Dolphin Assistance Program (DAP) Application

Student Contact Information:

*required field

*First Name

*Last Name

*Student ID

*Student Email Address

*Phone Number

*Have you applied for Financial Aid?

Yes

No

Unsure

*What kind of assistance will you be applying for?
You may apply for multiple types of assistance, so be sure to check all that apply.

Textbook Assistance

Technology Assistance

Textbook Assistance Requests

BOOK BORROWING PROGRAM

The book borrowing program contains a collection of books used in a variety of Coastline classes. All textbook assistance requests will first go through the book borrowing program to determine whether the textbook needed is already in our borrowing library. If we do not have a book, the student may be issued a book voucher to purchase it from the bookstore.

To determine what books you need, visit the online bookstore, enter your student ID number, and click the View Your Materials button. The books required for the classes you are enrolled in will be shown. If you do not see books for your classes, please contact the instructor directly.

BOOK BORROWING ELIGIBILITY

Must be enrolled in at least one class at Coastline.
Must be impacted in a way that prohibits your student success.
Must attend one college event (either in-person or virtually) or meet with a Career Counselor during the semester.
Book(s) must be returned immediately upon the end of the class.

*Please enter the title and/or ISBN number of the book(s) you would like to borrow:

BOOK VOUCHER PROGRAM

Book vouchers are awarded depending on the availability of books in the borrowing library, program funding availability, and student eligibility.

BOOK VOUCHER ELIGIBILITY

Must be enrolled in at least three units at Coastline.
Must be impacted in a way that prohibits your student success.
Books are not available in the book borrowing library.
Must attend one college event (either in-person or virtually) or meet with a Career Counselor during the semester.

All physical items (books/materials) purchased with the voucher must be returned to the Student Equity office immediately upon the end of the class. The books will be donated to the Coastline book borrowing program.

Book vouchers can only be used to purchase books and materials listed as required in the bookstore by the instructor. There is no cash back for any unused portions of the voucher. Returns are subject to the return policy of the bookstore.

All vouchers for the summer term will be for $150.

Failing to return borrowed and purchased items will result in a “hold” being placed on all student records and future enrollment at Coastline College, Orange Coast College, and Golden West College. Students who fail to return items will not be permitted to borrow any future items.

Technology Assistance

The Technology Assistance program allows students to borrow necessary technology on a short-term basis. Technology is limited and distributed on a first-come, first-served basis.

TECHNOLOGY BORROWING ELIGIBILITY

Must be enrolled in at least one class at Coastline College.
Must be impacted in a way that prohibits your student success.
Must attend one college event (either in-person or virtually) or meet with a Career Counselor during the semester.
Must return technology items immediately upon the end of the term or request an extension before the end of the term.

The student agrees to pay a maximum loss incurred of $500 for lost, stolen, or damaged Chromebooks.

Failing to return borrowed items will result in a “hold” being placed on all student records and future enrollment at Coastline College, Orange Coast College, and Golden West College. Students who fail to return items will not be permitted to borrow any future items.

What type of technology are you requesting?

Chromebook

Hotspot

Graphing Calculator

Headphones

Distribution of Books & Technology

*Should your application be approved and you are eligible to receive books and/or technology devices, from which Coastline campus would you like to pick up your items?
If your application is approved and you are eligible to receive textbooks and/or technology devices, you will receive a notification once your items are ready for pick-up at this selected pick-up location.

Fountain Valley Student Services Center

Newport Beach Campus

Garden Grove Campus

I am not local (more than 50 miles away from a Coastline campus)

Mailing Address
If you live 50 or more miles from the college, you may request your items to be mailed to you by entering your mailing address below. Unfortunately, we cannot ship outside of California.

Country

Street

City

Region

Postal Code

*Terms Acknowledgement

By submitting this resource request form, I acknowledge that all information is true and correct, and I agree to the terms and conditions for each resource request.