RSA Application

Please take a look at the questions on this application. If you expect this to take a bit of time, it is suggested that you plan your answers out first, then proceed to fill out the application.

Remember that you must hand in your RSA Interview Sheet, Program Planning form, references, and a copy of your resume to the Office of Residential Life as well as submitting the application below in order for your application to be considered complete.

If you would like to verify that your application has been received, please email Chris Rader at raderc@sacredheart.edu.

Personal Information
Name * First Last
Student ID Number *

Include the 0 at the beginning
Gender
Male Female
Residence Hall Assignment *
Apartment/Room Number
Permanent/Off Campus Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone Number * ### - ### - ####
Alternate Phone Number ### - ### - ####
Email Address *
Academic Major *
Last Semester's GPA *
Cumulative GPA *
Current Class Standing *
Expected Year of Graduation *
If you are a transfer student, what was your former institution?
Have you ever been found responsible for violating the Student Code of Conduct? *
Yes No
If you have been found responsible, please briefly explain the incident:
Questions
Would you be interested in working in a Living Learning Community (LLC)? *
What interests you about working in a Living Learning Community (LLC)? *
What are three of your strengths? Please explain each: *
What are three areas you would like to improve upon? Please explain each: *
Explain any former work or leadership experience you may have that will be beneficial to the RSA position: *
What are two concerns that SHU students are faced with? *
What does the word "community" mean to you? How would you use your definition to bring your residence area closer together? *
The following question is not a request. We are interested to hear what residential area you feel you would do best in. The Office of Residential Life maintains the right to place you in a location to best meet the overall needs of the department, the staff, and most importantly the needs of the residential population of Sacred Heart University.
What residential area do you feel you would work best in and why?
Agreement

I certify that all of the information disclosed on this application is true and accurate and that any misrepresentation of my facts may constitute a cause for non-appointment or dismissal. I understand that as a condition of this application, my GPA, conduct records, and all past or current supervisors or Residential Life staff members may be contacted.
Place your initials here acknowledging agreement with the above statement *
Today's Date * MM / DD / YYYY
Do Not Fill This Out

Resident Success Assistant Application

Personal Information

Questions

Agreement

Campus LifeLife On & Off CampusHousing and Residential LifeResident Success Assistant Selection ProcessResident Success Assistant New Hire InformationRSA Application

Events Calendar