Certificate Application

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Availible Programs

Spanish for Health Professionals Course Requirements
Health Communications Course Requirements
Entrepreneurship Certificate Course Requirements

Accepted students, except those taking only online coursework, are required to have health clearance prior to registration. The completed Immunization Compliance & Consent for Care Forms should be returned to the Office of Student Health Services, 1 Drexel Drive, New Orleans, LA 70125. Students not health cleared will not be permitted to register.

For information, registration and requirements regarding student disability accommodations services at Xavier University, visit https://www.xula.edu/office-disability-services.

Note: F1 Student visas are not eligible for certificate programs.

Submit (Hidden)

Yes

No

Create New Round (Hidden)

Are you a current or incoming Xavier Student?

Please provide your XULA ID, if known:

Prefix

First Name

Middle Name

Last Name

Suffix

Date of Birth

Home Phone Number

Mobile Phone Number

Permanent Address

Country

Street

City

Region

Postal Code

Email Address

Email Confirmation

Biographical Information

Information in this section is voluntary and will be used in a nondiscriminatory manner consistent with all civil rights laws. All applications for admission are considered without reference to sex, ethnicity, religion or handicap.

Social Security Number

Sex

Marital Status

Check one or more that best describe your race.

Are you enrolled in a Federally recognized Native American Tribe?

Yes

No

Please share your tribal idenity or affilation.

Ethnicity: Are you Hispanic/Latino?

Yes

No

Religious Affiliation

Academic

Select Entry Term

Program Selection (Please do not apply multiple programs.)

Certificate in Entrepreneurship

Health Communication

Spanish for Healthcare Professionals

Will you be taking online courses only
and not attending any classes on campus?

Yes

No

Emergency Contact

Relationship Type (Hidden)

First

Last

Mobile (Please include area code)

Certificate Application

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