Panola Schools

Online Student Application Form 2020-2021

Applications are accepted Monday-Friday 8:30 a.m. - 3:00 p.m. Students are selected by lottery based on openings and number of applicants.
• According to federal guidelines, Panola Schools will use a lottery system when any grade level is at or near capacity.
Please complete the form below. Mandatory fields marked *

Applicant's Personal Information

Choose Campus: *
Year Applying: *
Grade Applying: *
First Name: *
Last Name: *
Middle Name:
Date of Birth: *
Gender: Male Female
Street address: *
City: * State: * Zip: *
Email Address: * Cell Phone: *
Student Identification Number (if known) or Last four (4) digits of Social Security Number (SSN):

Applicant's Family Information

Parent: *
If Other:
Title: *
First Name: *
Last Name: *
Street address: *
City: * State: * Zip: *

Work Number: * Home Phone: *

Email Address: * Cell Phone: *

CERTIFICATION (Required): By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.

Please enter the letters on the left to the area below.
Verification Code: (* required)
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