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RA Application 2007-2008

 

SAMPLE APPLICATION
Eastern Illinois University
Resident Assistant Application
for positions during 2007-2008
When you submit a completed application you are placed in the “candidate pool” along with other candidates applying for the position. You will be contacted after the deadline has passed. If you have any questions please consult your hall director. You may also contact Tonia Pittman, RA Search Committee Chair at 217-581-7697 or tjpittman@eiu.edu, with questions or for further assistance.

Date of Application _______________
First Name _______________
Middle Initial _______________
Last Name _______________
Last 4 Digits of SSN xxx - xx - _______________
Gender (M/F) _______________
Local Phone _______________
Cell Phone _______________
Local Address _______________
Home Address (street, city, st, zip) _______________
Primary E-Mail _______________
EIU E-Mail _______________

Class Rank (FR SO JR SR GR) _______________
Cumulative GPA (for new freshman & transfer students with no EIU GPA please enter 0.00) _______________
Majors _______________
Minors _______________
Credit hours earned to date _______________
Credit hours enrolled in this semester
MUST HAVE LIVED IN RESIDENCE HALLS FOR 1 SEMESTER BEFORE APPLYING
_______________
Expected graduation (Sem/Year) _______________

Including this semester, how many semesters have you lived in Residence Halls: (EIU/Other)
_______________
How many semesters are you
interested in holding the RA position
_______________
In what semester and year would you have an internship, study abroad, student teaching,etc. (if any)
_______________
How did you find out about the RA application process _______________

Briefly explain your work history (if any) maximum of 250 characters
_______________
Briefly explain your extra curricular/volunteer history (if any) maximum of 250 characters
_______________

Workshop Preferences

Please rank all of the following section times for the
weeks of November 27th and December 4th:

1 = these times are most convenient
2 = these times work but are less convenient
X = these times are a class conflict


Mondays, 1:00 p.m.-2:50 p.m. ___

Mondays, 7:00 p.m.-8:50 p.m. ___

...............................................................................................................................................................

Tuesdays, 3:00 p.m.-4:50 p.m. ___

Tuesdays, 7:00 p.m.-8:50 p.m.___

...............................................................................................................................................................

Wednesdays, 9:00 a.m.-10:50 a.m.___

Wednesdays, 1:00 p.m.-2:50 p.m. ___

Wednesdays , 7:00 p.m.-8:50 p.m. ___

...............................................................................................................................................................

Thursdays, 1:00 p.m.-2:50 p.m. ___

Thursdays, 6:00 p.m.-7:50 p.m. ___


Resident Assistant Checklist
I have read and understand the RA Job Description, The Successful RA power point presentation, and sample RA contract.
I will be a full-time EIU student (registered for 12 credit hours or more) in the spring semester. If hired, I will be a full-time EIU student during my term of employment. (Note: Lakeland College of Nursing students are not eligible).
I plan to have 27 credit hours by the start of NEXT fall semester.
I understand that I must have a cumulative GPA 2.45 or higher when grades are posted at the end of this fall semester, and if hired, for my term of employment I understand I must maintain the department's minimum GPA requirement.
(NOTE: Applicants with GPA's of 2.45 or lower when fall grades are posted will not be considered for employment.)
I am in good judicial standing with the university. If not, explain: ____________________
Please type in your initials to indicate you agree to the above statements and have to the best of your knowledge, as of today's date, provided full and complete information. ___

Submit
Please take a moment and review the information you are about to submit. Once this information is submitted the only way to revise your application is to contact Doug Howell, RA Search Committee Chair at 581-7697 or tjpittman@eiu.edu.
SAMPLE REFERENCE FORM
Eastern Illinois University
Resident Assistant Application
for positions during 2007-2008

In the first section list one Resident Assistant or Peer Advisor and in the second section list one Resident Director who will be a reference for you in your application process. Note: these references must know you and be willing and able to provide a reference for you (ask them in advance).

If you have any questions please consult your hall director. You may also contact Tonia Pittman, Chair of the RA Search Committee, at 217-581-7697 or at tjpittman@eiu.edu with questions or for further assistance.

RA/PA Reference Name:_______________
Reference's building:_____________
RA/PA Reference E-mail:_______________

Hall Director Reference Name:_______________
Reference's building:_______________
Hall Director Reference E-mail:_______________

Your name _______________
Your phone _______________