Report:
Hall: RA: Date:
RA Report:

Problems:

RA and Resident Interaction:

Check the Following:
Front Door Bathrooms Girls/Boys Out of Dorm
Rear Door Computer Rooms Vending Machines
Laundry Room Lounges TV

Did you received a visit from the Housing Coordinator on your shift?

Please answer the following questions about the visit. If the Housing Coordinator did not visit, please fill in the required fields with "N/A" for not applicable.
Date:
Arrival Time:
Departure Time:
Purpose of Visit:
What was accomplished: