Resident Assistant Application

2015-2016

The Impact of One. The Strength of Many

DEPARTMENT OF HOUSING AND DINING SERVICES

Residence Life Mission Statement:
To create safe and inclusive learning communities that support, challenge,
and inspire all students to be ethical leaders and citizens in a diverse society

Applications must be submitted and uploaded no later than 11:59pm on December 19th, 2014.

General Information______

CSU ID #: Gender: M F

Name: ______

LastFirstMiddle

Preferred Name:

School address:

Room and Hall or Number and Street

Campus or City and StateZip

Cell phone: E-Mail address:

Permanent address:

City and StateZip

Home phone: Academic Major: ______

Current credit load: # of semesters you have completed at CSU:______

Are you a transfer student? Yes No Anticipated date of graduation:

Group Living Experiences

List residence halls in which you have lived:

SchoolHall nameDates (to-from)

Did someone recommend you to apply for the position? YesNo

If yes, who recommended you (please provide first/last name, as well as their relationship to you):

______

Employment Experiences______

List previous and/or present work experiences(two most recent):

Employer / Type of Work / Dates of Employment

Other_

Have you been involved in any conduct-related incidents while at Colorado State? Yes No

If yes, please explain below.

References

Please have your current, past RA, or other residence life staff member complete the reference form.

NameTitlePhone

You will find the reference form as a separate link on the jobs website. The reference form needs to be submitted to the web portal no later than February 20th, 2015, by your reference.

Questions to Answer

Please type your answers in the space provided below for each question.

  1. Professional Development:Explain why you want to be a Resident Assistant and the personal characteristics/values you possess that make you qualified to serve in the RA role.
  1. Connections: Describe how you would build community on a floor that was previously served by a departing RA. What steps would you take to connect to residents, as well as connect residents to each other?
  1. Learning: CSU is a place where learning occurs in both an academic and co-curricular context (both in and outside of the classroom). How would you facilitate learning (academic, personal, professional, etc.) for residents on your floor/in your hall?
  1. Diversity and Social Justice: What do you perceived to be current diversity-related issues facing CSU students today? How may you address those issues in the RA position?
  1. Leadership Development: Describe extracurricular activities, classes, leadership experiences and/or volunteer work in which you have been involved. Include any leadership positions you have held in clubs, organizations or any honors or awards you have received. Discuss how these experiences will contribute to your success as a resident assistant. (Please limit your examples to three.)

To the best of my knowledge, the information on this application is complete and honest. My signature also indicates that I understand a minimum cumulative GPA of 2.75 and minimum semester GPA of 2.5 is required in order to be considered as an applicant for this position. In addition, your signature states you understand we will be checking conduct files in conjunction with information you submitted.

SignatureDate

Required Training Dates: Attending all orientation and training dates are mandatory and will not be excused unless clearance has been given by the Director or Assistant Director of Residence Life. Not being available for student staff training dates could impact your application and selection as a RA for the 2015-2016 school year, including: August 1 – August 20th, 2015 for training and opening (dates are tentative).

For office use only: TERM: ______CUMULATIVE: ______

Colorado State University is an EEO/AA employer. E.O. Office: 101 Student Services Building