You are registering for Returning RA Application

Registration Form created by Residence Life

Please Submit this application by Monday, February 11, 2013 at 11:59 p.m. Once you've submitted your application, you will be contacted to schedule an interview time. Interviews will occur on February 13th and 14th. Please submit your References to the Residence Life office by Friday, February 15, 2013. Reference forms can be emailed to [email protected].

First Name*

Last Name*

Email Address*

Please re-enter the Email Address*

Send me a confirmation email (recommended)

Current Residence*

Box/Unit #*

I'm interested in the RA Position in the hall I currently serve.*

I'm interested in the RA Position in another residence hall/apartment.*

I'm interested in an SRA Position.*

I am interested in an ARD position in Witmer*

Are you thinking/planning to study abroad during J-term?*

If working in a new building, what is your 1st preference?

2nd building preference?

3rd building preference?

Please name a co-RA as a reference*

Please name one resident on your floor as a reference. *

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