Resources : Coastal Alabama Community College

Admissions

Admissions Files
Name	File Type
Appeal to Student and Academic Affairs Committee
Apply for Admission
Change of Degree Plan Request Form Students who need to change their degree plan should submit this form.
Course Schedule
OneACCS Student User Guide
Residency/In-State Eligibility Form (PDF)
Spring 2023 Navigator
Viewbook

Navigator

Navigator Files
Name	File Type
Spring 2023 Navigator

Financial Aid

Financial Aid Files
Name	File Type
60 Plus Scholarship Application (2020-2021)
60 Plus Scholarship Application (2021-2022)
Appeal Form (2020-2021)
Appeal Form (2021-2022)
Barnes & Noble Book Scholarship Application
Dependent Verification Worksheet (2020-2021)
Dependent Verification Worksheet (2021-2022)
Direct Loan Basics
Direct Loan Change Form (2020-2021)
Direct Loan Change Form (2021-2022)
Escambia County Historical Society Scholarship (Brewton & Atmore Campuses Only)
Exit Counseling Guide for Federal Student Loan Borrowers
FERPA Release Form (2020-2021)
FERPA Release Form (2021-2022)
High School Completion Form (2020-2021)
High School Completion Form (2021-2022)
Identity and Statement of Educational Purpose - In Person (2021-2022)
Identity and Statement of Educational Purpose - In Person (2020-2021)
Independent Verification Worksheet (2020-2021)
Independent Verification Worksheet (2021-2022)
JDCC Foundation Scholarship (Brewton & Atmore Campuses Only)
Louise Hauss Mill Nursing Scholarship Application (Atmore & Brewton Campuses Only)
Low Income Statement (2020-2021)
Low Income Statement (2021-2022)
OneACCS Student User Guide
PACT Request Form (2020-2021)
PACT Request Form (2021-2022)
Parent Plus Direct Loan Request Form (2020-2021)
Parent Plus Direct Loan Request Form (2021-2022)
Parent Right to Cancel Loan Form (2020-2021)
Parent Right to Cancel Loan Form (2021-2022)
Parent's Certification of Separation Form (2020-2021)
Pell LEU and Unusual Enrollment History
Satisfactory Academic Progress Appeal Form
Second Career Scholarship Application (Atmore & Brewton Campuses Only)
Student Right to Cancel Loan Form (2020-2021)
Student Right to Cancel Loan Form (2021-2022)
Student's Certification of Separation Form (2020-2021)
Unusual Enrollment History Form (2020-2021)
Unusual Enrollment History Form (2021-2022)
Veteran Dependent Request for Certification of Enrollment
Veteran Dependent Request for Certification of Enrollment
Veteran Dependent Request for Certification of Enrollment (2021-2022)
Work-Study - Authorization Agreement for Direct Deposit
Work-Study - Employment Eligibility Verification Form I-9
Work-Study - Form A-4 Employee's Withholding Exemption Certificate
Work-Study - W4

2020-2021 Financial Aid Forms

2020-2021 Financial Aid Forms Files
Name	File Type
60 Plus Scholarship Application (2020-2021)
Appeal Form (2020-2021)
Dependent Verification Worksheet (2020-2021)
Direct Loan Change Form (2020-2021)
FERPA Release Form (2020-2021)
High School Completion Form (2020-2021)
Identity and Statement of Educational Purpose - In Person (2020-2021)
Independent Verification Worksheet (2020-2021)
Low Income Statement (2020-2021)
PACT Request Form (2020-2021)
Parent Plus Direct Loan Request Form (2020-2021)
Parent Right to Cancel Loan Form (2020-2021)
Parent's Certification of Separation Form (2020-2021)
Student Right to Cancel Loan Form (2020-2021)
Student's Certification of Separation Form (2020-2021)
Unusual Enrollment History Form (2020-2021)
Veteran Dependent Request for Certification of Enrollment

