Fuel Assistance for Panola College Students for Summer 2026 only
Completion of the form does not guarantee assistance.
Are you currently a student at Panola College?
*
Yes
I plan to enroll this semester
I am (check all that apply):
*
a single parent to a child under age 18
a married parent to a child under age 18
a separated parent to a child under age 18
currently pregnant
an individual from an economically disadvantaged or low-income family (receiving assistance through SNAP, Social Security, and/or State or local income-based, public assistance
an individual with a disability
homeless
an English learner
out-of-workforce individual (an individual who is a displaced homemaker, as defined in section 3102 of title 29 ; or an individual who—has worked primarily without remuneration to care for a home and family, and for that reason has diminished marketable skills)
currently in or have aged out of the foster care system
a child of a member of the armed forces who is on active duty
None of the above
How did you hear about this program? (select all that apply)
*
My instructor
Friend or family member
Found on my own
Saw it on a sign/flyer
Panola College employee (other than instructor/advisor)
Another Panola student
Advisor
Found on Panola website
Read about it in an email
Other
If you are not enrolled in Summer 2026 AND have not completed the FAFSA for 2025-2026, your application will not be considered. You are not currently eligible for assistance. Please exit the application.
Thank you. You currently do not meet the eligibility requirements to receive transportation assistance. Please exit the application.
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Application for Transportation (Fuel) Assistance for Summer 2026 only
I am a(n):
*
Academic Student (English, Drama, Music, Biology, Business Administration, Math, Pre-ADN, Pre-OTA, Pre-LVN, etc)
Professional & Technical Students (Energy, Cosmetology, General Business, Cybersecurity, Nursing, EMT/Paramedic, etc.)
Student ID #
*
When is your expected graduation from Panola College?:
*
Summer 2026
Fall 2026
Spring 2027
Summer 2027
Fall 2027
Student Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email where you can be reached
*
example@example.com
Race/Ethnicity
*
Please Select
Black or African American
Hispanic or Latino
American Indian or Alaska Native
Middle Eastern or North African
White (non-Hispanic)
Asian
Native Hawaiian or Pacific Islander
Other
Gender
*
Please Select
Male
Female
What is your major?
*
ex: Business, Nursing, Welding
Semester for which you are applying for assistance
*
Summer 2026
Where are your classes located? (choose all that apply)
*
Carthage
Marshall
Shelby College Center
Shelby Regional Training Center
Online
Source of total household income (check all that apply)
*
Own salary
Spouse's salary
Parent's salary
AFDC
Social Security
WIA
Child support
Food stamps
Housing subsidy
Student financial aid
I am a Professional & Technical student and requesting transportation (gas) assistance related to my academic needs:
*
Yes
No
I am an Academic student and requesting transportation assistance related to my academic needs:
*
Yes
No
What caused the need for transportation assistance? (Please provide a detailed/thorough response.)
*
Applications will be reviewed as they are received.
Make sure to check the email you used in this application for status, information, and/or further instruction.
Signature
Please verify that you are human
*
Submit
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