ONLINE APPLICATION

How did you hear about us?

REFERENCES

INDICATE TWO PEOPLE WHO GENERALLY KNOW HOW TO CONTACT YOU

HOUSEHOLD

LIST THE HEAD OF HOUSEHOLD AND ALL OTHER FAMILY MEMBERS WHO WILL BE LIVING IN THE APARTMENT/LOFT. GIVE THE RELATIONSHIP OF EACH FAMILY MEMBER TO THE HEAD OF HOUSEHOLD

NAME

RELATIONSHIP

DOB

SEX

SS#

YOUR CURRENT HOUSING STATUS

Are You Being Evicted? *
Has your residency ever been terminated for fraud, non-payment of rent, or failure to comply with lease? *
Do you plan to have anyone else living with you in the future who is not already listed above?
Do You Own A Car?

HOUSING HISTORY

Past 2 years of housing history (required)

Have you lived in any other states in the past 5 years?

INCOME INFORMATION

DO YOU NOW RECEIVE OR EXPECT TO RECEIVE INCOME FROM ANY OF THE FOLLOWING SOURCES? IF INCOME WILL BE USED TO DETERMINE ELIGIBILITY YOU WILL NEED TO PROVIDE 2 MONTHS PROOF OF INCOME FROM SOURCE.

Employment
Self Employment
Social Security/SSI/SSDI
Scolarship/Student Financial Aid
Severance Pay
AFDC/TANF/Welfare/GA
Unemployment
Pension/Retirement
Disability/Death Benefits
Strike Benefits
Insurance Policy
Annuities
Alimony/Spousal/Child Support
Regular Cash Contributions/Gifts
Armed Forces Pay or Allowances

BACKGROUND STATUS

Have you been convicted of a felony or any drug related charge within the past 7 years? *
Are you subjected to lifetime registration as a sex offender? *

By entering your digital signature below, you are giving permission to run both a credit and criminal back ground check. A copy of report will be furnished upon request. You further understand that there is an application fee of $45 per adult and this is non refundable. Application fee can be paid with cash or money order.