Student Application Form
www.click4rental.com
Applicant's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What is your current year in college?
*
Freshman
Sophmore
Jr.
Sr.
Grad Student
Which student property are you interested in?
*
Have you already been shown this apartment?
*
Yes
No
Not sure
Will you have roommates?
*
Yes
No
Not sure yet
If so, please provide their information below
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your current landlord's name?
*
Mark "NA" if you don't currently have a landlord
What is your current landlord's phone number?
Please enter a valid phone number.
Format: (000) 000-0000.
Why are you leaving?
Please list an Emergency contact
*
Mark "NA" if you don't currently have a landlord
What is your emergency contact's address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the emergency contact's phone number?
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have pets?
*
Yes
No
How did you learn about this apartment?
What is your vehicle's license plate?
*
Mark "NA" if you don't have a vehicle
Please list a reference
*
First Name
Last Name
What is your relation to the reference?
*
i.e., Mother, Father, Friend, etc
What is the reference's phone number?
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is the reason this reference was chosen?
*
Do you agree that all of the information you provided in this form is true?
*
Yes
No
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Submit
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