All information with a red label is required.
Property Information
Which Property are you applying for?
Date Submitted

05-24-2017
Applicant Information
First MI Last
Permanent Home Address
Street
Street2/Apt
City
State Zip
Home Phone
Cell Phone
Driver's License Number  State 
Date of Birth
calendar icon
International Student
SSN
Gender
Male   Female
E-mail Address
School E-mail
Personal E-mail
Choose the e-mail address you prefer to receive information:
School Personal
School Information
College Attending
Expected Major   
Expected Move In  Fall  Winter  Spring  Summer
Current Status 
Expected Graduation Date        
Emergency Contact Information
First MI Last
Home Phone
Cell Phone
Work Phone
E-mail
same as Permanent Home Addres
Street
Street2/Apt
City
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
SSN
Home Phone
Cell Phone
Work Phone
E-mail
Driver's License Number  State 
Date of Birth
same as Permanent Home Address
Street
Street2/Apt
City
State Zip
You must print and complete a Guaranty 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 [Optional]
Please list preferred roommates (max of three):
First     Last     Email     Phone
If possible, I would like to be assigned to: 1st Floor 2nd Floor 3rd Floor No Preference
If possible, I would like to be assigned to: Bed A Bed B Bed C Bed D No Preference

Preferences
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.
Smoking:
I smoke I smoke outside I do not smoke
Alcohol:
I drink I do not drink I cannot drink; I am not of age
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
Studying:
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

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 certify that the above information is correct and complete and hereby authorize you to do a credit check and make any inquiries you feel necessary to evaluate my tenancy and credit standing.  I/We understand that giving incomplete or false information is grounds for rejection of this application.  If any information supplied on this application is later found to be false, this is grounds for termination of tenancy.

Owner/Agent has charged a screening charge as set forth above.  Landlord may obtain a consumer credit report and/or an Investigative Consumer Report which may include the checking of the applicant's credit, income, employment, rental history, criminal court records and may include information as to his/her character, general reputation, personal characteristics, and mode of living.  You have the right to request additional disclosures provided under Section 606(b) of the Fair Credit Reporting Act, and a written summary of your rights pursuant to Section 609(c).  You have the right to dispute the accuracy of the information provided to the Owner/Agent by the screening company or the credit reporting agency as well as complete and accurate disclosure of the nature and scope of the investigation.

APPLICANT SIGNATURE: 


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