2027 Scholarship Application Form
Xavier is excited to announce five scholarships open to new students applying for the 2027-2028 academic year. Scholarships range from $1,500 to $5,000 and are awarded independently of Tuition Assistance. This application will not auto-save, please ensure you are completing form fully before submitting. All applications are due January 15, 2027.
Student Information
Student Full Name
*
First Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student Current School
*
Student Current Grade
*
Please Select
8
9
10
11
Student Phone Number (Please list Parent Number if student does not have cell phone)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Email
*
example@example.com
Student Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Siblings (Please list name and grade)
Parent Information
Parent/Guardian Name
*
First Name
Last Name
Relationship to Student
*
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Academic Information
Student Current GPA
*
Awards or Recognition Received
*
Favorite Subject and Why
*
Academic Goals for High School
*
Extracurricular Activities
Clubs, sports, activities or organizations currently involved in
*
Leadership roles or responsibilities held
*
Community service or volunteer experience
*
Application
Please select the scholarship(s) you are applying for:
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Presidential Scholarship
Diocese of San Bernardino Scholarship
Catholic Educator Scholarship
Public Educator/First Responder Scholarship
Founders Scholarship
Why do you want to attend Xavier College Prep?
*
What does the term "men and women with and for others" mean to you?
*
Please upload your Scholarship Testimonial here. (Testimonial should be a one page personal statement about why you should be considered for the scholarship(s) you are applying for.)
*
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If applying for the Catholic Educator Scholarship or the Public Educator/First Responder Scholarship, please upload an employment verification form here.
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If applying for the Presidential Scholarship or the Diocese of San Bernardino Scholarship, please upload your Letter of Recommendation here.
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I affirm that all information provided in this scholarship application has been completed independently and reflects my own work, experiences, and responses. I have not received assistance from the internet, other individuals, or external sources in completing this application.
*
Yes, I affirm.
Student Signature
*
Parent Signature
*
Submit
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