Housing Appllication

Primary Tenant's Information
Today's Date

MonthDayYear
Date
Primary Tenant Age
First Name*
Last Name*
Gender*

FemaleMale
Birthdate*

MonthDayYear
Date
Student Status*

Current SFA StudentFuture SFA StudentNot Enrolled at SFA
Do you smoke?*

NoYes
Contact Information
Cell Number*
Please enter a valid phone number.
Email*
example@example.com
Permanent Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will you have a roommate?*

NoYes

Secondary Tenant's Information
Secondary Tenant Age
First Name - Secondary*
Last Name - Secondary*
Gender - Secondary*

FemaleMale
Birthdate - Secondary*

MonthDayYear
Date
Student Status - Secondary*

Current SFA StudentFuture SFA StudentNot Enrolled at SFA
Do you smoke? - Secondary*

NoYes
Contact Information
Cell Number - Secondary*
Please enter a valid phone number.
Email - Secondary*
example@example.com
Permanent Mailing Address - Secondary*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Housing Details
Room Choice*

North Room - $600East Room - $550West Room - $400
Furnishings*

FurnishedUnfurnished
Move-In Date*

MonthDayYear
Date
Move-Out Date*

MonthDayYear
Date
Rent Amount

Vehicle Information
Will the primary tenant have a vehicle?*

NoYes
Will the secondary tenant have a vehicle?*

NoYes
Primary Leasee's Vehicle Information
Vehicle Make*
Vehicle Model*
License Plate #*
Secondary Leasee's Vehicle Information
Vehicle Make - Secondary*
Vehicle Model - Secondary*
License Plate # - Secondary*

Emergency Contact Information
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship to Tenant*
Secondary Tenant's Emergency Information
Emergency Contact Name - Secondary*
Emergency Contact Phone Number - Secondary*
Please enter a valid phone number.
Relationship to Tenant - Secondary*
Should be Empty: