Resident Assistant Application

Personal Information
Name (first, last, MI):  
Campus Address:  
Cell:  
Email:  

Academic Information
Cumulative GPA:  
Current Class Rank:
Major:  
Expected Date of Graduation:  

Activites
Please list all obligations/activities and their time commitment for the 2012-2013 year. (athletics, clubs/organizations, student teaching, on/off campus employment, etc).
 

Are you planning to study abroad for the 2012-2013 academic year?

**Candidates planning to study abroad in the Fall 2012 semester will only be considered for an alternate position**

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.