The Rollins at Gateway @ Millbrae Pre-Application

The Rollins Gateway @ Millbrae Station is now accepting applications for Studio Apartments with maximum household incomes ranging from $78,300 for a one-person household to $89,520 for a two-person household. 

Please fill out the form below to pre-apply for our studio apartments! 

Please Only Submit One Application Per Household

Call (650)583-8841or e-mail us at therollinsleasing@jsco.net if you have any questions.

Sign in to Google to save your progress. Learn more
Email *
Unit Size Applying For *
Required
Primary Language *
Required
First Name *
Middle Name
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Social Security Number *
Phone Number *
Work Phone Number *
Current Address (Full address) *
This property has housing preferences for veterans and those living and/or working within the City of Millbrae. Please indicate below which, if any, apply to you *
Required
How many people will live in your home?  Include yourself. *
Do you own a car? *
Do you require a parking space? *
Annual household gross income from all sources (Before any deductions). Your estimate. *
Do you plan to have anyone living with you in the future who is not listed above? *
Do you have a Section 8 voucher or other form of housing subsidy certificate? *

Please list at least two (2) years of rental history below.

Current Landlord Name:

 *

Current Landlord Phone Number:

 *

Current Landlord's Address:

 *

Date of Move-in:

 *
MM
/
DD
/
YYYY

Your Current Address / Apartment Number:

 *

Previous Landlord Name:

Previous Landlord's Phone Number:

 *

Previous Landlord's Address:

Date of Move-in:

MM
/
DD
/
YYYY

Date of Move-out:

MM
/
DD
/
YYYY

Your Previous Address / Apartment Number:

Do you require special unit design features for mobility, visual and/or hearing impairment?

Clear selection
How did you hear about us? 
 *

Please select the number of adult applicants.

 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms