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In an effort to promote increased COVID-19 vaccinations among students, Coastal Pines Technical College will offer currently enrolled students an incentive to be vaccinated. 

All Coastal Pines Technical College students who become or are already fully vaccinated (both doses of Pfizer or Moderna, or one dose of Johnson and Johnson) against COVID-19 will receive a one-time $100 incentive payment.  All CURRENTLY ENROLLED full-time and part-time students, including Adult Education students, are eligible to receive the incentive payment. 

Forms must be completed and submitted by November 1, 2021.  The incentive will be disbursed to students the week of November 29, 2021.  Payments will be generated through the Banner Student Account system.  Be sure to read and follow the instructions for submitting the form.

Each student who submits his/her form and vaccine documentation by November 1, 2021, will have his/her name entered into a drawing for a chance to receive one of three additional, one-time $1,000 incentive payments.  No student may receive more than one additional $1,000 incentive.  So, in addition to receiving the one-time $100 incentive payment, three students will each receive an additional, one-time $1,000 incentive payment.  The drawing will be held on November 9, 2021, during the CPTC Cabinet meeting scheduled for 9:00 a.m.

The Food and Drug Administration (FDA) announced on August 23, 2021, that the Pfizer vaccine for COVID-19 is fully approved for those ages 16 and older.  Coastal Pines Technical College strongly encourages COVID-19 vaccinations for all students.

Thank you for being a student at Coastal Pines. 


COVID-19 Vaccination Incentive Form

Form Directions:

  1. Take a photo of the front and back your Official CDC COVID-19 Vaccination Card and save as an image file type (.png or .jpg) on your computer  -or- Scan the Official CDC COVID-19 Vaccination Card and save as a Adobe Acrobat file type (.pdf) on your computer.
  2. Open the attached Student Vaccination Incentive Documentation form in Adobe Reader.  (see below for link location to download at home).
  3. Click in and complete each field on the form with your personal information.
  4. Click inside of the COVID-19 Vaccination Record Card Copy field to upload the copy from step 1.
  5. Click browse to search your computer to locate the storage location of the card copy, click the file name once, then choose Open to review a copy of the file.  If you have selected the correct file, click OK to upload the file image copy.
  6. Choose File, Save As, then select the location to store the Vaccination Incentive Form. Next open your CPTC Student Email Account, Copy and paste the following in the subject area of the email:  Vaccination Incentive Form Encrypt, and Attach a copy of the saved Vaccination Incentive Form to the email.
  7. Send the email with the form attached to
  8. Deadline for submission is November 1, 2021 at 5:00pm.

Adobe Acrobat Reader (FREE):

Telephone numbers are accessible to persons who are deaf or hard of hearing through the Georgia Relay by dialing 711 or 1-800-255-0056 from a TTY/TDD.

Los números de teléfono son accesibles a las personas que son sordos o con pérdida de la audición a través de Georgia Relay marcando 711 o 1-800-255-0056 de TTY/TDD.


Waycross Camden Baxley
1701 Carswell Ave 100 Keith Dixon Way 1334 Golden Isles Pkwy, W
Waycross, Georgia 31503 Kingsland, GA 31548 Baxley, Georgia 31513
912.287.6584 912.522.4510 912.367.1700
  Camden Golden Isles
Alma Cosmetology Program 3700 Glynco Pkwy
101 West 17th St 8001 The Lakes Blvd Brunswick, Georgia 31525
Alma, Georgia 31510 Kingsland, Georgia 31548 912.262.4999
912.632.0951 912.510.3364  
  Hazlehurst 1777 West Cherry St
  677 Douglas Hwy Jesup, Georgia 31545
  Hazlehurst, Georgia 31539 912.427.5800


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