Pleasanton Student Success Center (SSC) Usage Sign-In Form

    To use a computer or study area in the Student Success Center (SSC), you must fill in the form below and submit. Then you may have a seat at an available computer or chair in the study area.

    By filling out this form, the Student Success Center can see when the SSC is being utilized the most and when it is not. Then we can schedule events and decide on when the lab needs to be open.

    First Name:

    Last Name:

    CBC ID#:

    Today's Date:


    Select how you will utilize the SSC:  




    [ANNOUNCEMENT: 3/20/13 - Noise cancelling headphones are now available to check-out in the SSC. Please see SSC staff to use the headphones. When you check-out the headphones, the staff will ask for your Photo ID to hold until you return the headphones. Headphones are to be used in the SSC only.] 

    Form created 2/8/13
    Revised 3/21/13
    (Coastal Bend College does not discriminate on the basis of race, creed, color, national origin, gender, age, or disability)