All information with a red label is required.

Submitted on 11-21-2024 at 07:25:17
Applicant Information
First Name
Last Name
How did you hear about us?

Cell Phone
E-mail Address
Date of Birth
calendar icon
Gender
Male   Female   Self-Identify
Preferred pronoun (ex: she/her, he/his, they/their):
School Information
School
How many college credit hours have you completed as of today?
Applying for what semester?  
Have you been awarded or have you applied for financial aid for the upcoming academic year  Yes   No
Guarantor Information

A guarantor must be a person over the age of 24, usually a parent, who agrees to be responsible if you are ever unable to fulfill the financial obligations of your lease. It is similar to having a co-signer. If you know that information now, please provide the information for the person who you expect to serve as your guarantor.

First Name
Last Name
Cell Phone
E-mail
Emergency Contact Information
First and Last Name
Cell Phone
E-mail
Relation to you
Room Preference
Room Type


If you are in a shared room, what would be your preference for a roommate?

Male Only
Female Only
Any Identity
Please select which communities are you most interested in (you'll be able to select any open room in any community, though):

Arakis
Eden
French House
Helios
House of Commons
Ruth Schulze
New Guild
Royal
House of Audre Lorde

Terms and Conditions

Valid Photo Identification must be presented prior to final approval of this application.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief.  By clicking "Apply Now" you agree to the terms stated above.  Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information.  Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.

Signing this acknowledgement indicates that you have had the opportunity to review the landlord’s tenant selection criteria. The tenant selection criteria may include factors such as criminal history, credit history, current income, and rental history. If you do not meet selection criteria, or if you provide inaccurate or incomplete information, your application may be rejected.

APPLICANT SIGNATURE: 



   
Database Name:  ICC_ICC 71228