Student Alumni Application

All fields marked with an * are required.

First Name*

Last Name*

Preferred Name

E-mail Address*

Cell Phone Number*

Xavier Address (including Street, City, State, ZIP)*

Home Address (including Street, City, State, ZIP)*

Birthdate (xx/xx/19xx)*

Class year*

Credit hours this semester*

Major(s)*

Minors(s)

Current GPA*

What are the activities and organizations you are involved with here at Xavier University (or in high school if first year student): please list any titles/offices you hold.*

In regards to activites and organizations, please describe your availability during the year.*

Do you have relatives who are Xavier University or Edgcliff Alumni? Please list.*

In a paragraph, describe how you would like to leave your mark on Xavier.*

What attracted you to Xavier University?*

Please contact the SAA office 513-745-4306 or SAA@xavier.edu, if you have any questions. Incomplete applications will not be considered.