Academic Peer Mentor Application
Ball State Housing and Residence Life

When completing the application, please use the tab key (not the enter key) to complete each requested data field. When the application is complete, hit the enter button.

In addition to completing an application, students must visit the Career Center for a referral slip (job number 199815) prior to an interview.


Personal Information
Full Name: (First and Last)

Preferred First Name or Nickname:
Email Address:
Current Campus Address (hall and room number)
Cell Telephone:
Permanent Address:


Zip Code:
2015-2016 Residence Hall Assignment:
Academic Involvement  
Number of Semesters Completed at Ball State (include the current semester):

Cumulative GPA:
Total Number of Credit Hours Completed prior to the current semester:
Semester GPA:
Number of Semesters Living in
the Residence Halls at Ball State:

Anticipated Graduation Date:

Additional Information

Please tell us what about the Academic Peer Mentor position interests you the most:

What activities or organizations have you participated in as a Ball State student , and explain how they have enabled you to develop skills for the Academic Peer Mentor position?


Please list any leadership positions you have held at Ball State or other institutions:

Please describe any event planning or organizing experience you have:

What academic or extra-curricular involvements (clubs, organizations, etc.) do you plan to be active in next year? Will any take a portion of your personal time:


Please rank in first order of preference (1-12) the living-learning communities you would like to work with:

Advanced Transfer
Early and Elementary Education
Emerging Media
Social Sciences
Theatre and Dance

Please share why you are most interested in the top three communities below:


Please provide the name, address, phone number, and email address for two references from previous or current employers or Ball State faculty or staff (Do not include the names of undergraduate students.):

Reference #1

Reference #2


To the best of my knowledge, the information submitted above is accurate.

 Please click on the button below one time to submit your application.

Ball State University is an equal opportunity employer.