Application for Employment

Application for Employment
General Instructions

It is important that you fill out all sections of this application completely.
Send all other requirements and official college transcripts to:

Panola College - Office of Human Resources

1109 West Panola Street

Carthage, TX 75633
- Date
  
  DayMonthYear
- Name
  
  First NameMiddle NameLast Name
- Last 4 digits of Social Security Number
- Cell Phone
  Format: (000) 000-0000.
- Home Phone
  Format: (000) 000-0000.
- Business Phone
  Format: (000) 000-0000.
- Email Address
- Present Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Permanent Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Are you applying for
- For which area are you applying?
  
  Other
- Faculty - Teaching Field:
- Administrative:
- Professional:
- Support Staff:
- If accepted, how soon would you be available for work?
  
  MonthDayYear
  Date
- Do you have a relative employed by Panola College or who serves on the Panola College Board of Trustees?
- If yes, please give the relative's name and relationship:
- Have you ever been convicted, pled guilty or pled no contest to a felony offense?
- IMPORTANT: For purposes of employment with Panola College, "convictions" include sentenced to confinement, paid fine, time served, placed on probation (including deferred adjudication) and court-ordered restitution. A conviction will not necessarily disqualify an applicant.
- Explain nature of offense, fine, sentence, etc.
- Do you have a valid Texas driver's license?
- License No.
- Specify License Type:
- Name and Location
- Date(s) Attended
- Date(s) of Graduation
- Degree
- Major
- Minor
- Semester Hours
- Semester Hours
- Name and Location
- Date(s) Attended
- Date(s) of Graduation
- Degree
- Major
- Minor
- Semester Hours
- Semester Hours
- Name and Location
- Date(s) Attended
- Date(s) of Graduation
- Degree
- Major
- Minor
- Semester Hours
- Semester Hours
- LICENSES, CERTIFICATIONS & REGISTRATIONS:
- RESEARCH & PUBLICATIONS (ATTACH SEPARATE SHEET IF NECESSARY):
- FELLOWSHIPS, SCHOLARSHIPS & PROFESSIONAL HONORS:
- COMMUNITY & PROFESSIONAL ORGANIZATIONS:
- COMMITTEE WORK & DATES (AT INSTITUTIONS WHERE EMPLOYED):
- Name of Firm or Organization
- From: (Mo./Yr.)
- To: (Mo./Yr.)
- May we contact?
- Annual Salary: Starting
- Final Salary:
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Title
- Description of Duties
- Reason for Leaving
- Name of Firm or Organization
- From: (Mo./Yr.)
- To: (Mo./Yr.)
- May we contact?
- Annual Salary: Starting
- Final Salary:
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Title
- Description of Duties
- Reason for Leaving
- Name of Firm or Organization
- From: (Mo./Yr.)
- To: (Mo./Yr.)
- May we contact?
- Annual Salary: Starting
- Final Salary:
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Title
- Description of Duties
- Reason for Leaving
- Name of Firm or Organization
- From: (Mo./Yr.)
- To: (Mo./Yr.)
- May we contact?
- Annual Salary: Starting
- Final Salary:
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Title
- Description of Duties
- Reason for Leaving
- Name of Firm or Organization
- From: (Mo./Yr.)
- To: (Mo./Yr.)
- May we contact?
- Annual Salary: Starting
- Final Salary:
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Title
- Description of Duties
- Reason for Leaving
- Are you a Veteran?
- If yes, do you claim Veterans' preference? (Must Provide form DD-214)
- Are you a surviving spouse of a veteran who has not remarried?
- Are you an orphan of a veteran (if veteran was killed while on active duty)?
- Full Name
  
  First NameLast Name
- Phone Number
  Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Occupation
- Full Name
  
  First NameLast Name
- Phone Number
  Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Occupation
- Full Name
  
  First NameLast Name
- Phone Number
  Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Occupation
- Full Name
  
  First NameLast Name
- Phone Number
  Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Occupation
- List other qualifications you possess which might enhance your application.
- Upload your resume below or send it to hr@panola.edu
  
  Cancelof
- Upload your unofficial transcript
  
  Cancelof
- Upload your letters of recommendation
  
  Cancelof
- I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge. I understand that false statements herein are sufficient grounds for rejection of this application or for dismissal from the institution's service.
- Signature
- Date
  
  MonthDayYear
  Date
- Panola College is an Equal Opportunity Institution that provides educational and employment opportunities on the basis of merit and without discrimination because of race, color, religion, sex, age, national origin, verteran status, disability, or genetic information.
- Should be Empty: