APPLICATION FOR RENTAL

Proposed Property Information

Property Name*
Property Type*

Applicant Information

First Name*
Last Name*
SSN or Passport#
Driver's License#
State Issued
Birth Date*
Home Phone*
Cell Phone*
Email*

Parent's Information

Mother Name
Address
Phone*

Father Name
Address
Phone*

Current Address

Street Address
City
State
Zip
Date In*
Date Out*
Landlord Name
Landlord Phone
Monthly Rent $*
Reason For Leaving

Student Information

What College Do You Attend?
Current Year or Status
Begin Date*
End Date*
Student ID

I the undersigned, authorize University Hill Apartments, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history and landlord/tenant court record search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This investigation is for resident screening purposes only, and is strictly condential.