Coastal Alabama Community College-Bay Minette-SSS Logo

  • FIRST-TIME APPLICANT
    STUDENT INFORMATION FORM

    Student Support Services is funded by the U.S. Department of Education. Please fill out this application accompanied by the required documentation (proof of income and/or disability) to be reviewed. Acceptable proofs of income include a signed statement from the student's parent or legal guardian (if independent, a signed statement from student), verification from another governmental source, a signed financial aid application, or a signed U.S. or Puerto Rico income tax return. Only complete applications will be accepted.

    • 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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