PARIS JUNIOR COLLEGE APPLICATION FOR ADMISSION
PARIS JUNIOR COLLEGE APPLICATION FOR ADMISSION
PARIS JUNIOR COLLEGE APPLICATION FOR ADMISSION
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<strong>PARIS</strong> <strong>JUNIOR</strong> <strong>COLLEGE</strong><br />
<strong>APPLICATION</strong> <strong>FOR</strong> <strong>ADMISSION</strong><br />
2400 Clarksville Street • Paris, Texas 75460-6298<br />
1-800-232-5804 • www.parisjc.edu<br />
Application available online at www.applytexas.org<br />
Accepted ___________________<br />
Pending____________________<br />
Housing Deposit $____________<br />
Jewelry Deposit $____________<br />
SOCIAL SECURITY NUMBER ____________________________________ Student ID Number ____________________________<br />
(Issued by PJC)<br />
NAME _____________________________________________________________________________________________________<br />
Last First Middle Maiden<br />
PERMANENT ADDRESS ____________________________________________________________________________________<br />
PO Box or Street City State Zip County<br />
HOME PHONE______________________ WORK PHONE_______________________ CELL PHONE_______________________<br />
EMERGENCY CONTACT _____________________________________________________________________________________<br />
Name Relationship Phone Number<br />
E-MAIL ADDRESS __________________________________________________________________________________________<br />
CAMPUS YOU WILL BE ATTENDING q Paris q Greenville q Sulphur Springs q High School Campus (Dual Credit)<br />
SEMESTER YOU PLAN TO ENROLL Spring/_____ Summer I/_____ Summer II/_____ Fall/_____<br />
Year Year Year Year<br />
Are you a U.S. citizen? q YES q NO If no, do you have permanent resident status? q YES q NO<br />
If resident alien, give issue date and number of your Permanent Resident Card _________________________________________<br />
Date<br />
Number<br />
If you are a citizen of another country, complete the following: _____________________________________________________<br />
Country of citizenship Type of visa Registration Number<br />
International students must contact an International Student Advisor at 903-782-0426 to apply for admission.<br />
Information is required for reporting purposes only and is never used for determining admission.<br />
Date of Birth _______/_______/_________ Age _______ Gender q Male q Female<br />
Are you Hispanic or Latino? q YES<br />
q NO<br />
Ethnic Origin q White<br />
q American Indian/Alaskan Native<br />
q Black or African American q Native Hawaiian or Other Pacific Islander<br />
q Asian<br />
q International<br />
Highest level of education obtained by your mother. q Not a high school graduate. q Bachelor’s degree<br />
q High school diploma/GED q Master’s degree<br />
q Some college/No degree q Doctorate degree<br />
q Associate degree<br />
q Unknown<br />
Highest level of education obtained by your father. q Not a high school graduate q Bachelor’s degree<br />
q High school diploma/GED q Master’s degree<br />
q Some college/No degree q Doctorate degree<br />
q Associate degree<br />
q Unknown
Please indicate the primary reason for attending classes at Paris Junior College.<br />
q Earn Associates Degree (2 years)<br />
q Courses to get a new or better job and/or improve current job skills<br />
q Earn a Certificate (less than 2 years)<br />
q Courses for personal enrichment<br />
q Earn credits for transfer<br />
q Earn a Bachelor of Applied Technology (BAT) degree<br />
Upon what basis are you being admitted to PJC?<br />
q Concurrent (still in high school)<br />
q Readmission (enrolled at least 5 yrs. ago)<br />
q High school diploma<br />
q Transient (primary enrollment at another institution)<br />
q Individual approval (no HS diploma/GED) q GED Graduate Date ______________________<br />
q Transfer from another college<br />
q International student — Do not use this application<br />
q Bachelor degree earned<br />
(All international students must contact an International Student<br />
advisor in the Counseling/Advising Office)<br />
High School ___________________________________ Graduation Year _____________ City/State _________________________<br />
High School Code _________________________ (High School Codes listed on Page 3)<br />
List all colleges previously attended. List name of college and city/state.<br />
Total number of college hours completed.<br />
___________________________________________________ q 1-29<br />
q 20-72<br />
___________________________________________________<br />
q Over 72 but no degree earned<br />
q Associate degree earned<br />
___________________________________________________<br />
q Bachelor degree earned<br />
Are you currently on probation or suspension from another college? q YES<br />
q NO<br />
Have you ever attended PJC before? q YES q NO If yes, give date: Semester ________________ Year: _____________<br />
Name(s) under which you previously attended PJC: ______________________________________________________________<br />
Are you a veteran? q YES<br />
q NO<br />
Are you seeking admission to: q Jewelry q Gemology q Horology q Bench Tech<br />
What will be your major? _______________________________________________ (Majors listed on Page 4)<br />
q I give PJC permission to access my THEA scores on-line if necessary and I acknowledge that information concerning Bacterial<br />
Meningitis, Student Code of Conduct and FERPA can be found in the Student Handbook, the catalog and on the PJC website @<br />
www.parisjc.edu.<br />
You must submit an official copy of your high school, college or GED transcript in order for your application to be completed.<br />
Signature of Student __________________________________________________________Date___________________________<br />
Paris Junior College has an open door admission policy and does not discriminate on the basis of race, creed, gender, national origin, age or disability<br />
in its educational programs, activities, employment, or admission policies.
Major Codes — Academic<br />
520301 Accounting<br />
020101 Agriculture<br />
260101 Biology<br />
520101 Business & Management<br />
400501 Chemistry<br />
110101 Computer & Information Systems<br />
240101 Core Curriculum<br />
450401 Criminal Justice<br />
500501 Drama<br />
130101 Education<br />
140101 Engineering<br />
230101 English<br />
500701 Fine Arts<br />
160101 Foreign Language<br />
240102 General Studies<br />
450801 History<br />
090401 Journalism<br />
131314 Kinesiology<br />
270101 Mathematics<br />
500901 Music<br />
511602 Nursing Transfer<br />
400101 Physical Sciences<br />
400801 Physics<br />
451001 Political Science<br />
220102 Pre-Law<br />
511102 Pre-Medicine<br />
511105 Pre-Nursing<br />
511103 Pre-Pharmacy<br />
420101 Psychology<br />
450101 Social Sciences<br />
440701 Social Work<br />
451101 Sociology<br />
231001 Speech<br />
Major Codes — Vocational/Technical<br />
520407A Advance Office Applications<br />
480508A Advanced Welding Shop<br />
470201A Air Conditioning (AAS degree)<br />
470201V Air Conditioning (Certificate)<br />
470408E Basic Electronic Watch Repair<br />
470408B Bench Technician<br />
110101B Business Computer Applications<br />
520201 Business Management (AAS degree)<br />
470408C Casting<br />
111002C CISCO/C-Tech Certification<br />
470408D Computer Aided Jewelry Design<br />
110201V Computer Information Systems AAS Degree<br />
120401V Cosmetology<br />
120413C Cosmetology Instructor Certificate<br />
151301D Drafting Design & Manufacturing (Certificate)<br />
151301A Drafting Technology (AAS Degree)<br />
151301V Drafting Technology (Certificate)<br />
150403A Electro-Mechanical (AAS Degree)<br />
150403AV Electro-Mechanical (Certificate)<br />
150403T Electro-Mechanical Technician (Certificate)<br />
