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?
Male: Brownstone #24
Female: Chatam Towne #34
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 many?
1
2
3
4
5
6
Who?
How long of a contract are you looking for?
Personal Information
Full Legal Name
Birth Date
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
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11
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20
21
22
23
24
25
26
27
28
29
30
31
1995
1994
1993
1992
1991
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1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
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
Please Select
Currently enrolled
Applying within the next year
Other...
Explain
School Attending
BYU
UVSC
None
Other
Name of school
Year in School
Please Select
Freshman
Sophomore
Junior
Senior
Graduate School - MBA
Graduate School - Law
Graduate School - Other
Graduating or taking an internship
within the year?
Yes
No
Vehicle Information
Driver's License Number
State
Do you have an automobile?
Yes
No
Auto Make
Year
License Plate Number
State
Do you have any other vehicles?
(check all that apply)
Bicycle
Boat
Motorcycle
Camper
Other:
Employment Information
Are you currently employed?
Yes
No
Current Employer
Current Monthly Salary $
Company Address
City
State
Zip
Supervisor
Supervisor's Phone
How long have you worked at this company?
Years
Months
Will someone help cover your living expenses?
Yes
No
Who is providing for your expenses?
Provider's Address
City
State
Zip
Provider's Phone
Previous Rental Information
Have you ever rented before?
Yes
No
Was it BYU approved?
Yes
No
Rented Property
Rented from
(month)
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
to
(month)
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Property Address
City
State
Zip
Landlord or Manager's Phone
Rented in another location?
Yes
No
Was it BYU approved?
Yes
No
Rented Property
Rented from
(month)
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
to
(month)
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Property Address
City
State
Zip
Landlord or Manager's Phone
Have you ever been evicted from
any tenancy?
Yes
No
Explain
Have you ever willfully and intentionally
refused to pay rent when due?
Yes
No
Explain
Any credit problems in the last year?
Yes
No
Explain
Ever been convicted of a felony?
Yes
No
Explain
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.