Student Housing Interest Form
Housing approved upon availability.
Student Information
Your name
*
First Name
Last Name
Phone number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver's License Number
*
Expiration Date
*
-
Month
-
Day
Year
Date
Copy of Driver's License
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have a vehicle?
*
Yes
No
Vehicle Details
Rows
Type
Model
Make
Year
Color
License Plate No.
1
Date you would like to move in:
*
-
Month
-
Day
Year
Date
Date you would like to move out:
*
-
Month
-
Day
Year
Date
School Information
School
*
C/O
*
Agreement
Tenant Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: