WSU: Residence Services - Community Advisor Application

Resident Assistant Application
General Information
Name (Last)
Name (First)
Name (MI)
Gender

Current Address
Street
City
State
Zip
Phone
EMail

Permanent Address
Street
City
State
Zip
Phone

University Housing Information
Have you ever lived in 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 Community Living Learning Communities Community Service Engineering and Computer Science Community Pre-Med Community I am an Honors student or I have a cumulative GPA of 3.0 or higher Education Learning Community Greek Housing

Work Related Experience Please list your last three positions of employment
Place of Employment (1)
Dates
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
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
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.
Leadership Role (1)
Dates of Involvement
Position / Office Held
Institution
Leadership Role (2)
Dates of Involvement
Position / Office Held
Institution
Leadership Role (3)
Dates of Involvement
Position / Office Held
Institution
Leadership Role (4)
Dates of Involvement
Position / Office Held
Institution

Other 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

Resident Assistant Application