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| Please fill out as much of the rental application as best you can. If you plan to have a room mate they also need to fill out a separate rental application (place their name under "co-applicant"). If you're unsure about a question or don't have an answer just leave it blank. This is not a lease and does not legally bind you to anything. We will first review your application and if we have a suite that would meet your needs we will contact you usually within 24 hours. By clicking the following check box you hereby agree to have read, and agree to our companies Application Agreement: |
| First Name: |
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| Last Name: |
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| Is there a co-applicant: (If yes, enter the name of the co applicant.) |
The co applicant must also fill out their own separate rental application form. Click here to bring up a second application for them to fill out.) |
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Telephone: (Primary contact #)
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Cell Phone:
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Email:
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| Drivers Licence Number: (Lic # and Prov) |
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| Date of birth: |
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Current Address: (Suite#, street address, city/town, prov/state, postal/zip)
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| How long at present address: |
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| Present landlord: (name and phone number) |
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Previous address:
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| Previous landlord: (name and phone number) |
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| Do you smoke: |
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| Do you have pets: (if yes, how many and what types of pets?) |
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| Are your children living with you: (if yes, how many and what ages?) |
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| Do you need a Studio, 1 bedroom, or 2 bedroom apartment: |
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| Marital Status: |
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| Are you attending school and need to live near Lakehead University, the hospital (TBRHSC), or Confederation College: |
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Occupation
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| Occupation: |
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| Student: |
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| Position Held: |
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| Name and phone of supervisor: |
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| How long at current position: |
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| Total Monthly Income: |
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References
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| Personal Reference: (name and phone#) |
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| Employer Reference: (name and phone#) |
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| Nearest Relative: (name and phone#) |
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| Emergency Contact: (name and phone#) |
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| Can we check your credit history: |
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Briefly tell us about yourself in your own words:
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