Summer Programs 2018 Interest Form
Thank You for your interest in the Xavier University of Louisiana Pre-College Summer Programs. Please complete this interest form for our Summer 2018 programs. Once our application becomes available, you will be notified via email. If you have any additional questions, please feel free to email us at summerprograms@xula.edu.

Please Note: This interest form is not an application. An official online application must be completed before students are considered for admission.

Student First Name
Your answer
Student Last Name
Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Student's Current School
Your answer
Student's Current Grade
Your answer
Please list the program(s) you are most interested in.
Your answer
Has your student previously attended a summer program at Xavier?
Parent/Guardian Email Address (Please make sure that this email address is a valid one.)
Your answer
Parent/Guardian Phone Number
Your answer
How did you hear about our Summer Programs?
Your answer
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