password to access the Student Portal. Only University of Fairfax Systems Administrators have access to this information. The University has strict protocols in place to prevent these from being disclosed to unauthorized parties.

  5. Your University email account will be the primary means of communication with the institution's administration. If your account is not operational for any reason, please contact Online Student Services for assistance.

  6. You have the right to receive paper copies of items in your University of Fairfax electronic student file. These may be requested by contacting Online Student Services.

Agreements and Consent

I understand that my participation in online courses will require the use of certain "shared secrets" such as passcodes, logins and passwords. I agree that I will not share or disclose these with others. If I discover that another person has gained access to any of these, I will notify Online Student Services by phone or email immediately.

Section 1 - Enrollment

Section 2 - General Information

Section 2b - Referral Information

If you were referred by a University of Fairfax student, please list their full name below so they may qualify for the Cybersecurity Community Grant.

Section 3 - Previous College/University Experience

Please list all previous colleges (even if no degree or diploma was awarded).



Permission to Obtain Transcripts

Applicants with international credentials must arrange for a course-by-course evaluation of their transcripts to confirm equivalence to an accredited degree from the U.S. The University of Fairfax accepts evaluations provided by World Education Services (WES), American Association of Collegiate Registrars and Admissions Officers (AACRAO), Educational Credential Evaluators (ECE) or International Educational Research Foundation (IERF). If the academic records are in a language other than English, an English translation is required that is as close to word-for-word as possible. (http://www.wes.org/students/, http://ies.aacrao.org/evaluations/, http://www.ierf.org/for-individuals/, https://www.ece.org/)

The University of Fairfax accepts evaluations provided by World Education Services (WES), American Association of Collegiate Registrars and Admissions Officers (AACRAO), Educational Credential Evaluators (ECE) or International Educational Research Foundation (IERF). If the academic records are in a language other than English, an English translation is required that is as close to word-for-word as possible.

Section 4 - Reference Information

Please provide all three professional references

Section 5 - Employment History

In addition to providing a copy of your resume, please list your most recent work experience:

Activities

Section 7 - Signature

I hereby apply for admission to University of Fairfax and understand I must pay a $75 application fee.

The information I have submitted in this application is true and I agree that any inaccuracy or false statement will entitle the University of Fairfax to deny or to rescind admission. If accepted, I agree to abide by the policies of the institution.

Program Declaration and FERPA


Master of Science in Cybersecurity Management (MSCSM)

The MSCSM degree program consists of 36 semester credits beyond a baccalaureate degree, including 27 credits of core courses, 3 credits of research methods courses, and 6 credits of elective courses.

Doctorate in Information Assurance (DIA)

As a DIA student you will identify a challenging, focused, cybersecurity problem relevant to your interests. Then, utilizing existing empirical research you will systematically design a novel solution and assess its feasibility for addressing the problem. Your dissertation will thoroughly document what you did and how you did it. DIA graduates can use their dissertations to pursue publishing opportunities.

CISSP Prep Class (IA7000 Security in the Digital Age)

Graduate Certificate

Doctorate of Business Administration

General MBA (MBA)

MBA with Cybersecurity Specialization (MBACY)

MBA with Information Technology Specialization (MBAIT)

MBA with Project Management Specialization (MBAPM)


Family Educational Rights and Privacy Act

The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records and gives students the right to authorize University of Fairfax to release information from his or her records to other people or to outside agencies. Students may wish to have information released via electronic means, requiring a process by which the College can authenticate the identity of the person requesting the information. This form provides the means by which students may authorize the release of information to other parties and a means to authenticate his or her identity prior to the release of information to him or her. Refer to the University of Fairfax FERPA Policy located in the University catalog or on the University website (www.ufairfax.edu) for more information.

Section 1 (required) - General Information

Section 2 (*optional*) - Student Authorization to Disclose Information from Education Records

This section is optional. Please do not complete any Section 2 fields unless you plan to answer ALL Section 2 questions.

Provide the information below for any person or agency to whom you authorize the release of some or all of your education records. If the release is for a person, security questions will be used by the University to authenticate the identity of this person prior to the release of that information.

I hereby give University of Fairfax permission to release the information indicated above to the agency or person(s) listed above.

Petition and Evaluation for Exception to Admissions Requirements

Recommendation:


__________________________________________________
Student Services Director

_________________________
Date


Approval:
 Granted      Conditional **      Denied
__________________________________________________
Chief Academic Officer

_________________________
Date

_________________________________________________________________
**

Financial Aid


Information Security Certification Fellowship

Amount Criteria
$500 1 cert; $1000 2 or more certs ($1000 max) For degree seeking applications holding specific certifications. Awarded to student with prior certifications including PMP, ITIl, CSIH, CISSP, ISSAP, ISSEP, ISSMP, SSCP, CISM, CISA, SCNP, SCNA, GCIA, GCIH, GSE, GSEC, GSLC, GSNA, GISF and CEH. This list is not inclusive - will build as new certs are proven. One time payment /discount. Can receive along with another fellowship but only one fellowship per given session. Application for Financial Assistance lists certifications - student must also supply copy. If taking one credit our class we will only pay $500 and then additional $500 in next session instead of $1000 for a one credit hour program.

Blue Ribbon Grant (Military)

The institution will provide a grant of up to 35% of the total amount that is paid toward the direct cost of education on behalf of a qualified individual by the Veterans Administration under Chapter 30, 31, 33, 35, 1606, State National Guard benefits or other related programs; the Department of Defense under any applicable educational support program; or any Military service component or branch under any applicable educational support program (the "applicable veterans benefits"). MyCAA is not eligible to earn Blue Ribbon Grant.

Application Fee waiver

Amount Criteria
$75.00 Only for veterans even if not receiving Va Education benefits- provide a copy of DD214 or COE, honorable discharge. Student will be charged and once documents are reviewed will receive waiver.

FISMA Fellowship

Amount Criteria
$537 per course per session (3 credits) Less than or greater than 3 credits $179 per credit hour Students must be enrolled in Masters or Doctoral Program and work in the government sector. Application for Financial Assistance indicates if private or government sector.

Cyber Policy Fellowship

Amount Criteria
$537 per course per session (3 credits) Less than or greater than 3 credits $179 per credit hour Students must be enrolled in Masters or Doctoral Program and work in the private sector. Application for Financial Assistance indicates if private or government sector.

Please explain how you anticipate paying for your education (e.g. employer reimbursement, credit card, etc.):

Employer Sponsored Students

If Employer Reimbursement / Tuition Assistance is selected, please enter your employer information:

Military Service Members

If yes, please go to www.vets.gov to make application.

Students that use their VA Education Benefits to fund their education may be eligible for the Blue Ribbon Grant Program. See catalog and student handbook for additional details.

I hereby give University of Fairfax permission to release the information indicated above to the agency or person(s) listed above.