Student Housing Interest Form
Housing Available Upon Availability
Student Information
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver's License Number
*
Date of Expiry
*
-
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?
*
Please Select
Yes
No
Vehicle Details
Type
Model
Make
Year
Color
License No.
1
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
School Information
School
*
C/O
*
Agreement
Tenant Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: