Phoenix Rising Tenant Application

Phoenix Rising and Eagle Towers Application Form

Please complete all sections.
Applicant Information
Full Name (First, Middle, Last)

First NameMiddle NameLast Name
Marital Status
Date of Birth

MonthDayYear
Date
ID Number/Passport Number
Email Address
example@example.com
Do you use online banking?
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Number of Children (Boys)
Ages of Boys
Number of Children (Girls)
Ages of Girls
Do you have a vehicle?
Do you smoke?
Current Address

Street Address

Street Address Line 2/Parish
City (Optional)State / Province (Optional)Postal / Zip Code (Optional)
Reason for Leaving (Current Address)
Dates Occupied (Current Address)
Has Notice Been Given?
Current Landlord/Property Manager Name
Current Landlord/Property Manager Phone
Please enter a valid phone number.Format: (000) 000-0000.
Previous Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Reason for Leaving (Previous Address)
Dates Occupied (Previous Address)
Previous Landlord/Property Manager Name
Previous Landlord/Property Manager Phone
Please enter a valid phone number.Format: (000) 000-0000.
Current Income
Employment Status
Approximate Monthly Income (Self-Employed)
Employer's Individual or Company Name
Supervisor's Name
Supervisor's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Your Position/Title
Salary/Wage (Monthly or Weekly)
Other Source of Income?
If Yes, Describe Other Income Source
Monthly Amount (Other Income)
Upload Last 3 Bank Statements if Self-Employed OR Upload 3 Months of Pay-Slips if Employed and a Job Letter OR WhatsApp pictures of above documents to 269-7156

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Past Employment
Previous Employer's Individual or Company Name
Previous Supervisor's Name
Previous Supervisor's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Previous Position/Title
Previous Salary/Wage
References
Reference 1 Name
Reference 1 Relationship
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name
Reference 2 Relationship
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Name
Reference 3 Relationship
Reference 3 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Agreement & Consent to Background Check
Applicant Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Phoenix Rising and Eagle Towers Application Form

Applicant Information

Current Income

Past Employment

References

Agreement & Consent to Background Check