We respect your privacy. All information entered on this form will be used only to verify your eligibility.
Information will not be used for any other purpose, nor will it be transferred to any other party without your consent.


General Information
Which property are you interested in renting?
When would you like to start renting? Immediatly Fall Winter Spring Summer
How did you find out about this vacancy?
Is there more than 1 person in your group? Yes No
How long of a contract are you looking for?



Personal Information
Full Legal Name
Birth Date Age
Social Security Number
Street Address
City State Zip
Current Phone Number Fax
Special Fax Instructions
Email
Parent's Name
Parent's Phone
Parent's Street Address
City State Zip



Academic Information
Academic Status
School Attending BYU UVSC None Other



Vehicle Information
Driver's License Number
State
Do you have an automobile? Yes No
Do you have any other vehicles? (check all that apply)
Bicycle
Boat
Motorcycle
Camper
Other:



Employment Information
Are you currently employed? Yes No
Will someone help cover your living expenses? Yes No



Previous Rental Information
Have you ever rented before? Yes No

I understand that by submitting this application, I certify that the information on this application is true and accurate to the best of my knowledge. I understand that any false answers or statements will be sufficient grounds for eviction and loss of any security deposit. I give my permission for landlord to verify any and all information given on this application and to review my credit history.