* indicates a required field

Rental Application For:
Atrium SuitesCampus Park ApartmentsCity Park CondosClock Tower ApartmentsRam's Park Apartments

Applicant's Name:*

Date of Birth:*

NOTE: You will need to call to provide your social security number and driver's license (or ID) number upon submitting your application.

Phone:

Cell:*

Applicant Email:*

Vehicle Make:

Year:

Color:

License Plate:

State:

If you are a full-time student, please complete the following:

Permanent Address:*

City:*

State:*

Zip:*

Mother's Name:*

Mother's Address:*

City:*

State:*

Zip:*

Father's Name:*

Father's Address:*

City:*

State:*

Zip:*

Emergency Contact (if other than Parents):

Name:*

Relationship:*

Address:*

City:*

State:*

Zip:*

Other Occupants

Name:

Relationship:

DOB:

Name:

Relationship:

DOB:

Name:

Relationship:

DOB:

Who will be the Main Resident Contact Person:

Phone:

Resident History - Please complete for the past 5 years

Current Address:*

City:*

State:*

Zip:*

Rental Dates:*

Landlord’s/Manager’s Name/If Dorm, R.A.’s Name:*

Phone:*

Monthly Payment:*

Reason for Moving:*

Previous Address:*

City:*

State:*

Zip:*

Rental Dates:*

Landlord’s/Manager’s Name/If Dorm, R.A.’s Name:*

Phone:*

Monthly Payment:*

Reason for Moving:*

Previous Address:*

City:*

State:*

Zip:*

Rental Dates:*

Landlord’s/Manager’s Name/If Dorm, R.A.’s Name:*

Phone:*

Monthly Payment:*

Reason for Moving:*

Background

If you answer “Yes” to any question, please explain below.

Have you ever:

Been evicted from any leased premises?:*
NoYes

Broken a rental agreement?:*
NoYes

Filed for bankruptcy?:*
NoYes

Appeared before CU Judicial Affairs?:*
NoYes

Been charged with a violation in ANY Court, including Municipal Court, other than a traffic violation?:*
NoYes

Been convicted, pleaded guilty or no contest, received a deferred sentence, deferred prosecution, diversion, continued adjudication, continued petition, of any felony or misdemeanor?:*
NoYes

Are you registered or under consideration for registration as a sexual offender?:*
NoYes

If yes, type of offense:

Are you currently facing prosecution for any misdemeanor or felony?:*
NoYes

Employment & Financial Information

Present Employer:*

Position:*

Business Address:*

City:*

State:*

Zip:*

Phone:*

Name of Supervisor:*

Phone:*

Employed Since:*

Gross Monthly Income:*

Additional Income:*

Additional Income Source:*

Name of Bank:*

Bank Address:*

Bank Phone:*

NOTE: You will need to call and provide your checking and savings account numbers upon application submittal.

Other Information

Are you a student:
YesNo

If you are a student, please select year in school at time of move-in:
SophmoreJuniorSeniorGraduate

List ANY other names you have used, including maiden name:*

Do you require any special Accommodations?:
YesNo

Do you intend to have pets on the premises?:
YesNo

If yes, how many?:

Type/Breed:

Age:

Weight:

Color:

Deposit and Fees

I understand the application fee is a non-refundable payment for a credit, background and criminal check and processing fee for this Application and such sum is not a rental payment or security deposit. This amount will be retained by Owner/Agent regardless if the Applicant is approved or denied. Any false or misleading information or intentional omission will constitute grounds for rejection of the application. THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE OWNER/AGENT TO EXECUTE A LEASE OR TO DELIVER POSSESSION OF THE DWELLING UNIT TO APPLICANT. THE RENTAL AGREEMENT WILL NOT BECOME EFFECTIVE UNTIL THIS APPLICATION IS APPROVED BY OWNER/AGENT.

I understand the deposits and fees to be: Non-Refundable Application Fee: $_____________ Other $___________

All monies deposited with Owner/Agent, less the non-refundable application fee, will be refunded within seven (7) business days if the Application is denied. Owner/Agent will notify Applicant of acceptance or denial via phone, fax, email and/or mail. If the Application is accepted and the Applicant fails to sign the Lease within ______ calendar days of notification of acceptance of the Application, the deposited amount may be retained by Owner/Agent as liquidated damages. If Applicant is accepted as a resident and enters into a lease agreement, this document shall become part of the lease.

Disclosures of Information

I warrant and represent the information provided on this application to be true and correct. I authorize Owner/Agent to make such investigation into Applicant’s credit, background, employment, rental and criminal history, as Owner/Agent may deem appropriate. Applicant hereby releases all parties from liability for any damage that may result from furnishing such information to Owner/Agent. Owner/Agent shall have the continuing right to recheck updated rental application, credit, background and criminal information. If approved, Applicant shall have a continuing and on-going duty to update all of the information provided on the Application. Applicant acknowledges that Owner/Agent may enter into a Lease in reliance on the information contained in Applicant’s rental application and any and all other information provided to Owner/Agent by Applicant. Applicant shall promptly notify Owner/Agent in writing of any subsequent change in the information provided by Applicant on Applicant’s application. If Applicant is approved, Owner/Agent shall have the right to terminate Applicant’s tenancy on three days notice to quit if: 1) it is determined that Applicant provided false or misleading information on this Application, or 2) the Application information is no longer correct, for example, Applicant is convicted of a sexual offense after moving into the Premises. Errors, omissions, or misstatements by Applicant shall provide Owner/Agent with the option to terminate the Lease upon three days notice to quit.

Owner/Agent does not have a duty to verify, and does not represent or promise that he/she will verify, the accuracy or the answers provided in the Application of any applicant. Furthermore, Owner/Agent has do duty, and expressly disclaims any obligation, to perform a criminal background check on each applicant. Owner/Agent does not represent or guarantee that all residents have no prior criminal record or background.

Owner’s/Agent’s approval or denial of this Application is based on information provided by independent third parties. Owner/Agent makes no representation as to the accuracy of the information that Owner/Agent obtains from third parties in approving or denying this Application. Owner/Agent hereby disclaims any liability for the accuracy of such information that Owner/Agent obtains pursuant to Applicant’s consent.

By submitting this application electronically you accept the terms in this application and certify that all information is true.

You will be required to call and submit extra information for us to process this application. You may also pay the application fee at this time. After you submit your application, you will be redirected to a page where you can find our phone number to call with the extra information.

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