Dorm Room Rental Application Form
Applicant Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Desired move-in date
*
-
Month
-
Day
Year
Date
Desired move-out date
*
-
Month
-
Day
Year
Date
Do you smoke?
*
Yes
No
Have you ever been convicted of a crime?
*
Yes
No
Have you ever been Evicted from a rental property?
*
Yes
No
Please select from the following options:
*
I am a student currently enrolled in a local educational program (trade school, flight school, college, university)
I am not a student, but I am currently employed
I am not a student, and I am unemployed
Emergency Contacts
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current landlord Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Renting since
*
-
Month
-
Day
Year
Date
Monthly Rent
*
$
Previous Landlord's Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Monthly Rent
$
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
Province
Postal Code
Educational Institution
School Name
Starting Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
Province
Postal Code
Admissions/Student Services Contact
Title
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Proof of Enrollment
Proof of Enrollment
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Acceptance letter preferred
Cancel
of
Funding
Please explain in detail how you plan to afford to pay rent. Include sources of funding, and income.
Current Employment
Company Name
Starting Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
Province
Postal Code
Supervisor Name
Title
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Salary $
Monthly
Reference
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Notes
Proof of Employment/Income
Employment/Income Proof
Browse Files
Drag and drop files here
Choose a file
Employment Letter, Two Months Pay Stubs, etc.
Cancel
of
Full Credit Report
Browse Files
Drag and drop files here
Choose a file
We accept credit Karma, Equifax, and other online third-party reports
Cancel
of
Move-in Cost/ Payment Method
Are you able to pay One Month's rent plus a security deposit equal to an additional month's rent upfront?
Yes
No
Other
What Payment Method do you plan to use?
Cash
Cheque
E-Transfer
Other
Submit
Should be Empty: