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Students.

Resident Assistant Application

Personal Information
Full Name
Permanent Address
City
State
Zip Code
Permanent Phone(xxx-xxx-xxxx)
Mobile Phone (optional)
E-mail Address
Sex: Female Male

School Information
School Address
Local Phone(xxx-xxxx)
Major
Minor
Are you considering changing your major? Yes No
If yes, what major will it be?
Current Semester Hours
Cumulative Semester Hours
Last Semester GPA
Cumulative GPA
What semester did you enter ISU?

  • How many semesters have you lived in a residence hall?
    • Do you plan to take more than 18 hours per semester? No Yes
    Will you student teach or intern next year? No Yes
    If yes, which term?
    Do you require housing during breaks
    (Thanksgiving, Semester break, etc)?    		 No Yes
    **By marking "yes," you will only be considered for South Campus RA positions.**

    Lifestyle Floors
    Please check any lifestyle floors you are eligible for (learn more about the lifestyle floor requirements):
    Business Communication Curriculum and Instruction
    Foreign Language Geo-Environmental Honors Information Technology (ITK)
    International House Math Nursing Music
    Political Science and History Service and Leadership Social Justice Substance Free
    Co-Sciences Wellness    

    If you have commitments or affiliations other than your academic responsibilities which will require you to be away from the hall, including weekends, please list them here (ie. student organizations, etc).


    Employment: List your last three jobs including part-time and summer Job 1:

    Job 2:

    Job 3:


    Have you been employed with University Housing Services?

    List the names, addresses, and phone numbers of the three people you have asked to serve as a reference for you. One of those people must be your current Resident Assistant (unless you live off-campus or are a transfer student).
    Person 1:

    Person 2:

    Person 3:

    Please answer the following questions as honestly and thoughtfully as possible in 200 words or less.

  • Provide a creative description of yourself and your qualities that will contribute to the RA position.

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    Anti-SPAM Code This box must be left blank to submit this form. If you enter anything into this box, your form will be rejected.