A G S 2 0 2 0 |Resident Assistant Application
Arkansas Governor’s School Resident Assistant Application
Full Legal Name: ______________________________________________________________________
Permanent Address: _____________
Email address: ______ Cell Phone: ( __) _____________ Date of Birth:
Current College/University Name: ____________________
Address of College: _____________________________________________________________________
(Street) (City) (Zip)
Major: Minor: GPA: _______________
Previous Arkansas Governor’s School Experience (dates and roles):
Please provide an official copy of your current college transcript, including your grades for the Fall 2019 semester. You
may either include your official transcript in its own sealed envelope along with the rest of your application OR contact
your college or university and request that an official copy of your transcript be sent to:
Arkansas Governor's School
Arkansas Tech University
1701 N. Boulder Ave.
Russellville, AR 72801
If you have any questions please contact us at:
Arkansas Governor’s School
Phone: (479) 968-0391
Email: ags@atu.edu