Contingent Admit Program Application

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The Contingent Admit Program (CAP) was designed for exceptional high school seniors who are considering a
career in pharmacy. This unique opportunity gives students a head start on their professional education.

CAP is open to rising college freshmen, who have a cumulative grade point average (GPA) of 3.30 or higher. To be eligible for this program, students must meet the following criteria:

Minimum cumulative high school GPA of 3.3 on 4.0 scale.
A personal statement of interest
One letter of reference
Submission of the Xavier University of Louisiana admission application

Basic Information

First Name

Middle Name:

Last Name

Suffix

Please select the option that best describes the student:

Please select the student's t-shirt size below:

Start Term

Xavier Student Number:

900 Number

Please list student email:

Birthdate

Check one or more that best describes your race:

Are you Hispanic?

Yes

Are you the dependent of a Veteran or active U.S. Military Service member?

None

Current Dependent

Currently Serving

Not US Citizen? If not, please select country.

Mailing Address

Country

Street

City

Region

Postal Code

Educational Information

Current Grade Level

Mathematics or Science Instructor Recommendation

Please provide contact information for a mathematics or science instructor who can provide a letter of recommendation on your behalf.

Evaluator (1) First Name:

Evaluator (1) Last Name:

Evaluator Email:

Please upload the letter of recommendation here: (The recommendation must be signed and dated.):

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Upload Additional Requirements

All Contingent Admit Program applicants are required to submit a statement of interest in the program. (Deadline: September 5th)

Upload a maximum 500 word "Statement of Interest" detailing why you want to be a part of CAP as well as your motivation and professional aspirations of being in the Health Care profession.

Contingent Admit Program Application

COMMUNICATION

CAMPUS

INFORMATION

PEOPLE