2013-2014 RA Supplemental Application (Summer 13)

This application is considered supplemental information. For your application to be considered complete, you must also apply using the SNAP Job system at https://www.myinterfase.com/utahr/student/

Full Name: * First Last
Student ID Number: *

Your 1000#
UTA Email Address: *

All communication will go through your UT Arlington student email address.
Cell Phone Number: * - (###) - ### ####
If no cell phone, input a contact number where you can be reached to set up an interview if selected.
Community in which you currently live: *
Semesters living on campus at UTA: *

*Only count Fall and Spring semesters living in a residence hall or apartment complex owned by UT Arlington
Have you worked on campus at UTA?: * Yes No
NET ID (Abc1234): *
Cumulative GPA as of today: *

If you do not have a GPA yet, please enter 0.00
Classification: *
Hours completed at UT Arlington: *
Expected Graduation Date: * / MM / DD YYYY
Major: *
With which type of community would you prefer to be an RA?
(Check all that apply) * Residence Halls (Move in and start August 6, 2013) Apartments (Move in and start immediately) Centennial Court
If you are interested in working in any of our communities, check all 3 boxes
There is a chance that a position will not become available in the community in which you currently live. Are you willing to move to another Residence Hall or Apartment Community in order to accept this position? * Yes No
Have you ever been subject to disciplinary action as a result of conduct violation of college/university standards or regulations? * Yes No
If yes, please provide detailed information including nature of the conduct violation and outcome of the conduct process:
1. Describe your experience living on campus at UTA. How has living on campus impacted your college experience? *
2. What skills and abilities do you possess that would help you succeed if selected as a Resident Assistant? Please provide examples. *
3. What do you hope to gain from your experience if you are selected as a Resident Assistant? *
4. Please describe a time you have successfully handled a conflict. Include the conflict, the steps you took to approach or mediate the issue, and the outcome. *
5. If selected as an RA what other commitments do you anticipate having during the time of employment? *
6. Describe two to three past team or group experiences, highlighting your role or leadership in those experiences. *
If selected as an RA, are you available to begin training on August 7, 2013? * Yes No
Training is mandatory for all Resident Assistants.
Please list below the name of three references: Personal (exclude family/friends); current or previous Resident Assistant at UTA; and faculty/staff

Please list their name, phone number, relationship to you, and email address. We will email a form for them to complete. It is your responsibility to make sure that they complete the form.
Name of personal reference: *

Personal reference should not be a friend or family member; personal reference can be a coworker, student organization group member, mentor, etc.
Phone number of personal reference: * - (###) - ### ####
Email address of personal reference: *
Name of RA reference: *
Phone number of RA reference: * - (###) - ### ####
Email address of RA reference: *
Name of faculty/staff reference: *

Faculty/staff reference can be a professor, student employee supervisor, advisor, student organization advisor, etc.
Phone number of faculty/staff reference: * - (###) - ### ####
Email address of faculty/staff reference: *
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge. I understand that willfully withholding information or making false statements in this application may be considered as sufficient cause for rejection of this application, or for dismissal if such false statement is discovered after my employment. I authorize you to contact references and former employers and release The University of Texas at Arlington from any liability pertaining to investigation of my former employment and police background check. I understand that if appointed, that initial appointment is conditional based upon results of required background checks.

By typing my name below, I understand that any offer of employment tendered me is contingent upon my agreement to abide by the rules and regulations of the Board of Regents of the University of Texas and UTA.
* I have read the RA Agreement for the specific job I am applying for (Residence Hall, Apartment or Centennial Court) located on the Job Opportunities page at www.uta.edu/livingoncampus and understand and agree to the responsibilities, requirements, and expectations of this position.
I understand the statements above: * First Last
Today's Date: * / MM / DD YYYY