RENTAL APPLICATION (PLEASE PRINT, FILL OUT AND SUBMIT PRIOR TO LEASE SIGNING.)

DATE ____/____/____/ DATE OF BIRTH ____/____/____/ GRADUATION DATE _________________

FULL NAME ____________________________________________________________________________

CURRENT LANDLORD/PHONE ___________________________________________________________

CURRENT ADDRESS ____________________________________________________________________

CURRENT PHONE NUMBER (______)______________________________________________________

CELLULAR PHONE NUMBER (______)_____________________________________________________

SOCIAL SECURITY NO. _________________ STUDENT PID __________________________________

DRIVERS LICENSE NO. _______________ PREVIOUS LANDLORD ____________________________

PHONE NUMBER WHERE YOU CAN BE REACHED THIS SUMMER __________________________

EMAIL ADDRESS _______________________________________________________________________

EMPLOYER _______________________ ADDRESS __________________________________________

POSITION ______________________________________________________________________________

PARENT'S NAMES ______________________________________________________________________

PARENT'S HOME ADDRESS _____________________________________________________________

CITY _________________________________ STATE _______________________ ZIP ______________

PARENT'S PHONE (______)_______________________________________________________________

CAR/MAKE/MODEL/LIC. PLATE _________________________________________________________

CREDIT INFORMATION: BANK NAME ___________________________________________________

SAVINGS ACCOUNT # _____________________ CHECKING ACCOUNT # ______________________

APPLICANT'S SIGNATURE: _____________________________________________________________

I (WE) AUTHORIZE THE LESSOR TO INVESTIGATE MY (OUR) CREDIT AND RENTAL HISTORY, TO THE EXTENT ALLOWED BY LAW, AND TO OBTAIN INFORMATION FROM CONSUMER REPORTING AGENCIES OR OTHER SOURCES.