OFFICE OF HOUSING AND RESIDENCE LIFE
RESIDENT ASSISTANT APPLICATION
2015-2016 ACADEMIC YEAR
Dear Resident Assistant Applicant,
Thank you for your interest in the Office of Housing and Residence Life as a Resident Assistant (RA). We are excited that
you would like to join our team and take on this rewarding leadership opportunity.
This packet includes everything that you will need to complete your application portfolio. Please review all of the materials
thoroughly as you prepare. In addition, please include a resume with application. Enclosed, you will find the following:

RA Selection Process Details

The RA Application

Written Response Questions; to be typed and attached to the finished application

Two separate Recommendation Forms ; to be completed by 2 different references
Resident Assistants, in addition to their free room and stipend while in the position, are awarded the opportunity to
develop valuable leadership skills. It is the development of these skills that will help students stand out in their chosen field
after graduation. This process is an additional opportunity for you to develop valuable skills that will assist you in your life
and career choices after your time at Indiana University South Bend.
If you would like to apply for the Resident Assistant position, please be aware that all materials are due to the Office of
Housing and Residence Life, Community Building front desk by Friday, February 13, 2015 no later than 5pm. You are
always welcome to turn in your application earlier. Please note that all reference forms are due no later than Friday,
February 27, 2015 by 5pm.
Sign up for individual interviews will be available at the community building front desk beginning on Monday, January
27th, 2015. Please stop by and schedule a date and time for your individual interview.
Should you have any questions about the position or the process, please do not hesitate to contact Ricky Ganaishlal
([email protected]), Loni Oehlwein ([email protected]) or Nicole Micolichek ([email protected]) and we will get
back to you at our earliest convenience.
Thank you again for your interest in the Resident Assistant position here at Indiana University South Bend. We wish you
the best of luck throughout the process.
Sincerely,
Office of Housing and Residence Life
1
OFFICE OF HOUSING AND RESIDENCE LIFE
RESIDENT ASSISTANT APPLICATION FOR 2014-2015 ACADEMIC YEAR
TIMELINE
Below is a timeline of the selection process for the RA position for the 2014-2015 academic year. Some of the dates
are suggested to help you with the planning process throughout the academic year. Please be advised that any dates
are subject to change. It is your responsibility to make note of these changes after hearing from a professional staff
member from the Office of Housing and Residence Life at Indiana University South Bend.
January 2015
Tuesday, January 20 – RA Applications Available at Community Center Front Desk and Housing
and Residence Life website (Student Leadership and Employment Opportunities)
Tuesday, January 20 (5pm-Fireside), Wednesday January 21(8pm-Community Building),
January 22(12:30pm-Fireside) – RA Information Sessions
Tuesday, January 27 – Sign up begins for RA individual interviews. Candidates can sign up for a
date and time at the community building front desk. Applicants can sign up for interviews through
February 17, 2015
Wednesday, January 28 – Resume Writing 101 from 7pm-8pm in the Community Building
February 2015
Tuesday, February 3 – How to Ace Your Interview from 6pm-7pm in the Community Building
Friday, February 13 – RA Applications Due to the Office of Housing and Residence Life (completed
application can be turned in at the Community Building Front Desk)
Monday, February 16 – Friday, February 20 – RA Individual Interview Week
Saturday, February 21 – RA Group Interview Day 9am-3pm, tentatively in the Grill (New RA
Applicants only)
Monday, February 23 – Thursday, February 26 – RA Individual Interview Week
March 2015
Tuesday, March 3 – RA Decision Letters available for pick up at Community Building front desk
(beginning at 9 am)
Friday, March 6 – Signed Acceptance & Alternate Letters due to Housing and Residence Life by 5
pm
April 2015
Monday, April 13 – Meet and Greet 2015-2016 RA staff (8:30pm. Location will be shared with all
new staff via IUSB e-mail)
August 2015
Sunday, August 9 – ALL Resident Assistant staff return for fall 2015 training (return by 5pm).
2
OFFICE OF HOUSING AND RESIDENCE LIFE
RESIDENT ASSISTANT APPLICATION FOR 2015-2016 ACADEMIC YEAR
Thank you for your interest in being a Resident Assistant for the 2015-2016 academic year. As you are aware, the RA
position requires a great deal of time, energy, commitment, and self-motivation. Therefore, you will need to
demonstrate your ability to serve as a leader and role model for incoming residents. Please be aware that we do not
guarantee that you will receive the RA position.
Please type and/or print clearly your responses to the questions on this application.
