Exemption Form

Exemption Form

Adoption, Deaf, Foster Care, Texas Promise, Texas Tomorrow
Student Name*

First NameLast Name
Student ID*
Phone Number*
Student Date of Birth*

MonthDayYear
Email*
example@example.com
I student name* would like to apply my * exemption to the upcoming * semester.
I understand that I must complete a new form each semester after I have registered for courses.

I understandI don't understand
Is this your first time to use the Exemption at Panola College?

YesNo
Please upload documentation

Cancelof
Student Signature*

Clear
Please verify that you are human*
Should be Empty: