APPLICATION INSTRUCTIONS
If you satisfy the Selection Criteria, and if, after reading the Resident Assistant (RA) Job
Description, you are still interested in applying for employment, then please follow these
steps:
1.
2.
Fill out the Application neatly (2 pages).
Type the answers to the following two (2) essay questions and attach to the application.
ESSAY GUIDELINES
1.
Answer your essay questions carefully, following all instructions included in the application.
These questions are scored, which means that they are important in determining whether
or not you will be granted an interview. Make sure you answer the questions directly, and
provide specific examples when appropriate. Make sure your answers are proofread, and
do not contain grammatical errors. Follow the guidelines below pertaining to the format
requirements of the answers. All work must be your own.


Each question should be answered on a separate page.
In the upper right-hand corner of each page, please type your initials and note the
question number you are answering.
Answers should be typed in 10, 11- or 12 point font (Arial, Times, or Times New Roman),
and 1.5 or double spaced. One page maximum per each question.
Use specific examples whenever applicable.


2.
Questions: Each answer should be limited to 250 words or less.
2.1)
RAs and Night Supervisors often mediate conflict situations, intervene in crises, and
interpret housing policies and procedures. Describe the skills and training you have
which relate to these responsibilities.
A Resident Assistant is both a policy enforcer and a peer to student residents. What
are some of the challenges associated with this dual role? As an RA, describe how
you would establish and maintain balance between these two roles?
2.2)
3.
Attach a letter of recommendation and a list of 3 references. The references should not be
a family member or a friend, they should be for example, from someone who supervised
you at a job or someone who was your professor, your RA, Manager/Landlord of your
building.
4.
Complete the Work and Life Experience Form and attach to application.
5.
Attach a Bear Facts transcript printout to your application as stated in the Job Descriptions.
Please leave your completed application in a sealed envelope at the I-House Front Desk.
Your completed application will include:
i.
ii.
iii.
iv.
v.
vi.
Completed application (2 pages)
Typed response to question # 2.1— one page max—Initials and question # at top.
Typed response to questions # 2.2— one page max—Initials and questions # at top.
Completed Work and Life Experience Form.
Letter of recommendation and list of references.
Bear Facts transcript printout.
Resident Support Services
Resident Assistant
Application
For Summer 2015
and
Academic Year 2015-2016
I wish to be considered for the following
position:
□ Resident Assistant
Summer 2015
□ Resident Assistant
Academic Year 2015-2016
Your Name (write clearly): ___________________________________
Are you an I-House Resident?
Yes ____ Room # ______ Phone _______________ email: ______________________
Area code and number
Semesters lived at I-House?
1
2
3
4
5
6 7
8 (include the current one)
I am not an I-House Resident
Current full address: ________________________________________
_____________________________________________________________
UCB student ID Number # : _______________
Class standing as of the current semester:
Jr.
Sr.
Masters
Ph.D
International House Employment Application
Hiring Category: Casual Restricted
Name:
First
Date of Birth: ___________
Middle Initial
Last
Are you an I-House Resident?
Yes ____
Room number _________ Phone __________
No ____
Local Address:
Street Address
City
County
State
Zip
Local Phone: _____________________
Area code and number
Family Address:
Street Address
City
County
State
Zip
E-mail address: _________________________
Student Status:
UC Student Status: _____Undergrad _____Graduate
UCB Student ID Number: ______________________
Units this semester: ______
_____ELP
______ Not Registered
Citizenship Status (please check one):
U.S. Citizen: ___Permanent Resident: ____ F-1 Visa: _____
J-1 Visa: ______ Other: _____
Employment:
Have you ever worked on campus before? ____Yes ___No
Have you ever had a criminal background check performed by UCPD? ___Yes ___No
Please check one:
Current UCB employment _____
Prior UCB employment ____
Campus Department: _________________________ Supervisor: ______________________
Employment Dates: From _________ to _________ % time working: __________
Emergency Contact:
Name: __________________________
Relationship: ______________ Phone:________________
I understand that upon hire I must furnish proof of identity and employment eligibility in accordance with federal law
and the regulations of the Department of Homeland Security. All of the foregoing information I have supplied in this
application is a full and complete statement of the facts, and I understand that if any falsification is discovered, it can
constitute grounds for dismissal. Any omission of information may constitute falsification of application.
Applicant Signature: __________________________________
Rev: 08.26.09
Date: _______________________
WORK AND LIFE EXPERIENCE FORM
Your Name: __________________________________________________
(I) Work & Life Experience: Please provide information about three of your most
meaningful previous and/or current paid jobs, volunteer positions, organizations, clubs, or
non-traditional home or community responsibilities you have held. List most recent
experience first. Please print or type neatly. These questions are scored, which means that
they are key to determining whether or not you are granted an interview.
EXPERIENCE #1
Organization:
Begin Date:
Position Title:
End Date:
________
□ High School
□ College
□ Other
Short summary of position held:
List skills and knowledge developed, utilized, or improved during the course of your service in
the position:
EXPERIENCE #2
Organization:
Begin Date:
Short summary of position held:
Position Title:
End Date:
□ High School
□ College
□ Other
List skills and knowledge developed, utilized, or improved during the course of your service in
the position:
Your initials: _____
EXPERIENCE #3
Organization:
Begin Date:
Position Title:
End Date:
□ High School
□ College
□ Other
Short summary of position held:
List skills and knowledge developed, utilized, or improved during the course of your service in
the position:
(II)
Other Involvement & Skills: Please print or type neatly.
OTHER INVOLVEMENT
List other organizations in which you have participated:
OTHER SKILLS
List skills you possess which may not have been described above, and which may benefit your
candidacy.
(III)
Community/Group Living experience: Please print or type neatly.
No# Semesters
Residence Hall/House/Coop Name
Institution
RA/House/Leader/Coop Manager
_____________________
_____________________