2025 Center of Excellence Summer Program

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The purpose of the Centers of Excellence Summer Enrichment Program is to enhance the competitiveness of the pool of African-American high school students interested in health sciences and in particular a career in pharmacy.

The COE Summer Enrichment Program open to high school rising freshmen through seniors who have a cumulative GPA of 2.75 or higher. The student must be able to attend throughout the entire duration of the program time in order to be eligible for any stipends or other incentives.

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:

We ask for your child’s SSN to create a unique XULA student ID for them. This ID will follow them through all enrollments at XULA and allow us to make a permanent note of participation on their student record. All personal information is entered securely and stored in confidential XULA databases.
(Please use numbers only and do not replace the first 5 digits of the Social Security Number with xxx-xx-1234. Failure to do so will delay your application process or worse cause a duplication or mismatch.)

Social Security Number

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.

Student Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Educational Information

Current School

Current Grade Level

Previously Attended Summer Program

Mathematics or Science Instructor Recommendation

Please provide contact information for a mathematics or science instructor who agrees to complete the recommendation form on your behalf. (Click Here for the Letter of Recommendation Form)

Evaluator First Name:

Evaluator Last Name:

Evaluator Email Address:

Please upload the completed recommendation form from a Math or Science Instructor.

Parent & Guardian Information

Relationship to applicant

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Phone Number

Parent/Guardian Occupation

Parent/Guardian Highest Education Completed

Has this family member attended Xavier University of Louisiana?

Yes

Is this Parent/Guardian a United States Citizen?

Yes

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Upload Additional Requirements

All Center of Excellence applicants are required to submit a statement of interest in the program.

Upload a maximum 500 word "Statement of Interest" detailing why you want to attend COE, what you would like to learn this summer, and your motivation and professional aspirations of being in the Health Care profession.

Please upload most recent report card with current grades and cumulative GPA visible.

2025 Center of Excellence Summer Program

COMMUNICATION

CAMPUS

INFORMATION

PEOPLE