WSU: Residence Services - Resident Assistant Application

Resident Assistant Application

General Information

Name (Last)

Name (First)

Name (MI)

Gender

Current Address

Street Address

Apartment/Unit

City

State

Zip

Phone (Incl. Area Code)

Permanent Address

Street Address

Apartment/Unit

City

State

Zip

Phone (Incl. Area Code)

Academic Information

Cumulative GPA

Major

Registration Status

Anticipated Graduation Date

University Housing Information

Have you ever lived in any institution's University Housing?

No (skip to next section)

Yes (see additional questions)

If at Wright State University, please list the date(s) and location(s)

If at another university or college, please indicate the institution and what type of housing you were assigned (i.e. first year student hall, living learning community, upper class hall, campus apartments theme housing, etc..

Specialized Group Housing

I am interested in Special Interest Housing (check all that apply)

International Integrated Community
Engineering and Computer Science Community
Honors Program
Education Community
Theatre Community
ROTC Community
Nursing Community
Community Service

Work Related Experience
Please list your last three positions of employment

Place of Employment (1)

Dates of Employment

From:

To:

Position Title

Reason for Leaving

Brief Description of Job Duties:

Supervisor Name

Phone

The Office of Residence Services reserves the right to contact previous employers for employment verification and job references

Place of Employment (2)

Dates of Employment

From:

To:

Position Title

Reason for Leaving

Brief Description of Job Duties:

Supervisor Name

Phone

The Office of Residence Services reserves the right to contact previous employers for employment verification and job references

Place of Employment (3)

Dates of Employment

From:

To:

Position Title

Reason for Leaving

Brief Description of Job Duties:

Supervisor Name

Phone

The Office of Residence Services reserves the right to contact previous employers for employment verification and job references

Leadership Experience / Involvement in Co-Curricular Activities
Please list any organizations or leadership roles you have participated in at Wright State University or elsewhere. Please choose the activities most closely related to the position for which you are applying.

Organization (1)

Leadership Role/Position

Dates of Involvement

Institution

Organization (2)

Leadership Role/Position

Dates of Involvement

Institution

Organization (3)

Leadership Role/Position

Dates of Involvement

Institution

Organization (4)

Leadership Role/Position

Dates of Involvement

Institution

Other (REQUIRED)

Why do you want to be an RA?

Please share any other details you feel are pertinent to this application.

Please be aware that spelling and grammatical errors reflect poorly on a candidate. Be sure to proof read this application.

3640 Colonel Glenn Highway - Dayton, Ohio - 45435