2021-2022 Financial Aid Forms

2021-2022 Financial Aid Forms Files
Name	File Type
60 Plus Scholarship Application (2021-2022)
Appeal Form (2021-2022)
Dependent Verification Worksheet (2021-2022)
Direct Loan Change Form (2021-2022)
FERPA Release Form (2021-2022)
GED Free Class Form
High School Completion Form (2021-2022)
Identity and Statement of Educational Purpose - In Person (2021-2022)
Independent Verification Worksheet (2021-2022)
Low Income Statement (2021-2022)
PACT Request Form (2021-2022)
Parent Plus Direct Loan Request Form (2021-2022)
Parent Right to Cancel Loan Form (2021-2022)
Student Right to Cancel Loan Form (2021-2022)
Unusual Enrollment History Form (2021-2022)
Veteran Dependent Request for Certification of Enrollment (2021-2022)

Scholarships

Scholarships Files
Name	File Type
Barnes & Noble Book Scholarship Application
Escambia County Historical Society Scholarship (Brewton & Atmore Campuses Only)
JDCC Foundation Scholarship (Brewton & Atmore Campuses Only)
Louise Hauss Mill Nursing Scholarship Application (Atmore & Brewton Campuses Only)
Second Career Scholarship Application (Atmore & Brewton Campuses Only)

Consumer Information

Consumer Information Files
Name	File Type
Advertisement 2019
Advertisement 2019
Annual Security and Fire Safety Report 2019
Athletic Graduation Survey
Billboards 2019
Distance Education Master Course List
Educational Programs by Campus
Equity in Athletics 2019
Equity in Athletics 2020
Financial Aid Annual Notice
General Disclosures for Program Licensure
Instructional Labs
Instructional Labs
Rackcard/Brochures Examples 2019
Student Body Diversity Report
TV Commercial :30 Second Spot
Viewbook 2019

Safety

Safety Files
Name	File Type
2024 Annual Security and Fire Safety Report

Veteran Benefit Programs

Veteran Benefit Programs Files
Name	File Type

High School Programs

High School Programs Files
Name	File Type
Payment Plan Request Form

Veterinary Technology

Veterinary Technology Files
Name	File Type
Veterinary Technology Handbook 2024 - 2025
Veterinary Technology Program Application

