Fill in entire address below;
Zip Code -
First & Last Name:
Parent/Guardian Home Address:
Present Term (ex: junior, 2nd semester)
Cumulative Grade Point Average (GPA)
LIST OF RENTAL PAYMENT ARRANGEMENTS BELOW:
Payment schedule below:
Upon signing lease, $400 Security Deposit
1st Payment (1/2 Fall rent) Due - 03/01/2017
2nd Payment (1/2 Fall rent) Due - 06/01/2017
3rd Payment (Spring rent) Due - 08/20/2017
CAN YOU MAKE THESE PAYMENTS ON TIME?
YES - I can make payments on time
NO - I cannot make payments as indicated. I need a student loan/special payment schedule.
LIST OF POTENTIAL ROOMATES:
Please use the box below to list roomates:
Potential Roomates -
DO YOU KNOW ANY/ALL TENANTS IN THE APARTMENT?
YES - I know tenants
NO - I do not know tenants
If you answered yes to the above question, do you have any problems with them, or they with you?
If yes, please explain in box below;
HAVE YOU EVER BEEN EVICTED FROM AN APARTMENT OR DORMITORY?
If you answered yes to the above question, please explain in box below;
HAVE YOU EVER BEEN CITED FOR DAMAGING ANY HOUSING, OR DISRUPTIVE TO FELLOW TENANTS?
Year of Tenancy -
Location of Apartment -
Landlord's Name -
Landlord's Phone Number -
How did you hear about our apartments?
To shedule an appointment to see an apartment, please give us a call:
Select a time/day that suits all prospective tenants
in your group.
I give my permission to allow any required review, contact any sources, required to make a judgement on my application. I hereby
agree that all information is true and correct. I understand that falsification can result, as determined by the landlord, in immediate
YES - I agree to terms
NO - I do not agree to terms
If you agree with these terms, please type your signature in box below:
Please Enter Today's Date:
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