Name: _______________________________________________________________________________________________________________________________
Campus Address: (Building/Apt & Room or Street Address) __________________________________________________________________________________________________________
E-mail Address: ___________________________________________________________________________________________________________________
Permanent Address: ______________________________________________________________________________________________ (Street Address)
_____________________________________________________ (City, State, Zip) _______________________________________________ (Home Phone Number)
Student ID Number: __________________________________________
Cumulative GPA:__________
Current Class Standing:
Honors student?
☐FR
☐SO
☐JR
☐SR
☐Yes
☐No
Major/Minor: _____________________________________________________________________________________________________________________
Number of Semesters lived on campus:
Have you ever been on academic probation?
☐Yes ☐No
If yes, please attach an explanation.
Are you currently, or in the past been on a judicial sanction?
☐Yes ☐No
If yes, please attach an explanation.
Please list the information below for the supervisor, professor or co-worker who will be filling out the recommendation forms for
you. Please do not ask friends, roommates, or family members to serve as a reference for you
Name: ____________________________________________ Building/Room #: ______________
Phone Number: ____________________
Name: ___________________________________________
Phone Number: ____________________
Building/Room #: _______________
I certify that the information I have provided on this application is accurate and complete. I also understand that the
Office of Housing and Residence Life may choose to discuss my candidacy with other appropriate college officials as a
means to further determine my suitability as a Resident Assistant. I understand that the Office of Housing and
3
Residence Life will do a G.P.A and judicial check of my records to ensure that I meet the minimum requirements
needed to be a Resident Assistant. I have reviewed the RA Position Description and any additional materials
provided with this application and have a full understanding of the position requirements as outlined.
______________________________________________________________________
Signature of Applicant
_____________________________________
Date
REFERENCE INFORMATION:
Please provide the names of two individuals you have asked to serve as a reference for you. A Resident
Assistant may complete ONE of the references. We encourage you to use a supervisor, Indiana University
South Bend professional staff member, or faculty member to complete the second reference. Please do not
ask friends, roommates, or family members to serve as a reference for you. Please remind your references
that they will need to submit their forms to the Office of Housing and Residence Life no later than
Friday, February 27, 2015.
Reference #1:
Name: _____________________________________________________________
Address: ____________________________________________________________
Phone Number: _____________________________________________________
Position/Relationship: ______________________________________________
Reference #2:
Name: ______________________________________________________________
Address: ____________________________________________________________
Phone Number:_____________________________________________________
Position/Relationship: ______________________________________________
4
Please attach a separate TYPED sheet of paper to this application with your responses to the following
questions. We ask that you answer as completely and thoroughly as possible.
1.
Why are you interested in serving as a Resident Assistant?
2.
What unique qualities or characteristics would you bring to the RA position?
3.
Please discuss what the term “community” means to you. What activities would you like to initiate, should
you become an RA, to help develop community within the individual houses as well as the entire River
Crossing Community?
4.
Please outline how you will balance your academic pursuits with your RA commitments.
5.
What 2-3 characteristics do you think best describe the ideal Resident Assistant? Please elaborate upon
each characteristic.
6.
What would be the most challenging aspects of the job for you as a new RA? How would you handle those
challenges?
7.
Please share with us what activities/organizations you have been involved with here at Indiana University
South Bend and if you plan on continuing your involvement, how you will balance that with the RA
position.
This completed application is due to the Office of Housing and Residence Life
Community Building no later than Friday, February 13, 2015 at 5pm
5
OFFICE OF HOUSING AND RESIDENCE LIFE
RESIDENT ASSISTANT APPLICATION FOR 2015-2016 ACADEMIC YEAR
RECOMMENDATION FORM
TO BE COMPLETED BY APPLICANT:
The Family Educational Rights and Privacy Act of 1974 open many student records for the students’ inspection. The law
also permits students to sign a waiver relinquishing their rights to inspect letters of reference.
I, _______________________________________________________, (print name) ☐waive ☐do not waive my rights to view the information
provided on this reference form.
_______________________________________________________
Signature of Applicant
________________
Date
Please take a few minutes to fill out the information below.
TO BE COMPLETED BY REFERENCE:
How long have you known the applicant? ______________
On the table below, please circle the corresponding response to the items listed in the left hand column based on how well you
believe the applicant would be succeeding at the Resident Assistant position at Indiana University South Bend. Please feel free to
add any additional information regarding your observation of their performance to an additional piece of paper, and attach for
submission.
Excellent
Above
Average
Average
Below
Average
Needs
Improvement
Unable to
Evaluate
E
AA
A
BA
NI
UE
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
Social Programming
Educational
Programming
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Creativity
Communication Skills
E
AA
A
BA
NI
UE
Oral
E
AA
A
BA
NI
UE
Written
Conflict
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Application of
Knowledge
Addresses Student
Needs
University Policy
Counseling Skills
Programming
Mediation Skills
Interpersonal Skills
Supervisor
6
Peers (RA)
E
AA
A
BA
NI
UE
Residents
E
AA
A
BA
NI
UE
Works Collaboratively
Works Independently
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
E
AA
A
BA
NI
UE
Motivation
E
AA
A
BA
NI
UE
Flexibility
Availability
Problems Solving
Ability
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
E
AA
A
BA
NI
UE
Role Model
E
AA
A
BA
NI
UE
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
Response to Crisis
Responds to Feedback
Reaction to Stress
E
E
E
AA
AA
AA
A
A
A
BA
BA
BA
NI
NI
NI
UE
UE
UE
Administrative
Responsibility/
Maturity
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Leadership
Initiative
Supports
RHA
NRHH
Performance/ Potential
Given your knowledge of this applicant, would you:
_________Highly Recommend _________Recommend _________Recommend w/Reservations _________Not Recommend
Are you willing to be contacted should further information be needed in assessing this candidate? ________Yes _________No
Name/Position: ________________________________________________
Signature of Recommender: ____________________________________
Address: _________________________________________________________
Phone Number: ___________________________________________________
Email Address: __________________________________________________
PLEASE RETURN THIS REFERENCE TO:
Office of Housing and Residence Life
Residence Coordinator
1735 Titan Drive
South Bend, Indiana 46613
No later than: Friday, February 27, 2015 by 5pm
7
OFFICE OF HOUSING AND RESIDENCE LIFE
RESIDENT ASSISTANT APPLICATION FOR 2015-2016 ACADEMIC YEAR
RECOMMENDATION FORM
TO BE COMPLETED BY APPLICANT:
The Family Educational Rights and Privacy Act of 1974 open many student records for the students’ inspection. The law
also permits students to sign a waiver relinquishing their rights to inspect letters of reference.
I, _______________________________________________________, (print name) ☐waive ☐do not waive my rights to view the information
provided on this reference form.
_______________________________________________________
Signature of Applicant
________________
Date
Please take a few minutes to fill out the information below.
TO BE COMPLETED BY REFERENCE:
How long have you known the applicant? ______________
On the table below, please circle the corresponding response to the items listed in the left hand column based on how well you
believe the applicant would be succeeding at the Resident Assistant position at Indiana University South Bend. Please feel free to
add any additional information regarding your observation of their performance to an additional piece of paper, and attach for
submission.
Excellent
Above
Average
Average
Below
Average
Needs
Improvement
Unable to
Evaluate
E
AA
A
BA
NI
UE
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
Social Programming
Educational
Programming
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Creativity
Communication Skills
Oral
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Application of
Knowledge
Addresses Student
Needs
University Policy
Counseling Skills
Programming
Written
Conflict
Mediation Skills
Interpersonal Skills
Supervisor
8
Peers (RA)
E
AA
A
BA
NI
UE
Residents
E
AA
A
BA
NI
UE
Works Collaboratively
Works Independently
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
E
AA
A
BA
NI
UE
Motivation
E
AA
A
BA
NI
UE
Flexibility
Availability
Problems Solving
Ability
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
E
AA
A
BA
NI
UE
Role Model
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Community Council
Performance/ Potential
E
AA
A
BA
NI
UE
Response to Crisis
E
AA
A
BA
NI
UE
Responds to Feedback
Reaction to Stress
E
E
AA
AA
A
A
BA
BA
NI
NI
UE
UE
Administrative
Responsibility/
Maturity
E
AA
A
BA
NI
UE
E
AA
A
BA
NI
UE
Leadership
Initiative
Supports
NRHH
Given your knowledge of this applicant, would you:
_________Highly Recommend _________Recommend _________Recommend w/Reservations _________Not Recommend
Are you willing to be contacted should further information be needed in assessing this candidate? ________Yes _________No
Name/Position: ________________________________________________
Signature of Recommender: ____________________________________
Address: _________________________________________________________
Phone Number: ___________________________________________________
Email Address: __________________________________________________
PLEASE RETURN THIS REFERENCE TO:
Office of Housing and Residence Life
Residence Coordinator
1735 Titan Drive
South Bend, Indiana 46613
No later than: Friday, February 27, 2015 by 5pm
9