Residence Hall Association - Download as DOC

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					                                              Residence Hall Association
                                              Intent to Run Form




I, ___________________________, intend to run for the position of _______________________.
To the best of my knowledge, I believe I fulfill the requirements for the position as outlined in the
RHA Constitution (which can be located at http://www.asu.edu/rha).


_______________________________                      _______________
Signature                                            Date

Please rank your preference (one being the greatest) for which complex you would like to be
placed in:

___ Delsa                                           ___ Center Complex
___ Hassa (Phase 1)                                 ___ PLEX (Palo Verde East/West)
___ Yampa (Phase 2)                                 ___ SPAM (Palo Verde Main/ San Pablo)
___ Barrett West (Sage, Cereus, Agave)              ___ Cholla Apartments
___ Barrett East (All Others)                       ___ Towers Apartments



Please check any of the Residential Colleges that you are eligible to live in:
___ Barrett, The Honors College (Barrett Residential Complex)
___ Herberger College of Arts and Design (Best Halls)
___ Ira A. Fulton School of Engineering (Palo Verde Main Hall)
___ School of Sustainability (Irish Halls)
___ College of Education (Hassayampa Academic Village)
___ W.P. Carey School of Business (Hassayampa Academic Village)
___ College of Liberal Arts and Sciences (CLAS) (Hassayampa Academic Village)
___ University College - Explorers (Hassayampa Academic Village)

Placement in halls is at the discretion of the RHA Director. Ranked preferences and residential
college compatibility will be considered for placement in a complex. If there are any factors that
you would like the Director to consider during placement please write them below.
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                                   Residential Life
                         Student Information Release Waiver

Student Name: _________________________________________________

ASU Identification Number: ________________________________________


Educational Records to be Released: Disciplinary Records and semester/cumulative GPA


Party/ Class of Parties to whom Disclosure of Records may be made, “Authorized Recipient(s)”:
                        Cory Shapiro
                        Assistant Director, Department of Residential Life
                        170 Student Services Building
                        Mail Code: 0212


Purpose of the Disclosure: Confirmation of Disciplinary and academic standing


By presenting a signed and dated copy of this Consent to Arizona State University, “ASU”, Student
consents to the release by ASU of the Records to the Authorized Recipient(s) for the purpose stated
above. The Student further agrees that ASU may discuss the information contained in the record
with the authorized recipient(s). This Consent applies to educational records that may otherwise be
protected under the Family Educational Rights and Privacy Act of 1974, as amended, 20 U.S.C.
1232g.


Student Signature: __________________________________________________


Date: __________________________________________

				
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