Returning Resident Assistant Application 2013-2014

University of New Haven
Office of Residential Life
PLEASE PRINT OR TYPE ALL ANSWERS
Please fill in the General Information Section.
General Information
Applicant First Name: * Last Name: *
Student ID #: * Gender: *
Hall: Room #:
Please check one: *

Academic Experience
Academic Major: * Current Class Standing: *
Last Semester GPA: * Cummulative GPA: *
Credits Completed: * Expected Year of Graduation: *
Living Learning Community
Are you interested in applying for a Living Learning Community Resident Assistant position *
Application Submission Materials
I,   *  , hereby certify that all information submitted in the application and selection process in my own work, factually true, and honestly presented. Any misrepresentation of my facts may constitute a cause for non-appointment or dismissal.
I,   *  , hereby authorize and consent to the release of my records which shall include my GPA, major, confirmaiton of enrollment, and conduct status at the University fo New Haven for the purpose of verifying my qualifications for the position of Resident Assistant.
Signature of Applicant: Date: