Office of Residence Life

Resident Adviser Application

Student Information:
Please make sure you have entered all the required information as requested below, any incomplete submissions will not be considered.
First Name:
Last Name: Rocket Number:
Cell Phone#:
UT Rockets Email Address:

Address Information:
Local Address:
Local City:
Local State:
Local Zip Code:
Permanent Address: Local City:
Permanent State:
Permanent Zip Code:

Current Class Standing:

When was your first semester and year at UT? /

Have you ever lived on campus?

If answered yes, what Residence Hall did you live in, and what year? /

If answered no, why not?

Anticipated Graduation Date: /

Academic Major: , Cumulative GPA:

What are your intentions for the upcoming academic year:

How did you hear about the position? , If other was selected please indicate your response:

Do you have any student conduct violations?

Group Process Interview Preference:

List two references and their relationship to you:

Explain your employment history, starting with most recent:

Explain any honors or awards:

List current and past student organization involvement and any leadership positions:

As an RA describe how living on campus impacts a students university experience and what role you would play in enhancing this experience:

Other time commitments:

By checking the boxes below, you are agreeing to all waiver releases for your employment application:

Last Updated: 6/26/15