RUTGERS RESIDENCE LIFE

GRADUATE POSITION APPLICATION

Personal Data

Name (last, first, middle): / Date:
RUID (current Rutgers students only): / Date of Birth:
Current Street Address:
City: / State: / Zip Code:
Home / Cell Phone: / Work Phone:
Email Address:
Permanent Street Address(if different than above):
City: / State: / Zip Code:
Home Phone:
Have you ever been convicted of a crime? If so, please describe violation.

Academic Data

College or University Attended:
Location: / Date: / Degree:
Rutgers Graduate School/Program:
Accepted into program? / Degree Sought:
Have you ever lived in a residence hall? / How long?

Essay Questions for Residence Life Positions

To provide further information about your qualifications, please respond to the following questions on a separate sheet:

1.  What are your relevant employment experiences that will contribute to your performance as a Residence Life Staff member? Please include your background in areas of discipline, supervision, counseling and administration.

2.  As a graduate staff member, how would you incorporate the Residence Life objective to promote growth and development of students into your position?

3.  How do you define diversity? What experiences have you had in dealing with issues of diversity?

4.  What is your motivation for applying for this position and how does it fit with your future goals?

References: Please submit 3 letters of reference at the time of application

Please list your 3 references below.

1.

2.

3.

Briefly describe any non-classroom involvement required by your program (i.e. internships, field placements, practica, etc.). How many hours per week are required?

*Please submit a resume with your application.

*I verify that all of the above information is true and correct to the best of my knowledge. I understand that providing false or misleading information may lead to my disqualification for consideration, future dismissal, or other job action. I also understand that I may be asked to submit to a criminal background check performed by the Rutgers University Police Department.

Applicant’s Signature: / Date: