University Resident Assistant Application Form

University Resident Assistant Application Form

An agreement form for university students about residents and other commitments Form Preview
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  • Please list 3 non-familial references. ONE REFERENCE MUST be from any current Longwood University Resident Assistant and faculty/staff member. The third reference is optional, but this can be used to include references from other professional experiences.

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  • By clicking the submit button, I authorize Residential and Commuter Life to verify my grade point average and my disciplinary record.  I understand that I must be in good standing with the University and maintain a minimum 2.5 GPA.I also certify on my honor that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Longwood University from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employement for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This online application does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act (ADA) and other relevant federal and state laws.


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