Application Form:

All Fields Required. Please enter "none" or "NA" if question does not apply.

 
Applicant
Name (Last, First, Middle):
Email:
Emergency Contact:
Phone No:
Student:
YES/NO
 
College Attending:
School or Department:
 
Spouse
Name (Last, First, Middle):
 
Current Residence
Address (Apt, Street, City, State & Zip):
Phone No:
How long there?
OWN/RENT
 
Present Landlord
Landlord Phone No:
Amt. Present Rent?
$
Lease Exp. Date

 
 
Apartment Desired
 
When Desired:
  Apartment Selection:
   
 
Total Occupants
Total No. of persons who will live in unit:
List below all occupants not mentioned above.
(1) Occupant Name:
Relationship:
(2) Occupant Name:
Relationship:
(3) Occupant Name:
Relationship:
 
Work Infomation
  Applicant Spouse
Employer's Name
Employer's Address
How long Employed
Position
Supervisor's Name
Work Telephone
Annual Income $ $
 
 
Bank Information
(1) Bank Name:
Branch:
Type of Account:
(2) Bank Name:
Branch:
Type of Account:

 
 
Vehicle Information
(1) Year:
Make:
Model:
Color:
Liscense No:
(2) Year:
Make:
Model:
Color:
Liscense No:

 
 
If a student, or your major source of income is parent or guardian, please supply the following information
Parent/Guardian Name:
Will parent/guardian guarantee rent payment? YES/NO
 
Address (Street, City, State & Zip):
Home Phone No:
Parent/Guardian Employer:
Work Phone No: