Resident Assistant Application
2012-2013
To fill out the application, click on the gray boxes and use the tab key to move to the next section. Be sure to
save your application as Last Name, First Name and send it as an attachment to applyforra@siue.edu.
Position Interest
Please check if applicable:
Have you applied for the RA Position before?
Yes
No
If “yes,” when?
Which RA Information Session did you attend?
Choose One
Personal Data
Name:
(Last)
Gender:
(First)
(MI)
Choose One
Campus Address:
(Preferred Name)
University I.D. #:
800
Choose One
(Hall/Room Number or Building/Apartment Number)
(Mail Stop Number for Halls)
Local Address (if off-campus):
(Street)
Local/Cell Phone:
(
(City)
)
SIUE Email Address:
(State)
(Zip)
@siue.edu
University Experience
Current Class Level:
Freshman (0-29 Hrs.)
Sophomore (30-59 Hrs.)
Major:
Junior (60-89 Hrs.)
Minor:
Anticipated GPA for this semester:
Senior (90-124 Hrs.)
Expected Date of
Graduation:
Grad. Student
Choose 2012
Cumulative GPA:
*If you have below a 2.5 cumulative GPA, please attach a separate page and explain your strategy for raising your GPA to a 2.5 GPA to
assume the position and how you plan to maintain a 2.5 cumulative GPA if hired. You may also use this space to explain any
extenuating circumstances that have impacted your GPA. You must have at least a 2.3 cumulative GPA to go through the process.
Do you plan to have an internship, to student teach, or enroll in the School of Pharmacy program during
the 2012-2013 academic year?
Yes
No
If “yes,” when?
Choose One 2012
Please list by year where you have lived while at SIUE:
Dates
Hall/Apartment
RA’s Name
Choose One
Choose One
Choose One
Are you a transfer student?
Page 1 of 4
Yes
No
If “yes”, when did you enroll at SIUE?
Choose YEAR
Campus and Community Involvement
Please list current activities starting from your most recent. If you are new to SIUE, please include experience at
other universities or in high school. Briefly describe the scope of your activities. We are most interested in knowing the
experiences (community service, student government, religious, youth groups, campus organizations, etc.) in which you
coordinated or led a group of your peers.
Organization
Position Held
Dates of Involvement
Skills Acquired
Employment History
Please list paid work experience (include part-time positions):
Start/End Dates
Employer
Are you currently employed?
Position
Yes
No
Responsibilities/Skills Acquired
If “yes”, where?
Hrs/Week:
Judicial History
Have you been found responsible for any University or University Housing policy
violation during your college career at SIUE? (This includes warning letters)
Yes
No
If “yes”, please explain:
Due to the nature of this position, if you are offered a Resident Assistant position and accept, you will be required to authorize SIUE to
review all employment, education, and criminal and credit history information concerning yourself, including any convictions. These
questions are part of that review, but we want to provide you the chance to share this information ahead of time.
Have you ever been convicted of a misdemeanor, felony, or pleaded no contest?
Yes
No
Yes
No
If “yes”, please explain:
Have you ever been placed on court supervision?
If “yes”, please explain:
Page 2 of 4
Self Evaluation
All candidates must answer all 4 questions. Your answer for question 1 should have between 300-400 words.
Your answers for questions 2-4 should have between 200-250 words. Please type your responses in Microsoft
Word on a separate document and save it as [Last Name, Essays]. Include the questions you are answering. Attach the
document to the e-mail along with your application.
1. Why are you interested in the RA position?
2. As an RA, how will you work to create a community where your residents will grow and thrive while living in
University Housing?
3. Describe an opportunity for an RA to be a positive role model to their residents. Why is it important for RAs to serve
as positive role models?
4. What experiences have you had that have prepared you for this position, perhaps as an employee, leader, or working
with people different from yourself, etc.?
Placement Preferences
Before completing the next section, review the Residential Populations Descriptions. Please indicate your
level of interest for working in EACH area:
Choose
First-year student populations
Choose
Upperclass student population - Apartments
Choose
Upperclass student population - Families
This information will help us determine your placement should you be selected as a Resident Assistant for the 2012-2013
academic year. Please note that preferences are NOT guaranteed. We encourage you to be flexible in your
ratings!
Focused Interest Communities
Each living area (Bluff, Cougar Village, Evergreen, Prairie, and Woodland) houses several different Focused Interest
Communities (FICs). At this time, University Housing has not determined where each FIC will be located. University
Housing encourages you to consider these as possibilities when applying for the RA position. To learn more about these
options, review the Focused Interest Communities Descriptions.
Are you interested in working in:
A first-year student population FIC?
An upperclass student population FIC?
If “yes”, rank your top three:
1. Choose One
2. Choose One
Yes
Yes
No
No
3. Choose One
If you are interested in working in any of the listed Focused Interest Community options, please answer the following
question along with your self evaluation essays. Your answer should not exceed one typed page (maximum 500
words.)
QUESTION:
Why do you feel you would be a good fit for these Focused Interest Communities? What ideas do
you currently have that would help contribute to these communities? How will your future plans or past experiences help
you contribute to student learning?
Page 3 of 4
References
As part of the application, you are required to submit at least two Reference Forms. Your references may include (but
are not limited to) faculty members, academic advisors, current or former employers, coaches, administrators, high school
counselors, teachers, or elected organization leaders. One of the references must be a member of the SIUE community.
Community Directors and Assistant Community Directors are ineligible to complete Reference Forms unless they have
served as your supervisor in a paid position. If you choose to have your Resident Assistant fill out a Reference Form,
you must submit two Reference Forms IN ADDITION to the form from the Resident Assistant.
The Reference Forms which can be downloaded from the website should be completed and sent
electronically to applyforra@siue.edu by the specific deadline listed below. The forms will only be accepted
electronically via e-mail to applyforra@siue.edu. It is your responsibility to ensure that the completed references
arrive on time. Please list your references below:
1.
2.
3.
(if applicable)
Please initial by each statement before saving it and submitting your application via e-mail.
I attest that the previous statements and answers
are true to the best of my knowledge.
I permit you to verify my academic and judicial records and
to contact my references.
I understand that I will not be able to view the
contents of candidate file. I will, however, be able to
receive feedback on my application, interviews, and
status.
I have created an SIUE email account. UNIVERSITY
HOUSING WILL ONLY COMMUNICATE WITH CANDIDATES
VIA THEIR SIUE EMAIL ACCOUNT.
I answered all of the self-evaluation essay questions
and my answers are included in this application.
I answered the Focused Interest Communities if I wish to
be considered for a FIC position and the answer is attached
to my application.
The persons filling out the Resident Assistant
Reference Forms know that Kyle Rice must receive
them by Tuesday, December 20 at 4:30 p.m. for
candidates to be fully considered for the 2012-2013
academic year.
I understand that I need to check my SIUE email account
on January 13 to see if I have been passed on to the
interview portion of the RA Selection Process.
I understand that if I am passed on to the interview portion
of the RA Selection Process that I must attend the Group
Process on Saturday, January 28 from 8 a.m. - 5 p.m.
unless I have an academic obligation and contact Kyle Rice
by Friday, January 13 at 5 p.m.
Submit completed applications and self evaluation essays to:
applyforra@siue.edu
Deadline (Applications & Reference Forms)
2012-2013 POSITIONS
Page 4 of 4
Tuesday, December 20th by 4:30pm