Coastal Alabama Community College-Bay Minette-SSS Logo

  • FIRST-TIME APPLICANT
    STUDENT INFORMATION FORM

    Coastal Alabama Community College’s TRIO Student Support Services program operates in full compliance with eligibility guidelines established by the U.S. Department of Education. To be considered for participation, applicants must submit a complete application along with all required documentation (as applicable). Incomplete applications will not be reviewed. Once your application has been received and reviewed, a message with further instructions will be sent to your Coastal Alabama student email account.

    • Student Information 
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    • 12. What is the highest level of education achieved by your parent(s) or guardian(s)? If your parents wers never married to each other, please answer for the parent for whom you actually lived with.

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    • By signing below, I hereby declare that all of the information on this form is true and complete to the best of my knowledge.

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    • Individualized Need and Goal Assessment (INGA) 
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    • 5. Colleges interested in attending:


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    • S.T.A.R. Agreement 

    • S.T.A.R AGREEMENT
      (Striving Towards Academic Retention)

      As partners in reaching your educational goals, we need to reach a common understanding what you can expect from TRiO Student Support Services (SSS) and what we expect from you.


      As a TRiO SSS Program Participant,I am expected to do the following:

      • Attend the following activities:
        o Three Academic Advising/Course Selection Sessions Per Academic Year
        o Two SSS Sponsored Workshops or Seminar Per Semester Term
        o One Financial Aid Counseling Sessions Per Academic Year
        o One Cultural Even Per Academic Year
        o One College Tour Per Academic Year
        o One 4-year University Transfer Assistance Session Per Academic Year
      • Set and reach my academic goals
      • Attend tutoring sessions regularly; especially if you have sigred up for tutoring
      • Attend class regularly, take notes, and keep up with class assignments
      • Maintain Satisfactory Academic Progress (GPA:2.0, Course Completion Rate:67%)
      • Inform SSS staffon any changes in my address or telephone number
      • Consult with SSS staffprior to withdrawing from a course
      • Graduate and transfer to a four-year university within four years


      As a TRiO SSS Program Participant you can expect the staff to do the following:

      • Help you develop realistic, attainable academic goals
      • Monitor your academic progress/needs and provide guidance and recommendations
      • Provide academic advising to assist with course selection
      • Provide 4-year university tansfer assistance sessions
      • Provide learning skills development and academic support as needed and available
      • Provide referrals to other areas for assistance as needed
      • Maintain stict confidentiality of all personal information
      • Be very passionate about your SUCCESS
      • Provide services in a courteous and considerate manner

    • Coastal Alabama Community College is to earn an Associate's degree and transfer to a 4-year institution.The TRiO Student Support Services staff is committed to assisting me in meeting the requirement necessary for academic progress and achievement each semester. My signature below indicates that I plan to adhere to this contract so that I can attain my educational goals at Coastal Alabama Community College. Violation of this agreement may result in loss of services offered to me by Student Support Services.

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