Resident Assistant Application








Personal Information
*Name (First, Last, MI): 
*Campus Address: 
Cell: 
*Email Address: 
Academic Information
Cumulative GPA:
Current Class Rank:
Major:
Expected Date of Graduation:
Activities
Please list all obligations/activities and their time commitment for the 2013-2014 year. (athletics, clubs/organizations, student teaching, on/off campus employment, etc).
Are you planning to study abroad for the 2013-2014 academic year?



**Candidates planning to study abroad in the Fall 2013 semester will only be considered for an alternate position**
Please indicate if you would be interested in working with any of the following Living-Learning Communities:
 Substance Free
 Open Majors
 Science Majors
Work History/Related Experience
Please list any previous work or other related experiences that would be beneficial to the RA position (offices/positions held, pertinent work experience, etc).
References
Please list the names of two individuals who have agreed to serve as a reference for you. At least one reference must be an LVC faculty or staff member.
LVC staff/faculty member (non-Residential Life):
Name:
Phone Number:
Email:
Second Reference:
Name:
Phone Number:
Email:
Essay Questions/Short Answer (150 words each)
Why do you want to be a Resident Assistant?
What are the main roles of a Resident Assistant?
What is the purpose of RA planned programming in the residence halls?
Terms of Application
 I hereby agree that the information included in my RA Application is accurate. I understand that any falsification of information on this application may result in dismissal from the RA Selection Process.
 I authorize the Department of Residential Life to verify my grade point average and my disciplinary record.