Faculty & Staff Requests

Welcome to Alamance Community College! We are so glad you decided to join our team. In order to better assist and accommodate your schedules, please request your parking hang tag and ID appointments using the form below. Once your information has been entered into our program, a Public Safety Officer will be in contact. In the meantime, we request that you do not park in the visitor’s areas, but in the marked Faculty/Staff areas.

Also below the ID/parking form you will find forms and information in the event you become injured.

Faculty/Staff ID Request & Parking Registration

Complete this form to cut down on waiting time.

Parking Registration and/or Student ID Request Required * Required
Name * Required
First Last
Phone * Required
Department * Required

Talk with your Department Head for accurate Department Name
Title * Required

Talk with your Department Head for accurate Title.
Photo Upload
Max. file size: 49 MB.
Optional photo upload for Faculty/Staff ID Card usage. Photo must meet basic clarity, sizing, positioning, file type, and other requirements in order to be accepted.
How would you prefer to receive your tags? * Required
- Pick up at Main Campus Information Desk
- Pick up at DC Front Desk
- Mail to me (enter address below)
If you choose to have your tags mailed, enter the mailing address here:
It is your responsibility to enter the correct mailing address.
Comments
Email * Required

We will utilize this method to inform you of your request completion. By providing your email you give the Department of Public Safety at Alamance Community College authorization/permission to communicate/contact you by this method. Should you decide you do not want to provide your email, you may contact the Public Safety by calling 336-506-4286 to set up an appointment.
Date submitted: * Required
Date this form was completed.

Student

Employee

General

Public Safety

Faculty & Staff Requests

Faculty/Staff ID Request & Parking Registration

Employee Injury/Accident Statement Form

Instructions for Employees

Complete the “ACCIDENT/INCIDENT Employee Statement” form (SGWCP-2) below and submit within 48 hours of incident.

Employees are to go to a Fast Med Urgent Care location and present this form:

Download the Required Form here (PDF)

I understand the information above will be used by my employer to help determine liability for the injury. I acknowledge that the above statement is a true and accurate representation of this information.

By submitting this form electronically, you are giving consent to use this as acknowledgement of your electronic signature.