Getting Involved

If you are a parent who is interested in joining one or more of our parent involvement programs here at Xavier, please fill out the application below.

All fields in Bold are required fields.

Parent Involvement Application First Name:
Last Name:
Street Address:

City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Student's Name:
Graduation Year of Student:
Student's Major:
Your Occupation:
Your Employer:
Your Areas of Interest (Please Check All That Apply):

Advisory Council Representative
Career Counseling & Assistance
Parent Annual Fund / Committee
Hosting a Xavier reception in your home
Representing Xavier University at a college night in my local area
Participating in new parent orientation programs
Contacting parents in my local vicinity by phone
Referring names of outstanding students to the Office of Admission
Other ways I can help

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