Clinical Site Forms (IACUC) and Resources

Clinical Site Forms (IACUC) and Resources Files
Name	File Type
IACUC Protocol VET 232 1038 Pre-Anesthesia Prep for the Patient
IACUC Protocol VET 110 1003 Microchip Implantation and Scanning
IACUC Protocol VET 110 1006 Surgical Site Prep Aseptic Technique
IACUC Protocol VET 110 1009 Patient Positioning
IACUC Protocol VET 110 1015 Basic Husbandry
IACUC Protocol VET 112 1001 Muzzle a Dog and Cat
IACUC Protocol VET 112 1002 Restraint for Exam and Procedures
IACUC Protocol VET 112 1004 Venipuncture
IACUC Protocol VET 112 1005 Topical Medication Application
IACUC Protocol VET 112 1007 Pole Restraint and Other Restriant Aids
IACUC Protocol VET 112 1008 Physical Exam
IACUC Protocol VET 112 1010 Parental Medication Injections
IACUC Protocol VET 112 1011 Ocular Diagnostic Tests
IACUC Protocol VET 112 1012 Enteral Medications
IACUC Protocol VET 112 1013 E-Collar Placement
IACUC Protocol VET 112 1014 Encage and Remove
IACUC Protocol VET 120 1016 Suture Removal
IACUC Protocol VET 120 1017 Skin Scrape
IACUC Protocol VET 120 1018 IV Meds
IACUC Protocol VET 120 1019 Intradermal Injection
IACUC Protocol VET 122 1020 Anesthesia Monitoring
IACUC Protocol VET 122 1021 Blood Transfusions
IACUC Protocol VET 122 1022 Blood Crossmatching
IACUC Protocol VET 122 1023 Enemas
IACUC Protocol VET 122 1024 Gastric Intubation and Lavage
IACUC Protocol VET 122 1025 Intensive Care Patient Monitoring
IACUC Protocol VET 122 1026 Nasogastric Intubation
IACUC Protocol VET 122 1027 Resuscitation Bag
IACUC Protocol VET 124 1028 Cystocentesis
IACUC Protocol VET 124 1029 Ear Sample Collect and Prep
IACUC Protocol VET 124 1030 Skin Scraping
IACUC Protocol VET 124 1031 Male Dog Urinary Catheterization
IACUC Protocol VET 124 1032 Urinary Catheter Male
IACUC Protocol VET 124 1033 Free Catch Urine Collection
IACUC Protocol VET 124 1034 External Parasite Visualization
IACUC Protocol VET 230 1035 Apply Bandages and Splints
IACUC Protocol VET 230 1036 Removal of Splints Bandages and Casts
IACUC Protocol VET 230 1037 Complete Dental Prophylaxis
IACUC Protocol VET 232 1039 Administer Injectable Anesthesia
IACUC Protocol VET 232 1040 Anesthesia Monitoring and Maintenance
IACUC Protocol VET 232 1041 Participate in Feline and Canine OHE
IACUC Protocol VET 232 1042 Participate in Feline and Canine Castration
IACUC Protocol VET 232 1043 Anesthesia Recovery
IACUC Protocol VET 232 1044 Suturing Techniques
IACUC Protocol VET 232 1045 ECG Tracing
IACUC Protocol VET 232 1046 Ultrasound of Small Animal
IACUC Protocol VET 232 1047 Lat Thoracic Rads
IACUC Protocol VET 232 1048 VD Thoracic Rads
IACUC Protocol VET 232 1050 VD Abdominal Rads
IACUC Protocol VET 232 1051 Dental Radiology
IACUC Protocol VET 232 1052 OFA Rads
IACUC Protocol VET 232 1053 Barium Study
IACUC Protocol VET 240 1054 Operate a Cattle Chute
IACUC Protocol VET 240 1055 Haltering a Large Animal
IACUC Protocol VET 240 1056 Bovine Tail Restraint
IACUC Protocol VET 240 1057 Bovine Physical Exam
IACUC Protocol VET 240 1058 Collect & Report TPR on Any Large Animal
IACUC Protocol VET 240 1059 Bolus Medication in Food Animal
IACUC Protocol VET 240 1060 Liquid Medication in Food Animal
IACUC Protocol VET 240 1061 California Mastitis Test
IACUC Protocol VET 240 1062 SQ Inj Food Animal
IACUC Protocol VET 240 1064 Jugular Venipuncture and IV Inj Bovine
IACUC Protocol VET 240 1065 Haltering and Leading a Horse
IACUC Protocol VET 240 1066 IM in Equine
IACUC Protocol VET 240 1067 Jugular Venipuncture IV In Equine
IACUC Protocol VET 240 1068 Attach Rope or Chain Twitch Equine
IACUC Protocol VET 240 1069 Equine Physical Exam
IACUC Protocol VET 240 1070 Equine Tail Wrap
IACUC Protocol VET 240 1071 Equine Lower Leg Wrap
IACUC Protocol VET 240 1072 Large Animal Radiograph Fetlock
IACUC Protocol VET 242 1073 Bird Restraint and Physical Exam
IACUC Protocol VET 242 1074 Avian Nail Trim
IACUC Protocol VET 242 1075 Oral Medication in Birds
IACUC Protocol VET 242 1076 Nail Trim Pocket Pet
IACUC Protocol VET 242 1077 Towel Restraint of Rabbit Head Exposed
IACUC Protocol VET 242 1078 Towel Restraint of Rabbit for IM Inj
IACUC Protocol VET 242 1079 Rabbit Restraint in Cat Bag or Commercial
IACUC Protocol VET 242 1080 Rabbit Restraint for PE and Sex Determination
IACUC Protocol VET 242 1081 Oral Medication to a Rabbit
IACUC Protocol VET 242 1082 SQ Injection in Rabbit
IACUC Protocol VET 242 1083 Blood Draw from a Rabbit
New Site Clinic Information Letter - Updated November 2014
Off-Campus Clinical Facility Questionnaire
vet tech - memorandum of understanding - november 19 2013

