Application for Residency

Apartment Information

*Desired Move In Date	*Desired Lease Term
	1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months 12 Months

Personal Information

*Last Name Suffix MI *First Name Jr. Sr. III IV *Birth Date            *Social Security #

E-Mail Home Phone Mobile Phone Please enter at least one contact number or an e-mail address above.

Spouse Personal Information

*Last Name MI *First Name *Date of Birth            *Social Security #

E-Mail Home Phone Mobile Phone Please enter at least one contact number or an e-mail address above.

Residence(s)

School Information

*Current School Attending Address City State Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY   *Status Full Time Part Time *Start Date *Planned Graduation Date    *Registrar Phone #

Previous School Attended Address City State Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY   Status Full Time Part Time Start Date End/Graduation Date    Registrar Phone #

Employment Information

If starting a new job soon, please list new job as "Present Employer" and current job under "Previous Employer."

*Present Employer *Position *Start Date *Address *City *State *Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Office Phone *Gross Income (before taxes):$ Wk Bi-Wk Mo Yr

Previous Employer Position *Start Date Address City State Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Office Phone Gross Income (before taxes):$ Wk Bi-Wk Mo Yr

Spouse Employment Information

If starting a new job soon, please list new job as "Present Employer" and current job under "Previous Employer."

*Present Employer *Position *Start Date *Address *City *State *Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Office Phone *Gross Income (before taxes):$ Wk Bi-Wk Mo Yr

Previous Employer Position *Start Date Address City State Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Office Phone Gross Income (before taxes):$ Wk Bi-Wk Mo Yr

Other Income

Please include all sources of income, including child support, SSI, investment dividends, significant savings accounts, interest income, real estate income, etc.

Other Occupants

A separate application must be completed for each roommate or occupant over the age of 18.

Last Name	MI	First Name	Relationship	Date of Birth
			Child Friend Relative Spouse Other
			Child Friend Relative Spouse Other
			Child Friend Relative Spouse Other
			Child Friend Relative Spouse Other
			Child Friend Relative Spouse Other

All Pets That Will Reside In Apartment

Automobiles & Recreational Vehicles

Personal References

Please provide names and addresses of individuals who have known you for several years.

Emergency Contact

Payment Information

For faster application processing, please provide credit card information. If you prefer to pay the application fee by check or money order, please mail payment to the leasing office and we will process your application as soon as payment is received. Additional deposits and/or fees may be required. Please contact the community for details.

Notes

Please use the space below to note if you are interested in a specific address, floorplan style, as well as any additional information you feel would help the leasing office in processing your application.

* = required fields