Center of Excellence Program Application -Summer 2024

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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

Center of Excellence Program Application -Summer 2024

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