USVI Public Records

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1 Resident Assistant Application 20__ - 20__ (Please type) Please answer all questions thoroughly. Applications must be typed. PERSONAL: Name:_________________________________________________ Student ID _____________ Campus Room Assignment/ Local Address __________________________________________ UVI email address:______________________________@uvi.edu Secondary email address: _______________________________________________________ Room and Cell phone number: (rm)____________________ (cell)_________________ Permanent Address:___________________________________________________________ Home phone: _______________________________ Sex: Male _____ Female ______ Status: US Citizen ___________ Non-US Citizen/ International________________ EDUCATIONAL: Class Status (at the end of Spring 20__) _____ Freshman (0-23.5 credits) _____ Sophomore (24-59.5 credits) _____ Junior (60-89.5 credits) 2 _____ Senior (90 and above credits) _____ Graduate Student Academic Major:_______________________________________________________________________ Cumulative Grade Point Average _________________ How many semesters have you lived in a residence hall? ____________________ How many credit hours do you plan to take Fall ___ _______ If selected as a Resident Assistant, could you reside in the residence hall for two full semesters during the academic year? Yes____ No____ If no, please explain. Do you anticipate being involved in any other activities which will involve a major time commitment during the next academic year? Yes____ No____ If yes, please explain. 3 REFERENCES: List three (3) individuals for whom you are submitting a reference form. At least two must be a faculty member. References may not include Student Housing Supervisors, family members or friends. Others may be current employers, former volunteer supervisors, instructors, etc. The individuals will need to complete the reference form and submit to the Office of Student Housing by March 1, 20___. It is the candidate’s responsibility to make sure the references are submitted by March 1, 20___. Reference Name:____________________________________________________________ Title: ______________________________________________________________________ Organization/Institution/Business: ______________________________________________ Email address:_______________________________________________________________ Telephone:__________________________________________________________________ Reference Name:______________________________________________________________ Title: ________________________________________________________________________ Organization/Institution/Business: ________________________________________________ Email address:_________________________________________________________________ Telephone:____________________________________________________________________ Reference Name:________________________________________________________________ Title: _________________________________________________________________________ Organization/Institution/Business: _________________________________________________ Email address:__________________________________________________________________ Telephone:_____________________________________________________________________ Please indicate your preferred residence hall to which you would like to be assigned if you were selected as a Resident Assistant. Please note: This is ONLY a PREFERENCE – You will be 4 interviewing for a position in any and all residence halls applicable. Please number in ranking order all that apply. _____ North Residence Hall _____ Middle Residence Hall _____ South Residence Hall _____ East Residence Hall _____ *Delta M. Jackson Dorsch Complex _____ West Residence Hall *St. Croix campus only SHORT ANSWER QUESTIONS (please type) On a separate sheet(s) of paper, please respond to the following questions. 1. Why do you want to be an Resident Assistant? Describe an experience that will help you to succeed as a Resident Assistant. 2. Define “community” in terms of residential living communities. 3. Tell us about a group or organization in which you were a part. What about the experience was meaningful to you? What did you learn from the experience(s) that you feel will assist you in being successful as a Resident Assistant? What actions have you taken to build community of which you have been a part? 4. Which of the Resident Assistant roles will be the most challenging for you? What will you do to prepare yourself to succeed in that role? Which role do you expect to enjoy the most, and why? PLEASE READ Please initial each paragraph. Your initials indicate that you have read and understand the following: _____ I understand that at the time of application for the Resident Assistant position, I must have at least 2.5 cumulative GPA _____ I understand that I must completed 31 credit hours of coursework at University of the Virgin Islands by the start of the process _____ I understand that I must be enrolled full-time as defined by the Office of the Registrar. I must be enrolled in no less than 12 hours per semester 5 _____ Upon acceptance of employment as a RA, I realize that I may be placed to reside in North Residence Hall, South Residence Hall, Middle Residence Hall, East Residence Hall, and *Residence Hall as determined by the needs of the Office of Residence Life _____ I understand that if I am selected as a RA, I will be required to obtain approval in advance for my extracurricular activities _____ I understand that that the position of Resident Assistant will be seen as a full-time student position. In addition, no outside employment will be approved by the Office of Residence Life. _____ I understand that if I am selected as a RA, I am required to participate in fall/winter training, unit meetings, conferences, in-service training sessions and campus activities throughout the year. Attendance at all of the above programs, as well as regular staff meetings, is an expectation of all staff members. _____ I hereby state the above statements are correct. If any of the above statements are false, I understand this is sufficient cause for deny me consideration for employment, or dismissal from employment _____ I am in good standing with the University in the following areas: Academics (Office of Access and Enrollment Services)____Yes _____No Finances (Office of Business Services) _____Yes _____No Judicial (Office of Student Conduct) _____Yes _____No If you answered no to any of the above, please provide an explanation. I have read all materials enclosed with this application and if selected, agree to abide by the outline terms and conditions. I certify that the information I have provided is true, as far as I am able to ascertain. I authorize the Office of Residential Services and Programs to solicit and/or verify any information pertinent to my candidacy. I grant permission to the Office of Residential Services and Programs to review my academic records to confirm that my academic performance meets the minimum requirement for this position. Applicant’s Signature _______________________________________ Date _____________ 6 The Family Education Rights and Privacy Act of 1974 (FERPA) gives students the right to inspect and review their confidential folders unless that right is waived. In accordance with the law, all applicants must indicate whether or not they voluntarily relinquish their rights to view confidential (reference) letters of recommendation that are part of the RA selection process. This choice will not affect your candidacy. Please select one of the statements below. ** I have read the above statement and: _____ “I hereby waive the rights of access to my confidential file.” (You may still have a member of our staff review the information in the file with you, excluding confidential letters of recommendation.) _____ “I do not waive the rights of access to my confidential file.” (You are permitted to personally review your entire file in the presence of a member of our staff.) Applicant’s Signature _____________________________________ Date _____________