Applicant type: Non-Student Rental   Undergraduate Student   Graduate Student
Property Information

Property of Interest:      Specific Apartment Choice: 
Applicant Information
First:
Middle:
Last:
Date of Birth:
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SSN:
Phone Number:
Email:
Current Address
Street1:
Street2:
City:
State: Zip:

Any other name(s) used (including maiden name): 
Number of students in group: 
Graduation Year: 
Parents Email Address (for billing purposes): 
Current Living Situation: 
How did you hear about us? 

Preferred Roommates (Type a last name then hit Tab to add another Roommate.  The maximum is three.)
Please list all people who will reside in the residence:
First:   MI:   Last:   Relation:   Gender:  Male   Female
Phone Number:    Email:   Year in school:  

Additional Comments or Notes
APPLICANT SIGNATURE: 



   
Database Name:  James Properties 102786