Application for TexShare Card

Main Campus (Corsicana)    South Campus (Mexia)    North Campus (Waxahachie)

1. Name:

2. Permanent Address

Street Address:

Apartment #, P.O. Box:

City, State, Zip:

Telephone #:

3. Student Address and Telephone (if different from permanent address):

Street Address:

Apartment #, P.O. Box:

City, State, Zip:

Telephone #:

4. E-Mail Address:

5. Navarro College ID #: