APPLICATION FOR IPRA

The application below is a major component in the application process.  Please take the time to be thorough and put thought into your responses.

Please read the FAQs prior to submitting an application.  We recommend that you answer the Reflection Questions (section 6) in Microsoft Word before you begin, and then paste the answers into the form (this will ensure you do not accidentally send the form before you are ready, and it will allow you to spell-check your answers).

1. POSITION INFORMATION

I am applying as a:

     NEW APPLICANT (I am not currently working or have not worked for Community Living)

     RETURNING APPLICANT (I am currently working or have worked for Community Living)

Please select the position for which you are applying.  You may apply for only one position per term.  If you would like to apply for additional positions in other terms, it will require you to submit another application when you complete this one.

 

International Programs   Year
2008-2009		 Fall Only
2008		 Spring Only
2009		 Summer
2008
           

RA-Buenos Aires

      
           

RA-Florence

      
           

RA-Heidelberg

        
           

RA-Shanghai

       
           

RA-London

        
           

RA-Switzerland

      
           
RA-Heidelberg Music        
           
RA-London Internship        
           

  

   

2. PERSONAL INFORMATION

 

First Name:
Middle Name:
Last Name:
Preferred Name:
Gender: Male Female
Pepperdine Email:
Pepperdine Box #:
Pepperdine Extension (if applicable):
   
Mailing Address (if not campus mail):
Cell or Home Phone (if not on campus):

 

3. GENERAL INFORMATION

 
Home City:
Home State:
Major: 
Minor:
Cumulative GPA:
Academic Year:
Number of semesters you have lived on campus:
Member of which fraternity or sorority?:
Approximate units per semester: Fall 2008 
Spring 2009
Summer 2008 (for summer applicants)

 

4. RECOMMENDATIONS
 
In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), you have the opportunity to choose if you would like to send a waived or non-waived recommendation to your recommenders.  A "waived" recommendation is one which you have given up your right to access/view the completed recommendation.  (If no choice is indicated your recommendations will be waived). 

I would like my recommendations to be waived.      non-waived.

Please list the individuals who will be submitting recommendations for you.  When you submit your application, the recommendations will be automatically sent to these individuals.  For this reason, it is crucial that you enter the exact email addresses of your recommenders - if it is off by even one letter/number, they will not receive the recommendation form, which will slow and maybe disqualify you from the selection process. 

 
1. Professional (New applicants: this is someone who has supervised you on campus.  If you have never worked on campus, please list a professor.  Returning applicants: this is your current supervisor).
     Name:
     Position:
     Email:
     Phone Ext.
   
2. RA/SLA (New applicants: choose a staff person from your living area..  Returning applicants: choose a co-worker from your living area).
     Name:
     Position:
     Email:
     Phone Ext.

 

5. CURRENT STANDING
   
Have you ever been on academic probation in college? Yes     No
Have you received any warnings, sanctions or fees due to disciplinary violations in college? Yes     No
Are there any pending disciplinary actions against you? Yes     No
   
If you answered "yes" to any of the above questions, please explain below.  
 
   

 

6. REFLECTION QUESTIONS
 
A) Short answer: Identify and describe areas of growth you have experienced recently in your spiritual journey.  How would you foster spiritual growth in the group?
 

B) Short answer: Describe previous leadership experiences - including both University and non-University experiences - and how these experiences will contribute to your ability to be a good RA.
 

C) Essay question: What are the necessary elements of a living-learning community that fosters the social, spiritual, intellectual and personal development of the whole person?  (Consider what activities, experiences, attitudes, facilities, etc. would be necessary in this kind of community.)  What would you do in order to foster this kind of community in your living area?
 
 
If all of the above information is true and correct to the best of your knowledge, please type your full name in this box.


                                                    

Created by the Technology Intern Program
Revised 16 October 2007