RA Supplemental Application

This application is considered supplemental information. For your application to be considered complete, you must also apply and using the SNAP Job system at www.uta.edu/snapjob.

Name * First Last
SnapJob Position and Number *
UTA Email Address *

All communication will go through your UT Arlington student email address.
Student ID *
CELL PHONE: * - (###) - ### ####
If no cell phone, input a contact number where you can be reached to set up an interview if selected.
BUILDING YOU CURRENTLY LIVE IN *
SEMESTERS LIVING ON CAMPUS (as of today)*: *

*You are eligible for this position if by May 2012, you have lived in a UT Arlington owned residence hall or apartment by two semesters. *Only count Fall and Spring semesters living in a residence hall or apartment complex owned by UT Arlington
NET ID (Abc1234): *
SHIRT SIZE: *
Cumulative GPA as of today: *

If you do not have a GPA yet, please enter 0.00
Classification: *
Hours completed at UT Arlington: *
How many credit hours are you currently enrolled in? *

For Fall Semester (i.e. 12 hours)
If undergraduate, do you plan to attend graduate school at UTA? * Yes No Currently in graduate school
Expected Graduation Date: * / MM / DD YYYY
Major: *
If selected as a Resident Assistant, what other time commitments will you have and how much time will each take per week? *
There is a chance that a position will not become available in the community you currently live in, 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 explain:
1. Describe your experience living on campus at UTA. How has living on campus impacted your college experience? *
2. Why are you interested in this position? *
3. What do you hope to gain from your experience if you are selected as a Resident Assistant? *
4. What will your goals and objectives be if selected as a Resident Assistant? *
5. What skills and experiences will you contribute which would make you an outstanding Resident Assistant? *
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 position I am applying for 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
Date * / MM / DD YYYY