Pre Collegiate Programs

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Student Basic Information

First Name

Middle Name:

Last Name

Suffix

Please select the option that best describes the student:

If you would like the opportunity, we invite you to share more about your gender identity:

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

No

Veteran Dependent

Yes

No

Not US Citizen? If not, please select country.

Student Email Address

Mailing

Country

Street

City

Region

Postal Code

Educational Information

Current School

CEEB Code

Spring 2025 Grade Level

Expected Year of High School Graduation (*)

Pre-College Program Choice

Pre-College Program Choice(s): (Please note program dates when selecting more than one program.)

Standardized Test Prep (select one only)

Answer each question thoroughly using complete sentences. Please do not exceed 300 words per question. We recommend typing your answers in a separate document and copying and pasting into the boxes. You will not be able to save your answers and return to them later in this application.

1. Tell us about a personal or professional aspiration you have. Which of your experiences informed that aspiration?

2. What are you passionate about? How have you spent time developing this passion?

3. What do you hope to gain from participating in SOAR X? If selected, how would you contribute to the SOAR X community?

4. Tell us about a time when you came into conflict with a friend or classmate and how you resolved the conflict.

5. Tell us about something difficult you’ve had to do. What made it challenging, and how did you overcome that challenge?

Tell us about a personal or professional aspiration you have. Which of your experiences informed that aspiration?

What are you passionate about? How have you spent time developing this passion?

What do you hope to gain from participating in SOAR X? If selected, how would you contribute to the SOAR X community?

Tell us about a time when you came into conflict with a friend or classmate and how you resolved the conflict.

Tell us about something difficult you’ve had to do. What made it challenging, and how did you overcome that challenge?

Previously Attended Program(s)

Please indicate all programs previously attended (Select all that apply)

Parent & Guardian Information

Parent/Guardian Type

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

No

Parent/Guardian United States Citizen (*)

Yes

No

Additional Parent & Guardian Information

Parent/Guardian Type

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Occupation

Parent/Guardian 2 Highest Education Completed

Has this family member attended Xavier University of Louisiana?

Yes

No

Parent/Guardian 2 United States Citizen (*)

Yes

No

Documentation

SOAR X: Submit copy of High School Transcript

SOAR X: P-SAT, P-ACT, SAT, or ACT scores

Star Programs and STEM Academy: Submit most recent report card

Writing Sample

In 500 words or less, describe why you are a good candidate and what you hope to get out of Xavier Pre-College Summer Programs.

Financial Assistance Eligibility

Will this student be a first-generation college student (defined as, neither parent has completed a 4-year college or university degree)?

Yes

No

Does your family have restricted income?

Yes

No

Would you like to be considered for need-based financial assistance towards program fees?

Yes

No

Number of household family members

Total household income

Please select the following services the applicant receives in school:

Free lunch

Reduced Lunch

Neither

We want to hear about your barriers to accessing our Pre-College Program or other similar programs that may not be fully illustrated by your family income. Please provide any additional information that can help us assess your financial needs.

Upload verification of income. Acceptable documents include a tax transcript, tax returns, W-2, and/or 3 recent pay stubs. If these documents are not available or applicable to you, please contact the Office of Pre-College Programs for next steps (summerprograms@xula.edu, 504-520-5419).

Please note that all requests will be given consideration. Completing this request does not guarantee award of financial assistance. By checking this box, I/we certify that the information provided in this form is complete and correct to the best of my/our knowledge.

I agree

Pre Collegiate Programs

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