Name Campus Box ID#

Berry email address

Current Residence Hall East Mary Friendship Pilgrim Dorothy Townhouses Dana Thomas Berry Morton Lemley Robinwood West Mary Clara NRH Room Room Phone

Home Address & Personal Information Section

Street Home Phone

City State Zip Code

Date of Birth

Academic Information

Academic Classification Freshman Sophomore Junior Senior Major

Last Semester GPA Cumulative GPA

Anticipated Graduation Date Fall 2009 2010 2011 2012 2013 Spring 2009 2010 2011 2012 2013

If a transfer of another college/university, please list:

Activites/Clubs, etc.

List activities/offices held during your college career at Berry/other colleges:

List qualifications/work experience that you feel would be appropriate to the position of being an effective resident assistant (includes dates, names of supervisors)

Preferences

Preferred assignment if hired (Assignments will be awarded on the basis of availability, perceived skills, and needs of the residence life program):

Short Answer

Please answer the following questions. Be brief & concise. Thank you.

1. Describe what you perceive the role of an RA is or should be:
   
    
2. What qualities do you possess that you feel are important to the RA position?
   
    
3. What contributions do you feel you could make as a resident assistant at Berry?