2023-2024 Panola College Scholarship Application

2023-2024 Panola College Scholarship Application

Applicants are scored based on scholarly achievement, extracurricular activities, essay summary and financial need. Please review the entire application before beginning.
Name:*

First NameMiddle NameLast Name
Panola College Student ID Number (REQUIRED FIELD)*
If you have not applied at Panola College yet, please type Not Enrolled.
Cell Phone Number:*
This is the number used to confirm you received the award notification.
An email adress you check regularly:*

Confirmation EmailThis is the email used to send the award notification. Do not use a high school email you may not have access to after graduation.
County or Parish where you reside:*
Panola County, Shelby County, Harrison County, etc.
Resident of Texas:*

YesNo
Citizen of U.S.:*

YesNo
Education Information
High School Attended*
Year Graduated*
College Major:*
general studies, nursing, petroleum, etc.
Please select the sentence that best fits your current goals.*

I plan to graduate from Panola College and then enter the workforce.I plan to graduate from Panola College and then transfer to a university.I plan to transfer to a university without graduating from Panola College.Other
Expected graduation date or date you plan to transfer to another college/university:*

Spring 2023Summer 2023Fall 2023Spring 2024Summer 2024Fall 2024Spring 2025Other
To be considered for financial need based scholarships, you must complete and submit the FAFSA at www.fafsa.ed.gov. *
I understand I need to submit a high school and/or previous college transcript to complete my application if I am a first time Panola College student or have less than 12 hours at Panola College.*
If you have a copy of your transcript(s), you may upload it here. Transcripts may also be emailed or mailed.

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Community Involvement, Volunteering, Leadership

(This section is used to score your application, so please do not leave it blank.) List organizations, volunteer, community and/or church activities you have been involved. Consider all activities that you have participated in outside of regular school hours or you have volunteered (not received payment) to help someone recently.
Tell us about when, where, and how you have volunteered or been involved with your community in the past four years:
Tell us about any leadership roles you have held in the past four years:
Are you currently employed?*

Yes. I work 40 hours or more a week.Yes, I work fewer than 20 hours a week.No, but I am actively seeking employment.No, I am not currently working or seeking employment.
Additional Considerations

This information helps us identify specific specific scholarships that may be available to you.
Have you been ACCEPTED to Panola College’s associate degree nursing program?*

YesNo
Have you been ACCEPTED to Panola College’s vocational nursing program?*

YesNo
Have you been ACCEPTED to Panola College’s occupational therapy assistant program?*

YesNo
Will you be a member of the Panola College band, choir, theater, or other performing arts on campus?*

NoBandChoirPipersTheaterOther
Will you be a member of any Panola College intercollegiate athletic team (Baseball, Volleyball, Basketball, Rodeo)?*

NoBaseballMen's BasketballRodeoWomen's BasketballVolleyball
Are you a dependent of a Panola County first responder (i.e. peace officer, firefighting personnel, paramedic)?*

YesNo
What is the name of the first responder?*

First NameLast Name
What department is the first responder in?*
Are you currently employed by, or the dependent or spouse of an employee working for the Louisiana-Pacific Corporation’s Carthage facility?*

YesNo
If you answered yes to the above question, list the name of employee:

First NameLast Name
Were you born in Russia, Ukraine, Belarus, Poland, or other Eastern European country?*

YesNoNo Response
Are you of Middle Eastern descent?*

YesNoNo Response
Do you currently reside in Panola County’s third precinct? (This can be determined by the first number of your county road address. For example, County Road 380 would be in the third precinct.)*

YesNoI don't know
Are you a spouse, dependent child, or grandchild of a member of the Panola County VFW Post 5620?*

YesNo
If you answered yes to the above question, list the name of member:

First NameLast NameRelation to individual
Have you served and been honorably discharged from the U.S. military, are you currently serving, or are you a dependent of military personnel killed or missing in action?*

YesNo
If you are a dependent, please list the name of military personnel:

First NameLast Name
Are you currently employed by, the spouse of, or dependent of an employee working for the First State Bank & Trust Co. in Carthage, Texas?*

YesNo
If you answered yes to the above question, list the name of member:

First NameLast Name
Are you an active member of the Central Baptist Church in Carthage, Texas?*

YesNo
Were you an active member of 4-H or your high school FFA program?*

YesNo
Did you ever participate in the Panola County livestock show?*

YesNo
State law requires that each student identify any relation to a current member of the Board of Trustees. A student who is related to a current member of the governing board of that institution is prohibited from receiving scholarships unless the scholarship is awarded exclusively based on academic merit or is an athletic scholarship. It is a Class B misdemeanor to file a false statement.

Please review a list of current Panola College Board of Trustees members at https://www.panola.edu/about/board-trustees and select the most appropriate answer below.
Are you related to a current Panola College Board of Trustees member?*

No, I am not related.Yes, I am related.
What is the name of member you are related to?*

First NameLast Name
What is your relation to the trustee?*
Child, grandchild, spouse, parent, nephew or niece
Essay Questions
In 250 words or less (5-7 sentences), tell us about your choice of major and what you intend to do after attending Panola College.*

0/250
In 250 words or less (5-7 sentences), tell us why receiving a scholarship is important to you and how you will benefit from receiving a scholarship. *

0/250
Signature
APPLICANTS RESPONSIBILITIES: I understand that if I am selected to receive a scholarship, I must complete a recipient thank you form in the award notification email by the deadline, June 31st, or the scholarship will be forfeited. Award notification emails are sent by the end of May.

APPLICANT’S CERTIFICATION: To the best of my knowledge, the information reported above is complete and correct. I agree to inform the Panola College Financial Aid Office of any major changes in my financial status if I am awarded a Scholarship. I understand that to be considered for a scholarship, I must apply each year.

AUTHORIZATION FOR RELEASE OF EDUCATIONAL INFORMATION: By my signature below, I authorize the release of Educational Information to parties who need this information to check the status of my progress at Panola College.
Signature*

Clear
*
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2023-2024 Panola College Scholarship Application

Education Information

Community Involvement, Volunteering, Leadership

Additional Considerations

Essay Questions

Signature