Statesboro Renewal Student Application 2023-2024

Statesboro Renewal Student Application 2023-2024

Even if you are not a student but have a cosigner, you will still fill out this form and put N/A on any student related questions!
Apartment Number*
YesNo
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Social Security Number *
MaleFemale
WhiteBlackOther
Drivers License Number/State/Exp. Date*
ActiveReservesN/A
FreshmanSophomoreJuniorSeniorGraduateN/A
Who will be your roommate(s)? If in a studio put N/A*
Applicants Employer- If you are not employed, please put N/A
Applicants Employer- If you do not have a job please put N/A*
Employers Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employers Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Sponsor Name *

First NameLast Name
Parent/Sponsor Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Sponsor Email*
example@example.com
Parent/Sponsor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Sponsor Employer- If your cosigner is retired, we require a savings or income statement *
Parent/Sponsor Employer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Sponsor Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature*

Clear
Date*

MonthDayYear
Date
Please upload a copy of your (applicants) ID here: *

Cancelof
Should be Empty: