Spring CA Application

Personal and Educational Information

First Name:

Middle Name:

Last Name:

Current Address (including hall and room number or street address):

Permanent Address:

Preferred Current Phone Number (including area code):

Permanent Phone Number (including area code):

Sex:

Email address where correspondence can be sent:

Major:

Spring Semester 2012 GPA:

Cumulative GPA:

How many semesters have you lived in the residence halls (including this semester)?:

Please list the communities in which you have lived at MSU:

If you have lived in residence halls on another campus, please indicate the name of the institution:

Have you ever worked for the Department of Residential Life? If yes, please specify the nature of your position.

Are there any medical considerations that may impact your community or hall placement if you are selected as a staff member? If so, please explain:

Short Answer Questions (Suggestion: Type and edit in Word, then cut and paste into text box below.)

What led you to apply for the Community Advisor (CA) or Apartment Community Advisor (ACA) position, and what assets or skills do you think you possess that would be helpful in the CA/ACA position?

Describe the characteristics of a positive community and what role you see the CA/ACA playing in that community.

What will be your goals as a CA/ACA? What challenges do you anticipate in achieving them?

Additional Questions for Apartment Community Advisor Candidates

What unique opportunities and challenges do you anticipate encountering in an apartment community?

The apartment community is physically separated from the main campus. As an ACA how can you help residents feel connected to the greater campus community?

Experience and Commitments

Describe your leadership experiences relevant to the CA and ACA positions.

Please list your recent work history and relevant experiences as they relate to the CA and ACA positions. Please include the company/organization name, your position within it, and when you were employed/associated with them.

Please list outside commitments you plan to be involved with during the spring 2013 semester (i.e. internships, practicums, student teaching, clinicals, student organizations and athletics).

Please list any honors and awards you have received that are relevant to this application.

References

First and Last Name:

Address (including city and state):

Telephone number:

Relationship to you:

First and Last Name:

Address (including city and state):

Telephone number:

Relationship to you:

Please Read and Sign

• have and maintain a cumulative GPA of 2.5 and a semester GPA of at least 2.0 each semester.
• have and maintain a 12-18 hour course credit load per semester (6-12 for graduate students).
• have and maintain good conduct standing (i.e. not be on probation after December 14, 2012).

Electronic Signature:

Date: