Rental Pre-Screening Form
Please complete this form to help us assess your eligibility before scheduling a property viewing. Your information will be kept confidential.
Contact Information
Tell us how we can reach you.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Property/Unit of Interest
*
Desired Move-in Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Household Details
Tell us about who will be living in the property.
Total Number of Occupants (including yourself)
*
Will any pets be living with you?
*
Yes
No
Other (please specify)
Does anyone in the household smoke?
*
Yes
No
Employment & Income Overview
Provide a brief overview of your employment and income.
Employer Name
*
Job Title
*
Monthly Gross Income Range (USD)
*
Please Select
$1,000 - $2,000
$2,001 - $3,000
$3,001 - $4,000
$4,001 - $5,000
Over $5,000
Rental History Summary
Tell us about your current or most recent rental situation.
Have you ever been evicted or received a 7-day nonpayment notice?
*
Yes
No
Current/Previous Landlord Name
*
Current/Previous Landlord Phone or Email
*
How long have you lived at your current address?
*
Please Select
Less than 6 months
6-12 months
1-2 years
Over 2 years
Reason for Moving
*
References
Provide at least one reference we may contact (not a family member).
Reference Name
Reference Relationship
Reference Phone or Email
Viewing Availability
Let us know your general availability for a property viewing.
What days/times are you generally available for a viewing?
*
Consent & Acknowledgment
Please review and provide your consent.
I consent to a credit and background screening as part of the rental application process.
*
I consent to a credit and background screening.
Privacy Notice: The information you provide in this form will be used solely for evaluating your eligibility as a potential tenant and for scheduling property viewings. Your data will be stored securely and not shared with third parties except as required for the application process.
I confirm that the information provided is accurate to the best of my knowledge.
*
I confirm the information provided is accurate.
Optional Notes (additional information, questions, or clarifications)
Submit Pre-Screening
Should be Empty: