All information with a red label is required.
Applicant Information
First MI Last
Permanent Home Address
State Zip
Home Phone
Cell Phone
Date of Birth
calendar icon
International Student
Male   Female
E-mail Address:
School E-mail
Personal E-mail
School Information
College Attending:  
Expected Major       
Expected Move In:  Fall   Summer
Expected Graduation Date        
Emergency Contact Information
First MI Last
Home Phone
Cell Phone
Work Phone
same as Permanent Home Addres
State Zip
Guarantor Information
A guarantor must be a person over the age of 21, usually a parent, who agrees to be responsible if you are ever unable to fulfill the financial obligations of your housing agreement.  Please provide the information below for the person who you expect to serve as your guarantor.
First MI Last
Home Phone
Cell Phone
Work Phone
Date of Birth
same as Permanent Home Address
State Zip
You must print and complete a Guarantor form as part of this application.  The guaranty must be signed by your guarantor in front of a notary, who will then complete the form and apply the notary public stamp or seal to validate it.  All residents are required to have a guarantor, and will not be allowed to sign a housing agreement without one.
Roommate Information
Please list preferred roommates (max of three):
First Last Email Phone
If possible, I would like to be assigned to: 1st Floor 2nd Floor No Preference

The following information will be used for roommate matching only.  Please complete this section as if you were talking to a prospective roommate and keep in mind that your honesty will benefit both you and your roommates.  Check all items that apply.
I smoke
I smoke outside
I smoke both inside and outside
I do not smoke

It bothers me if others smoke:
Inside Outside
How often do you drink?
I cannot drink; I am not of age

It bothers me if others drink
Lifestyle Questions
I study in the apartment: Often Occasionally Seldom I stay up late: Yes No
I cook: Yes No I work: Yes No
My friends visit: Often Occasionally Seldom I party in the apartment: Yes No
Are you willing to live with pets: Yes No Do you plan on having a pet live with you at Magnolia Park? Yes No
Are you, or will you be, in a fraternity or sorority? Yes No
Are you, or will you be, on any sports teams at your school? Yes No
Are you a member of any campus organizations, clubs or groups? Yes No

Any pet peeves?

Music Preferences (Check all that apply)
  • Alternative
  • Country
  • Metal
  • Hip Hop
  • Bluegrass
  • Blues
  • Dance
  • Rap
  • New Wave
  • Soul
  • Christian
  • Disco
  • Latin
  • World Pop Rock
  • Rock & Roll
  • Gospel
  • Jazz
  • R&B
  • Top 40
  • Oldies
  • Folk Rock
  • Hard Rock
  • Club
  • Punk
  • Soft Rock
  • Other
Hobbies/Interests (Check all that apply)
  • Arts/Crafts
  • Boating
  • Concerts
  • Computers/Internet
  • Science Fiction
  • Swimming
  • Volleyball
  • Auto Repair
  • Book Reading
  • Cooking
  • Musical Instruments
  • Science/Technology
  • Table Tennis
  • Watching Sports
  • Basketball
  • Camping
  • Fishing/Hunting
  • Politics
  • Shopping
  • Travel
  • Water Skiing
  • Bicycling
  • Card Games
  • Golf
  • Religion
  • Snow Skiing
  • TV/Watching Movies
  • Dancing
  • Billiards
  • Photography
  • Running/Jogging
  • Softball/Baseball
  • Video Games
  • Greek Life
  • Writing
  • Other
Favorite TV Channels (Check all that apply)
  • VH1
  • ABC
  • ESPN
  • FX
  • WE
  • MTV
  • NBC
  • CPAN
  • Food Network
  • Cartoon Network
  • CMT
  • FOX
  • CNN
  • Nickelodeon
  • Lifetime
  • BET
  • Discovery
  • Comedy Central
  • Sci-Fi
  • E!
  • The CW
  • History Channel
  • HBO
  • QVC
  • Other
Lifestyle/Personality (Check all that apply)
  • Adventurous
  • Confident
  • Follower
  • Good Listener
  • Humorous
  • Open-Minded
  • Organized
  • Spontaneous
  • Conservative
  • Forgiving
  • Hard-Working
  • Imaginative
  • Philosophical
  • Outspoken
  • Aggressive
  • Cautious
  • Friendly
  • Helpful
  • Independent
  • Reserved
  • Laid Back
  • Competitive
  • Emotional
  • Caring
  • Team Player
  • Intelligent
  • Shy
  • Talkative
  • Athletic
  • Sensitive
  • Risk-Taker
  • Sophisticated
  • Outgoing
  • Religious
  • Serious
  • Other
On most weeknights I:
Watch TV Study Listen to Music
Entertain Friends Go Out Work
On most weekends I:
Watch TV Study Listen to Music
Entertain Friends Go Out Work
Where I Study How Much I Study When I Study
I prefer to study in my bedroom I study less than 1 hour/day I prefer to study in the morning
I prefer to study in the living room I study 1-3 hours/day I prefer to study in the afternoon
I prefer to study at the library I study more than 3 hours/day I prefer to study at night

Other people consider me to be:
Immaculately Clean [1]
Very Messy [5] Your selection:
Extremely Quiet [1]
Really Outgoing [5]     Your selection:
Morning Person [1]
Night Person [5] Your selection:
I give permission to release my contact information and roommate matching preferences to prospective roommates.
Terms and Conditions

This is a lease application for an undivided interest in a bedroom that is part of a unit of bedrooms of Magnolia Park, located at 529 W Bypass NW Milledgeville, GA 31061, which unit landlord will identify in a written notice to Tenant prior to the beginning of the lease Term.  As used in the application, "you" mean the applicant (resident or tenant) whose name appears above. The applicant and the Guarantor of the applicant are jointly and severely liable for any payment due to us. "We", "our" or "us" means the landlord. UPON EXECUTION OF THIS APPLICATION, YOU ACKNOWLEDGE THAT YOU HAVE READ AND AGREE TO ALL ITS PROVISIONS.

CORRECT INFORMATION:  You represent that all of the above statements are true and complete, and you will authorize verification of the above information, references and credit records.  You understand that you have paid to us the sum of $50.00 as a non-refundable fee for our cost and expenses in checking your credit and the credit of your Guarantor(s).  Unless you are applying during a special offer period in which this fee is waived. You acknowledge that false information may constitute a criminal offense under the laws of the state of Mississippi.

HOLDING FEE AGREEMENT:  If you are approved by us, and the Lease is entered into, you agree to give us a $175.00 'Holding Fee' in consideration for our reserving a dwelling and taking it off the market.  The Holding Fee will be credited to the required $75.00 Activity Fee and the $100.00 Move-In Fee once we have assigned you a unit.  If you are assigned a unit, but fail to pay the first month's rent, the Holding Fee will be retained by us for liquidated damages.  We will not assign a rental space at the time of the execution of the Lease due to the exigencies of construction and/or roommate matching.  Unit Assignment will be furnished only after the lease and other Guaranty documents have been properly executed by all parties and applicable rentals and fees have been paid.  This application does not obligate us to execute a lease or deliver possession of the proposed premises.  All leases are for a twelve month period.

GUARANTY OF LEASE:  In order to induce us to lease to you, you ( as the applicant) must provide a Guarantor who (if more than one, jointly and severally) unconditionally guarantee the payment of all obligations under the Lease to be executed by the you or any renewal, extension or subsequent Lease (whether the same or different unit), and to pay all amounts, including but not limited to rent, fines imposed pursuant to the Rules and Regulations, charges and damages to the Apartment, late charges or attorney's fees incurred in the enforcement of the Lease or any renewal, extension or subsequent lease.  Failure to provide a Guaranty will entitle us to refuse your application for that reason and retain the Holding Fee as agreed for liquidated damages.

EQUAL CREDIT OPPORTUNITY ACT:  The Federal ECOA prohibits discrimination against credit applicants of the basis of sex, race, or marital status.  The Federal Agency which administers compliance with this law concerning this rental home is the Federal Trade Commission.

I, the Undersigned Applicant, have read and agree to all terms and conditions set forth in this application.  I understand that this application is part of my Housing License Agreement, especially those areas regarding earnest monies.

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