May 2015

Memorial Day - College Closed

College Wide Meeting

Student Center Classrom/Upward Bound Program/Andalusia

Policies and Procedures Forms - Section 11


Academic Substantive Change Form

Accelerated High School Student Approval 

Accident/Incident/Medical Emergency Report

Administrative Substantive Change Checklist

Administrative Withdrawal Form

Administrative Withdrawal - Letter to Student Form

Admission Application

Application for Cooperative Education

Application for Student Support Services (SSS)

Application for Work Study (FWS)

Application Package (Upward Bound)

Approval to Fill a Position

Audit Form

Change Dependent/Independent Status (Professional Judgment)

Change of Grade

Change of Student Information

Classroom Accommodations

Community Loan Request (Library)

Computer Problem/Work Order Request Form

Confidentiality Agreement-Work Study (FWS)

Documentation of Disability (ADA)

Drop and Add

Dual Enrollment/Dual Credit Approval

Education Assessment Form (Upward Bound)

Eligibility Form (Upward Bound)

Employee Course Registration Approval

Employee Information Update

Employment/Status Change Request

End of Semester Evaluation (SSS)

Excess Scholarship Refund Request

Exit Interview Form

Fax Cover Sheet

Gift Acknowledgement (Library)

Graduation Application

Group/Field Trip Information Form

In State  Residency – Certification of Eligibility

Income Reduction (Professional Judgment)

Income Reduction Due to Layoff (Professional Judgment)

Incomplete Grade Form

Independent Study Request

Instructor’s End of Semester Report (ADA)

Interlibrary Loan Request

Inventory Redistribution Form

Invoice for Tutor Services (SSS)

Key Check-Out

Laptop Loan/Instructor Referral Agreement (SSS)

Leave Request

Liability Release Form

Library Overview

Motor Vehicle Report Consent Form

Off Campus Employment Agreement – Work Study (FWS)

Parking Permit

Participation Agreement – Work Study (FWS)

Payroll Deductions/Change

Personal Excellence Plan (PEP) (SSS)

Pre-Employment Reference Check

Program Reference (Cooperative Ed)


Report of Credit Hours 

Request for Course Change

Request for Program Change 


Secondary Employment Notification

Semester Student Learning Agreement (Cooperative Ed)

Sick Leave Bank Application for Loan

Sick Leave Bank Enrollment

Sick Leave Bank Notice of Resignation

Student Club/Organization Annual Report Form

Student Evaluation (Cooperative Ed)

Student Work Report (Cooperative Ed)

Substantive Change Approval Form

Tenure/Non-Probationary Employment Recommendation

Textbook Recommendation – Instructor’s

Transcript Request – Academic

Transcript Request (High School, GED, and/or College)

Travel Reimbursement (In-State)

Travel Reimbursement (Out-of-State)

Travel Request

Tuition Waiver Application

Tutor Employment Application (SSS)

Tutor Timesheet (SSS)

Uninsured Medical or Personal Property Damage Claims Form

Uninsured Medical or Personal Property Damage Claims Report

Voluntary Disclosure of Disability (ADA)

Web Registration Agreement

Working Agreement (Cooperative Ed)

















Lurleen B. Wallace Community College is accredited by the Southern Association of Colleges and Schools Commission on Colleges or SACSCOC to award the Associate in Arts, Associate in Science, Associate in Applied Science degrees and certificates. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Lurleen B. Wallace Community College.