150303V Electronics Technician (Certificate)<br />
150303A Electronics Technology (AAS Degree)<br />
150303F Electronics Technology (Certificate)<br />
510904A Emergency Medical Services (AAS Degree)<br />
510904P EMS Paramedic<br />
510904I EMT Intermediate<br />
470408F Fine Mechanical Watch Repair<br />
470408G Gemology<br />
470408Y Horology (AAS degree)<br />
470408H Horology (Certificate)<br />
470408W Jewelry (AAS Degree)<br />
470408J Jewelry (Certificate)<br />
510707R Medical Records Coding<br />
510713B Medical Transcription/Medical Billing<br />
470408M Micromechanics in Horology<br />
120401N Nail Technician<br />
111002V Networking (AAS Degree)<br />
511601V Nursing, AD (AAS Degree)<br />
511613V Nursing, Vocational (Certificate)<br />
520401B Office Accounting (Certificate)<br />
520407I Office Information Specialist (AAS Degree)<br />
520407L Office Information Specialist, Legal (AAS Degree)<br />
520407O Office/Computer Applications (Certificate)<br />
520408 Office Occupations, General (Certificate)<br />
480508P Pipe Welding<br />
510911V Radiologic Technician (AAS Degree)<br />
480508S Structural Steel Welding<br />
510909V Surgical Technology<br />
480508A Welding (AAS Degree)<br />
480508V Welding (Certificate)<br />
Page 4
HIGH SCHOOL CODES<br />
440055 Alba Golden<br />
440190 Anna<br />
370150 Antlers OK<br />
440345 Avery<br />
370275 Battiest OK<br />
444690 Bland<br />
440720 Blue Ridge<br />
445765 Boles<br />
440748 Bonham<br />
370410 Boswell OK<br />
370478 Broken Bow OK<br />
441723 Bryan Adams<br />
441040 Caddo Mills<br />
441095 Campbell<br />
441175 Celeste<br />
441185 Celina<br />
445363 Chisum<br />
441320 Clarksville<br />
370790 Clayton OK<br />
441445 Commerce<br />
445035 Community<br />
441450 Como-Pickton<br />
441480 Cooper<br />
441665 Cumby<br />
019901 DeKalb<br />
441970 Detroit<br />
442030 Dodd City<br />
371155 Eagletown OK<br />
443938 Fannindel<br />
442370 Farmersville<br />
371360 Fort Towson<br />
442635 Frisco<br />
442732 Garland<br />
372698 Grant OK<br />
442980 Greenville<br />
442974 Greenville-Christian<br />
371635 Haworth OK<br />
443310 Honey Grove<br />
346025 Hugo OK<br />
346030 Idabel OK<br />
443560 Irving<br />
441757 Kimball<br />
443502 L.D. Bell<br />
442730 Lakeview<br />
444120 Leonard<br />
444135 Lewisville<br />
444260 Lone Oak<br />
443562 MacArthur<br />
444630 McKinney<br />
444632 McKinney North<br />
444710 Mesquite<br />
444712 Mesquite North<br />
444714 Mesquite West<br />
441666 Miller Grove<br />
444930 Mt. Pleasant<br />
444935 Mt. Vernon<br />
372460 Moyers OK<br />
445045 New Boston<br />
442982 New Horizons<br />
446810 North Hopkins<br />
445670 North Lamar<br />
445370 Paris<br />
445650 Poteet<br />
442970 Phoenix Charter<br />
445565 Plano<br />
445569 Plano East<br />
445390 Prairiland<br />
445767 Quinlan-Ford<br />
445775 Quitman<br />
442275 Rains<br />
373015 Rattan OK<br />
440735 Rivercrest<br />
445952 Rockwall<br />
446045 Roxton<br />
446050 Royse City<br />
446095 Saltillo<br />
443580 Sam Rayburn<br />
446507 Sherman<br />
441812 Skyline<br />
373300 Smithville OK<br />
373310 Soper OK<br />
441738 Spruce<br />
446795 Sulphur Bluff<br />
446805 Sulphur Springs<br />
346040 Valliant OK<br />
447610 Winnsboro<br />
447635 Wolfe City<br />
373980 Wright City OK<br />
447685 Yantis<br />
449966 Texas Home Schooled<br />
449977 Texas GED<br />
449999 Texas unknown CEEB code<br />
888866 Out of State Home Schooled<br />
888877 Out of State GED<br />
449995 Out of State High School, TX resident<br />
888888 Out of State unknown CEEB code<br />
999999 Foreign High School<br />
449988 Individual Approval, TX resident<br />
889988 Individual Approval, Non-resident<br />
449990 Online High School, TX resident<br />
889990 Online High School, Non-resident<br />
Page 3
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