Cosmetology

Cosmetology Files
Name	File Type
Cosmetology Request Info Form

Registrar

Registrar Files
Name	File Type
Academic Bankruptcy Request Form Use this form to declare Academic Bankruptcy for one semester or one year
Apply for Admission
Audit Request Form Use this form to request to be an Audit Only student and receive AUs instead of grades in all your coursework
Change of Degree Plan Request Form Students who need to change their degree plan should submit this form.
Course Forgiveness Request Form
Course Schedule
Dual Enrollment/Accelerated Withdrawal Request
Enrollment Verification/Degree Verification/Letter of Good Standing Request Use this form to request that an enrollment verification be sent to an external agency or company verifying that you are a full time student at the College.
FERPA Release Form (Registrar)
Graduation Application BEFORE accessing the Coastal Alabama 2024-2025 Graduation Application, please note: You will be REQUIRED to upload a copy of your Degree Works plan that reflects your current progress towards the degree for which you are seeking. If you are not familiar with using Degree Works, please schedule an appointment with your advisor. For students who attended Coastal before 2020 and/or for those students who do not have a Degree Works account, you are inactive and will need to request your transcript and order your transcript to have it sent directly to you. If you are not a current student and do not have a Dynamic Forms account, you MUST create one using your name and email address.
Letter of Non-Attendance Request Form Please complete this form to request that we provide a Letter of Non-Attendance confirming that you have not completed any coursework at Coastal Alabama Community College.
OneACCS Student User Guide
Replacement Diploma Request Form
Reverse Transfer Information
Student Information Change Request Online Form Use this form to change your name, address, program of study, etc.
Total Withdrawal Form - Fall 2024 This form is to be used to submit a request to be withdrawn from ALL courses in which you are currently enrolled. If you only need to withdraw from an individual course(s) and will have courses remaining, you must do so through your OneACCS student account. If you are a Pell student or receiving a student loan and have not communicated with a financial aid advisor, please do so before continuing. This withdrawal form will be disabled at midnight on the evening of the withdrawal deadline. Your withdrawal will be processed based on the automatic date stamp. Withdrawal requests submitted after the withdrawal deadline for the term will NOT be processed and you will receive the grade earned in the course. Withdrawal Deadlines for Fall 2024: Full Term - December 6, 2024 Mini Term 1 - October 7, 2024 Mini Term 2 - December 9, 2024 Night Term - November 13, 2024 Five Week Session A - September 18, 2024 Five Week Session B - October 22, 2024 Five Week Session C - December 4, 2024 Term D - November 27, 2024
Total Withdrawal Form - Spring 2025 This form is to be used to submit a request to be withdrawn from ALL courses in which you are currently enrolled. If you only need to withdraw from an individual course(s) and will have courses remaining, you must do so through your OneACCS student account. If you are a Pell student or receiving a student loan and have not communicated with a financial aid advisor, please do so before continuing. This withdrawal form will be disabled at midnight on the evening of the withdrawal deadline. Your withdrawal will be processed based on the automatic date stamp. Withdrawal requests submitted after the withdrawal deadline for the term will NOT be processed and you will receive the grade earned in the course. Withdrawal Deadlines for Spring 2025: Full Term - April 29, 2025 Mini Term 1 - February 26, 2025 Mini Term 2 - May 2, 2025 Term D - April 17, 2025 10-Week Term - November 13, 2024 Five Week Session A - February 5, 2025 Five Week Session B - March 12, 2025 Five Week Session C - April 22, 2025
Transient Student Request Form Use this form to request transiency FROM the College TO another institution

Machine Tool Technology

Machine Tool Technology Files
Name	File Type
Machine Tool Request Info Form

Dental Assisting

Dental Assisting Files
Name	File Type
2024 - 2025 Dental Assisting Program Handbook
Dental Assisting Program Observation Form

Nursing

Nursing Files
Name	File Type
Mobility Nursing Program Application
Nursing Program Application
Nursing Program Reinstatement Application
Nursing Program Transfer Application
Nursing Student Handbook

Paramedic

Paramedic Files
Name	File Type
Paramedic Program Application
Paramedic Program Application Information Packet

Surgical Technology

Surgical Technology Files
Name	File Type
Surgical Technology Commercial
Surgical Technology Program Handbook

Hospitality and Culinary Management

Hospitality and Culinary Management Files
Name	File Type
Enrollment and Graduation Information
Hospitality Graduate Survey
Hospitality Program Request Info Form

Center for Professional Development

Center for Professional Development Files
Name	File Type
Fall WIOA Approved Courses

