2018-2019 Residential Technology Consultant (RTC) Application


Please complete all sections below. If you have questions, please email: lab@orl.ucla.edu.

The principal purpose for requesting the information on this application form is to evaluate qualifications for employment. This information is solicited in accordance with University policy adopted pursuant to Article IX, Section 9 of the California Constitution. Furnishing each item of information requested on the attached form is voluntary. Failure to provide the requested information will delay or may prevent completion of the evaluation of your application. The information supplied on this application form may be subject to validation check.

Personal Information
Academic Program at UCLA
Please indicate “undeclared” if undeclared.
Employment History
Extracurricular Activities
Please answer the following questions: