Panola College Workforce & CE Scholarship Application

Workforce and CE Scholarship Application

Applications must be received 2 weeks prior to class start date. Award notifications will be sent a week prior to class start dates.
Name:*

First NameLast Name
Panola College Student ID Number*
If you have not applied at Panola College yet, please type Not Enrolled.
Phone Number:
Email:*
This is the email used to send the award notification
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:

MonthDayYear
Date
Citizen of U.S.:*

YesNo
Resident of Texas:*

YesNo
County of Residency:*
Panola County, Shelby County, Harrison County, etc.
Which course do you plan on taking at Panola College?*
Truck driving, CNA, Phlebotomy, etc.
Are you currently employed?

YesNo
Financial Need
Estimate Current Gross Family Income*
Ex: $40,000
Number of dependent children in family
Ages of dependent children
List ages with a comma in between each
Are you currently receiving SNAP Food Benefits, TANF, CHIP, or other government assistance?*

YesNo
Please write a brief summary of the reasons you are applying for a scholarship. This essay will be used as part of your application score.*
You may also upload your summary here.

Cancelof
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 http://www.panola.edu/about/board.html and then select the most appropriate answer below indicating your relation to any of the members of the board of trustees.
Are you related to a current Panola College Board of Trustees member?*

No, I am not related.Yes, I am related.
If you answered yes to the above question, what is your relation to the trustee?
Child, grandchild, spouse, parent, nephew or niece
I understand that if I am selected to receive a scholarship, I must reply to the award email, follow the information provided, and write a thank you letter to the scholarship donor with the information provided before the scholarship can go into effect. *
APPLICANT’S CERTIFICATION: To the best of my knowledge the information reported above is complete and correct.. *

Clear
Date of Signed*

MonthDayYear
Date
If you are interested in more finanical resources, please visit the link below after submitting this form.

https://www.easttexasworkforce.org/apply
Should be Empty:

Workforce and CE Scholarship Application

Financial Need