TRIO Upward Bound

TRIO Upward Bound Files
Name	File Type
Upward Bound Program Application

COVID-19

COVID-19 Files
Name	File Type

Human Resources

Human Resources Files
Name	File Type
Abandonment of Position Policy
Absences Due to On the Job Related Injuries
ACCS Salary Schedules 2024-2025
Adjunct Faculty/Part-Time Staff/Support Positions
Administration & Staff Support Positions
Appointment of Local Administrative Staff Policy
Authorization for Student Activity Fundraising Events
Campus Police Retainment of Badge or Pistol Policy
Campus to Campus Mileage Spreadsheet
Coastal Alabama Community College Local C3 Salary Schedule 2024-2025
Coastal Alabama Vehicle Usage Policy
Compensation for Alabama Community College System Personnel Policy
Conflict of Interest Policy
Conflict of Interest Procedure
Courtesy Fund Enrollment Form
Criminal Background Checks Policy
Criminal Background Checks Procedure
Drug Free Workplace Policy
Drug-Free Workplace Acknowledgment Form
Emergency Overtime Request Form
Emergency Shelter Duty and Pay Provision
Employee Grievance
Equal Employment Opportunity Policy
Evaluation of System Presidents Policy
Evaluation of System Presidents Procedure
Facilities Usage Application
Fair Labor Standards Act Compliance Policy
Families First Coronavirus Response Act (FFCRA)
Family Relationship Disclosure Form
Full-Time Faculty Positions
Harassment Policy
In State Travel Reimbursement
In-State Actual Expenses Travel Reimbursement Form
Instructor Load and Hours
Instructor Overload Policy
Instructor Overload Procedure
Internal Employee Transfers Policy
Internal Employee Transfers Procedure
Invitation to Bid Request Form
Key Request Form
Key Request Form
Leave Request Form
Nondiscrimination Policy
Notification of Secondary Employment Form
Offers of Employment Policy
Out-of-State Travel Reimbursement Form
Overtime Request Form
Part-Time Personnel Permission for Extra Hours Form
Personnel Record Information Policy
Petty Cash Reimbursement Form
Placement of Current Salary Schedules
Posting and Hiring
Prepaid Travel Form
President Temporary Appointment Policy
President Temporary Appointment Procedure
Presidential Recruitment and Selection Policy
Presidential Recruitment and Selection Procedure
Reduction in Force Policy
Reduction in Force Procedure
Reorganizations Policy
Reorganizations Procedure
Request to Fill a Position Form
Request, Authorization, Consent & Release for Background Information Form
Resignations
Salary Schedule
Salary Schedule Exceptions
Sick Leave Bank Enrollment Form
Sole Source Justification Request Form
Summer Employment of Salary Schedule D Employees Policy
Supplements or Extra Duty Pay
Temporary Assignment Policy
Transportation Request Form
Transportation Request Form
Tuition Assistance
Tuition Waiver Form
Vendor Certification
Vendor Contact Form
Vendor Payment Authorization Form
Work Schedules Duty Days Holidays Policy
Work Schedules Duty Days Holidays Procedure

Employment

Employment Files
Name	File Type
Adjunct Faculty/Part-Time Staff/Support Positions
Administration & Staff Support Positions
Full-Time Faculty Positions

Forms for Employees

Forms for Employees Files
Name	File Type

Forms for Vendors

Forms for Vendors Files
Name	File Type
Alabama Vendor Disclosure Statement

Publications

Publications Files
Name	File Type
ACCS Salary Schedules 2024-2025
Coastal Alabama Community College L Salary Schedule 2023-2024
Coastal Alabama Community College Local C3 Salary Schedule 2024-2025

Business Office Forms For Employees

Business Office Forms For Employees Files
Name	File Type
Authorization for Student Activity Fundraising Events
Campus to Campus Mileage Spreadsheet
Coastal Alabama Vehicle Usage Policy
Emergency Overtime Request Form
In State Travel Reimbursement
In-State Actual Expenses Travel Reimbursement Form
Invitation to Bid Request Form
Key Request Form
Leave Request Form
Out-of-State Travel Reimbursement Form
Overtime Request Form
Part-Time Personnel Permission for Extra Hours Form
Prepaid Travel Form
Sole Source Justification Request Form
Transportation Request Form

Business Office Forms for External Parties and Vendors

Business Office Forms for External Parties and Vendors Files
Name	File Type
Alabama Vendor Disclosure Statement
Coastal Alabama Policy for Use of Campus Facilities
Facilities Usage Application
Inventory Sale/ Transfer Form
Missing Property or Damage of Equipment Claim Form
Scholarship Fund Release Form
Third Party Release Form
Vendor Certification
Vendor Contact Form
Vendor Payment Authorization Form
W9 - Request for Taxpayer Identification Number & Certification

Human Resources Policies and Procedures

Human Resources Policies and Procedures Files
Name	File Type
Abandonment of Position Policy
Absences Due to On the Job Related Injuries
Appointment of Local Administrative Staff Policy
Campus Police Retainment of Badge or Pistol Policy
Compensation for Alabama Community College System Personnel Policy
Conflict of Interest Policy
Conflict of Interest Procedure
Criminal Background Checks Policy
Criminal Background Checks Procedure
Drug Free Workplace Policy
Emergency Shelter Duty and Pay Provision
Employee Grievance
Equal Employment Opportunity Policy
Evaluation of System Presidents Policy
Evaluation of System Presidents Procedure
Fair Labor Standards Act Compliance Policy
Harassment Policy
Instructor Load and Hours
Instructor Overload Policy
Instructor Overload Procedure
Internal Employee Transfers Policy
Internal Employee Transfers Procedure
Nondiscrimination Policy
Offers of Employment Policy
Personnel Record Information Policy
Placement of Current Salary Schedules
Posting and Hiring
President Temporary Appointment Policy
President Temporary Appointment Procedure
Presidential Recruitment and Selection Policy
Presidential Recruitment and Selection Procedure
Reduction in Force Policy
Reduction in Force Procedure
Reorganizations Policy
Reorganizations Procedure
Resignations
Salary Schedule
Salary Schedule Exceptions
Summer Employment of Salary Schedule D Employees Policy
Supplements or Extra Duty Pay
Temporary Assignment Policy
Tuition Assistance
Work Schedules Duty Days Holidays Policy
Work Schedules Duty Days Holidays Procedure

WorkKeys

WorkKeys Files
Name	File Type
Basics Ability Test (BAT) For Law Enforcement Schedule
Paraprofessional WorkKeys Schedule (Bay Minette)

Title IX

Title IX Files
Name	File Type
Nondiscrimination Policy
Order of No Contact
Referrals and Complaints
Student Conduct Process
Student Formal Complaint Process
Title IX Procedures

Students

Students Files
Name	File Type
ACCUPLACER Registration Form for Atmore & Brewton
ACCUPLACER Registration Form for Bay Minette, Fairhope and Gulf Shores
ACCUPLACER Registration Form for Brookley Field
ACCUPLACER Registration Form for Monroeville, Thomasville, Gilbertown, & Jackson

Placement Testing

Placement Testing Files
Name	File Type
ACCUPLACER Registration Form for Atmore & Brewton
ACCUPLACER Registration Form for Bay Minette, Fairhope and Gulf Shores
ACCUPLACER Registration Form for Brookley Field
ACCUPLACER Registration Form for Monroeville, Thomasville, Gilbertown, & Jackson

Housing

Housing Files
Name	File Type
Housing Application
Housing Cancellation Form
Housing Handbook Residence
Lakeview Apartments Fact Sheet & Room Layout
Residence Hall Supply List
Resident Assistant Application
Resident Assistant Reference Form
Resident Assistant Requirements

General

General Files
Name	File Type
Institutional Data Request Form

Miss Coastal Alabama

Miss Coastal Alabama Files
Name	File Type

Student Goals and Measurements for Achievement

Student Goals and Measurements for Achievement Files
Name	File Type
Annual Enrollment for Workforce Development Program for 2011-2014
Credit Course Completion Rates Across All Disciplines for 2011-2014
Credit Course Completion Rates for College Level Courses
Credit Course Completion Rates for Developmental Courses for 2011-2014
Percentage of Students Employed After Completing Degree
Percentage of Students Passing the NCLEX
Retention of First Time Freshmen (Most Recent Data for Academic Year 2014-2015)
Student Satisfaction Survey Summary for 2011-2014