University of Pittsburgh - Johnstown OHRL

General Information

Name

first and last name

This is a required question

Pitt Email Address

This is a required question

Phone Number

please list the phone number to best reach you at

This is a required question

Local Mailing Address

street or PO box, city, state, & zip code

This is a required question

Permanent (Home) Address

street or PO box, city, state, & zip code

This is a required question

Do you live on campus? If yes, which building do you live in?

This is a required question

Academic Information

Academic Major?

This is a required question

Do you plan on transfering from Pitt-Johnstown to finish your degree?

This is a required question

Will your academic work involve an internship, practicum, clinical, student teaching, or study abroad experience?

If yes please list the semester (fall or spring) and the year / If no just write no below

This is a required question

Involvement Information

What organizations, clubs, and activities are you involved in (on and off campus)?

This is a required question

Have you ever held a student leadership position (college level)?

If yes list the position(s) and organization(s) / If no just write No

This is a required question

Do you anticipate holding a student leadership position if selected as a Resident Assistant?

If so please list the position(s) / If not just write No

This is a required question

Do you anticipate being involved in intercollegiate sports (not intramural) if selected for the RA position?

If so please list which sport(s) / If not just write No

This is a required question

Work History

Please list your work history

list employer, position title, and dates employed.

This is a required question

University Conduct / Criminal Background Information

Have you ever been found responsible for violating University policy?

If yes please explain the situation that occured / If no then just write no (please note that a prior conduct record does NOT automatically withdrawal you from the hiring process)

This is a required question

Have you ever been convicted of a criminal offense or infraction?

If yes please explain the situation that occured / If no then just write no (please note that a prior record does NOT automatically withdrawal you from the hiring process)

This is a required question

Terms of Application

I certify that the information I have provided in this application is valid. I have made every effort to accurately represent myself as a candidate for the Resident Assistant position at the University of Pittsburgh-Johnstown. Failure to disclose or falsification of information is grounds for dismissal from the position if hired. In addition, I understand that acceptance of the Resident Assistant position may impact my financial aid.

please type your full name if you agree to the terms outlined in this section

This is a required question

Reminders

Make sure your current resume and an interest letter that addresses the questions in the application packet are uploaded to your Simplicity Account. These must be uploaded to your account by the application deadline of October 23, 2013. Contact the Real World Career Services Office if you need assistance with your resume, interest letter, and/or with using your Simplicity account. You must have 2 Reference forms completed and returned to the Office of Housing & Residence Life by date listed on the forms. These individuals must meet the Reference Requirements which are listed in the information packet. Reference Forms are available for you to download on the Housing & Residence Life Webpage

Questions

If you have questions about the application, the interview process, or the Resident Assistant position please contact : Erica Wurm Area Coordinator 814-269-2023 elw68@pitt.edu