Lease Application

Application is for information only and does not obligate landlord to execute a lease or deliver possession to proposed resident(s).

Personal information:

Full name:

Cell phone:

   

Phone:

   

Permanent address:

City:

State:

Zip:

Local address: (Check if same as above)

City:

State:

Zip:

Drivers license number:

Social security number:

- -

State:

Date of birth (month/day/year):

Current class standing:

Graduate Senior Junior Sophomore Freshman

Anticipated graduation date:

Anticipated move in date:

Email:

    

Parent, guardian or emergency contact:

Full name:

City:

State:

Zip:

Address:

Home phone:

Work phone:

Employer:

    

Floor plan options:

Assignments are based on availability upon receipt of completed applications, deposit and application fees.

Choice

Bedrooms/Baths

Requested roommates

1 Bedroom / 1 bath

N/A

2 Bedroom / 1 bath

3 Bedroom / 1 bath

4 Bedroom / 1 bath