Custom Search
Sort by:
Relevance
Relevance
Date
Web
 
 
 

    2022 Center of Excellence Summer Program Application

    Basic Information
    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.)
    Birthdate
    Birthdate
    Check one or more that best describes your race:
    Check one or more that best describes your race:
    Are you Hispanic?
    Are you Hispanic?
    Are you the dependent of a Veteran or active U.S. Military Service member?
    Are you the dependent of a Veteran or active U.S. Military Service member?
    Fully remote/hybrid programs require reliable electronic communication with the participant from XULA Pre-College Staff and program instructors. We must have a professional academic email address that is checked frequently, not a school email domain, and freely accessible by the participant. If the student does not yet have such an email address, we recommend setting up a Gmail address now.
    Mailing Address
    Mailing Address
    T-Shirt Size
    T-Shirt Size
    Educational Information
    Previously Attended Summer Program
    Please indicate all summer programs previously attended (Select all that apply)
    Please indicate all summer programs previously attended (Select all that apply)
    Parent & Guardian Information

    Has this family member attended Xavier University of Louisiana? (update legacy options)
    Has this family member attended Xavier University of Louisiana? (update legacy options)
    Parent/Guardian United States Citizen (verify)
    Parent/Guardian United States Citizen (verify)
    Emergency Contact