• Dental Assisting Registration Form

    Office phone: 903-693-2067 email: ce@panola.edu
  • *
  • Format: (000) 000-0000.

  • Ethnicity and Race

  • Are you Hispanic or Latino? (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)*
  • Please select the racial category or categories with which you most closely identify. Check as many as apply.*

  • Special Population Information

  • Select all that apply*
  • I give Panola College permission to release my directory information.*
  • I agree to abide by the college copyright agreement and release. I also affirm that policies concerning disclosure of directory information as well as information related to Bacterial Meningitis (Senate Bill 31) were made available.*

  • TEXAS STATE BOARD OF DENTAL EXAMINERS INFORMATION

    Our program meets the requirements to allow you to apply for a license with the Texas State Board of Dental Examiners. In addition to the Panola College Dental Assisting course, successful completion of a criminal background check is required for licensure with the Texas State Board of Dental Examiners. The background check will include a felony and misdemeanor criminal record search, and will include expunged records. This background check is not conducted by Panola College, and Panola College cannot determine your eligibility for licensure beyond providing the classroom education necessary to apply for licensure. If you have questions regarding which convictions disqualify you from licensure, you are responsible for contacting TSDBE and following their process to determine eligibility (licensinghelp@txdbe.texas.gov). Disclaimer: Successful completion of a background check does not ensure eligibility for licensure or future employment.

  • REFUND POLICY

    If Panola College cancels a continuing education class, a full tuition refund will be made. A 100% refund will be issued if you drop a class through the approved means of notification during our normal business hours two-(2) business days prior to the first scheduled class day.  (Example: If the class is on Monday, notification must be given on the Thursday prior to the start of the Monday class.) No refund will begiven after that time. Means of notification include: in writing by e-mail (ce@panola.edu), by fax (903-693-1196), or in person at Panola College. (There may be some courses for which refunds cannot be made.)  Refunds will take several weeks to process and will be mailed to the student’s listed permanent address.

  • Class Choices:

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        Dental Assisting - Spring Session

        January 26th - April 20th, 2027; Tuesday 5PM-9PM

        $1,960.00$1,960.00
          
        Dental Assisting Dual Credit High School Student

        Spring 2027: January 26th - April 20th, 2027; Tuesday 5PM-9PM 

        $960.00$960.00
          

      • You will need to submit a photo or copy of your Drivers License or State ID, High School Diploma / GED Certificate, and your Social Security card. 

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