Current AcademicYear: / ApplicationDate: / Academic Year ofEmployment:
CandidateInformation
FullName:
E:MailAddress: / Sex: / Major:
On- CampusAddress: / PhoneNumber: / # of CompletedCredits:
PermanentAddress: / PhoneNumber: / Grade PointAverage:
CellNumber: / Anticipated GraduationDate: / Professional Semester, StudentTeachingor Internship? Pleaseexplain.
Work AuthorizationNumber: / E-mailAddress: / Date of Previous KUbackgroundCheck:
Please indicate any involvements for 2017-2018 academic year (clubs, organizations, employment,etc):
CandidateEvaluation
PLEASE RATE YOUR SKILLS SETS on a scale from 1-5 with 5 beingHighest
Initiative: / Character: / Organization:
Dependable: / Responsibility: / InterpersonalSkills:
Communication: / Motivation: / Supervision:

Please answer the following questions on a separate sheet of paper. Please typeyourresponses.

1.Please provide a cover letter and resume. Your cover letter should includewhyyou are interested in the Assistant Resident Director Position as well as howyourrating on the skills above will assist you in the position. Your resumeshouldinclude your previous and current employment, as well as your previousandcurrent on-campus and communityinvolvement.

2.Please tell us why living in a residence hall community is important toyou.

3.How you make an impact on your residence hall in the ARDposition?

4.How will the ARD position impact your personal as well as yourprofessionalfuture?

I have read and understood the Assistant Resident DirectorPosition description and understand that Iam applying for a position and in the event that I am selected, I will agree to comply with the conditionsof employment as a staff member of Kutztown University’s Residence Life and Housing & Dining Services. I alsounderstand that if I fail to meet these conditions I will forfeit my position and move to anotherhall.

NOTE: If hired, this application will remain on file with the ResidenceLife and Housing & Dining Services.

Signature:Date:

PrintedName:

Updated: 6/9/17/MGM