Primary Tenant's Information
Today's Date
-
Month
-
Day
Year
Date
Primary Tenant Age
First Name
*
Last Name
*
Gender
*
Female
Male
Birthdate
*
-
Month
-
Day
Year
Date
Student Status
*
Current SFA Student
Future SFA Student
Not Enrolled at SFA
Do you smoke?
*
No
Yes
Contact Information
Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Permanent Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you have a roommate?
*
No
Yes
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Secondary Tenant's Information
Secondary Tenant Age
First Name - Secondary
*
Last Name - Secondary
*
Gender - Secondary
*
Female
Male
Birthdate - Secondary
*
-
Month
-
Day
Year
Date
Student Status - Secondary
*
Current SFA Student
Future SFA Student
Not Enrolled at SFA
Do you smoke? - Secondary
*
No
Yes
Contact Information
Cell Number - Secondary
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email - Secondary
*
example@example.com
Permanent Mailing Address - Secondary
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Housing Details
Room Choice
*
North Room - $600
East Room - $550
West Room - $400
Furnishings
*
Furnished
Unfurnished
Move-In Date
*
-
Month
-
Day
Year
Date
Move-Out Date
*
-
Month
-
Day
Year
Date
Rent Amount
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Vehicle Information
Will the primary tenant have a vehicle?
*
No
Yes
Will the secondary tenant have a vehicle?
*
No
Yes
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
*
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Emergency Contact Information
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Tenant
*
Please Select
Friend
Grandparent
Legal Guardian
Parent
Relative
Sibling
Secondary Tenant's Emergency Information
Emergency Contact Name - Secondary
*
Emergency Contact Phone Number - Secondary
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Tenant - Secondary
*
Please Select
Friend
Grandparent
Legal Guardian
Parent
Relative
Sibling
Submit
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