Co- Enrollment and Community Enrichment WCE Registration Form

Workforce and Continuing Education Registration Form

Office phone: 903-693-2067 email: ce@panola.edu
Class choices *
prevnext( X )
Substitute Teacher/Paraprofessional Basic Training; March 23 - May 1, 2026
ONLINE

$250.00

Total

$0.00
Name*

First NameLast Name
Maiden Name if applicable
Student ID
Date of Birth*

MonthDayYear
MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Ethnicity and Race
YesNo
American Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
Special Population Information
NoneDisabledHomelessYouth whose parent is active duty armed forcesSIngle parent, including single pregnant womenEconomically disadvantaged families, including low-income youth and adultsOut-of-workforceYouth in or aged out of foster careIndividual lpreparing for nontraditional fieldBarriers to educational achievment, including limited English proficiency
YesNo
YesNo

Workforce and Continuing Education Registration Form