Student Staff Information Form

Welcome to Residential Programs!  We are excited that each of you will be a part of creating the experience for our residential communities in the 2014-2015 academic year.  Please fill out all required fields in the information form below.

For name tags, door tags, etc.
Please include residence hall and room number
Month, Day, Year ex.: 09/25/1990
Please list any dietary needs or enter "none"
If yes, please include office/department name, supervisor name and contact information.
i.e., Do you keep Sabbath? Do you celebrate Ramadan? This will help us best support you.
If same as summer mailing address, list "Same"
Please upload a photo of yourself for the website "Residential Staff" page.
If you do not have a rider, please enter "none"
Departments: 

Residential Programs

Visit

515 Alfred Lerner Hall
2920 Broadway
New York, NY 10027

Call: (212) 854-6805

Fax: (212) 854-6815

Office Hours
Monday–Friday

9:00 a.m.–5:00 p.m.