Please Print or Type
Name______Box #______
Campus Address: ______Phone #______
Class Year: ______Cumulative GPA: ______Fall Semester GPA: _____
Male____ Female____ Will you be abroad in 2016-2017? Yes No
Current RA: ______
POE______
Do you plan to be involved in any non-classroom, academic programs during the coming academic year? (ie: student teaching, internship, etc.)? Yes____ No____
If yes, please specify: ______
Which semester? Fall____ Spring____
Estimated time commitment: ______hours per week
Do you have a judicial record at Juniata? YES NO
Please specify______
In which halls have you lived and when? ______
______
______
For office use only:
Date received ______Recom 1 ______Phase #1_____
GPA ______Recom 2 ______Phase #2_____
Judicial Record ______RA ______Phase #3_____
Have you been involved in any co-curricular and/or extra-curricular activities during your time at Juniata College? If so, please list them below; include any offices held:
______
______
______
Please list any co-curricular and/or extra-curricular activities you plan to be involved with during the 2016-2017 academic year:
______
______
______
If selected to be a RA, are there any residence halls in which you would not be comfortable being an RA? If yes, please list and explain why.
______
______
______
Application Process:
Finish and submit this application. After we review your application, you will be contacted and asked to provide the following:
1) A current resume, with any non-Juniata references, highlighting your campus and community leadership experience.
2) Two letters of recommendation from Juniata faculty members and/or administrators.
3) An essay answering the following questions:
o Why are you interested in an RA position?
o Please describe what you perceive to be the responsibilities of a RA, and the most difficult challenges of the position.
o What qualities and personal characteristics do you possess that would make you a good candidate for the RA position?
Please return the application to the Office of Residential Life or email your application to
by Monday November 30th