Student Application
We are currently **FULL** for the 2021-2022 school year. Any applications received after 4/1/20 will be automatically added to our wait list.
Primary Applicant Name *
Gender *
Semester *
Required
Property Location *
Required
Room Type *
Names of Desired Roommates?
Birth date *
MM
/
DD
/
YYYY
Phone Number *
Email Address *
Driver's License # *
Driver's License State *
Social Security # *
Student ID # *
Parents Names *
Parent Address *
Parent Phone Numbers *
Parent Email *
REFERENCES
Previous Landlord (1) *
Previous Landlord Contact Info (1) *
Previous Landlord (2)
Previous Landlord Contact Info (2)
Previous Employer *
Previous Employer Contact Info *
Supplemental Questions
Have you ever been evicted? *
Have you ever been convicted of a felony? *
Have you ever filed for bankruptcy? *
Do you smoke, drink, or do drugs? *
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