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e-Forms

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.

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Last updated: Thu. May-01-08, 12:27
Please send comments to: housing@wright.edu
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