Carleton College

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RA Application Form

General Information

Name:
Email:
Class Year:
GPA (2.5 Minimum)
Current Housing Assignment
Campus/ Local Phone:
Major or anticipated major:
Check here if you will be off campus next term (spring):

Group Living Experience

Residence Hall(s)/House(s) lived in, with dates:
Number of terms you have lived in the halls/houses:
Other group living experiences (e.g., camp, etc.- please specify):

Academic Information

Will you be on campus for the entire next school year? (Please note: If you are considering a roommate, you must be on campus for the entire year)

	Yes

	No

If no, please indicate when you plan to be gone and where you plan to be.

What activities and/or organizations do you currently participate in at Carleton College? (please list)

What activities and/or organizations do you plan to participate in next year?

What other employment obligations or internships are you committed to during the year for which you are applying?

Personal Statement

Why do you want to be a Resident Assistant?
What characteristics/skills do you possess that would make you a strong Resident Assistant and how will these characteristics/skills assist you in the role(s) of the Resident Assistant at Carleton College?
What impact do you believe the RA has on building community at Carleton and what do you feel you will bring to the position?
Describe one thing you have done to impact another person's life.
Please describe your residence hall/house or other community living experience. Include the role you played in the group dynamics and what you see as the benefits and challenges you experienced living in a community environment.

Residence Hall Information

We seek to place staff members in areas in which we feel they will be most successful. If you are hired, we would like to consider your placement preferences; however we do not guarantee that you will be placed in the area of your choice. Please complete each question below.

Single Sex Floor		Prefer
		Do Not Prefer
		No Preference

Quiet Floor		Prefer
		Do Not Prefer
		No Preference

Substance-Free Floor		Prefer
		Do Not Prefer
		No Preference



Co-RA		Co-RA
		No Co-RA
		No Preference

Building Type		Hall
		House
		Either


Resident Demographic		Primarily Upperclass
		Primarily Underclass
		Mixed

No Preference

Is there any compelling reason you should live in one of the areas you identified above?

Placement Preference Information

Describe the type of community in which you see yourself being successful.

Is there anything else you would like to tell us about your placement preference?

Group and Individual Time Preference

Please rank (1-6) your group interview time preference. Interviews are a three (3) hour time commitment within each block of time.

	Wednesday, March 28, 5:30-10 p.m.
	Thursday, March 29, 5:30-10 p.m.
	Saturday, March 31, 8:30 a.m.-1 p.m.
	Saturday, March 31, 2-6:30 p.m.
	Sunday, April 1, 8:30 a.m.-1 p.m.
	Sunday, April 1, 2-6:30 p.m.

We are unable to change the schedule once it is determined, so it is important that you indicate any times which won't work for you.

Reference Information

Please list THREE references who you know well and can give an honest evaluation of you. Please get prior permission from these references. At least one reference must be from a current Resident Assistant. Each candidate is responsible for distributing the Reference Forms to the people chosen as references.

Name:		Full Email
Name:		Full Email:
Name:		Full Email:

Please explain if one of the references is not your current RA.

How did you learn about this position?

Friend(s)
Hall Director
RA(s)
Peer Leader Interest Fair
Flyer
Banner
NNB Ad
Informational Meeting
Other