EmailMe Form - Rental Application

Name *

First Last

Primary Phone Number *

### - ### - ####

Secondary Phone Number

### - ### - ####

Email *

Confirm

Date of Birth *

MM / DD / YYYY

Gender *

Apartment Type *

Move-in Date *

Preferred Payment Method

Visit Site, pay by Cheque, debit or Money order in person

Mail cheque or Money order

Pay using CollegeView On-line service

Driver's license Number

Passport/Provincial ID

A second ID, different from the first

Last Residence

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Are you a student? *

Yes

No

Academic Standing (Fall 2019) *

Which School does the applicant attend? *

Student Number? *

Has the applicant ever filed for bankruptcy? *

Yes

No

Reason: *

Have you ever been evicted from Residence? *

Yes

No

When: *

Does the applicant need parking ($90.00 per Month)? *

Yes

No

How'd you hear about Collegeview Commons *

Guarantor Name

First Last

Email *

Confirm

Guarantor Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Guarantor Phone

### - ### - ####

Passport/Driver's license Number/ Provincial ID

A second ID, different from the first

Has the guarantor ever filed for bankruptcy? *

Yes

No

When *

If previous answer is No, put N/A

Roommate Requests

Roommate Request 1 - Name:

Roommate Request 1 - Email:

Roommate Request 2 - Name

Roommate Request 2 - Email:

Roommate Request 3 - Name

Roommate Request 3 - Email:

I was referred by:

Signature *

Clear