Apply Now – 211 Mora Apartments

STUDENT INFORMATION

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First Name: *

Last Name: *

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Date of Birth: *

Social Security: *

E-mail Address: *

Phone Number: *

Address: *

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City: *

State: *

Zip Code: *

CO-SIGNER INFORMATION

PLEASE NOTE: If your income is not sufficient or you are not using Financial Aid to pay rent, a Co-Signer will be necessary. An additional credit check fee of $35 will be charged if using a Co-Signer.

NEED A CO-SIGNER? *

Yes, I need a Co-Signer!
No, I don't need a Co-Signer!

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EMPLOYMENT HISTORY

Employer Name: *

Address: *

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Occupation:

Name of Supervisor: *

Phone Number: *

Monthly Income: *

REFERENCES & EMERGENCY CONTACTS

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Reference Name 1: *

Reference Address 1: *

Reference Phone 1: *

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Reference Name 2:

Reference Address 2:

Reference Phone 2:

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Reference Name 3:

Reference Address 3:

Reference Phone 3:

AGREEMENT & AUTHORIZATION

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a NON-REFUNDABLE $35 CREDIT CHECK FEE to cover the cost of processing my application and I am not entitled to a refund even if I do not get the apartment. If using a co-signer, an additional fee of $35 will be charged for credit check processing.

CREDIT CARD & BILLING DETAILS

PLEASE NOTE: If the CVC code on the back of your credit card is not correct or the Billing Zip Code does not match your credit card Billing Address, your application will not go through.

APPLICATION FEE:

$0.00

Credit Card Details: *

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Signature: *

Date: *

ROOMS AVAILABLE!

STUDENT INFORMATION

CO-SIGNER INFORMATION

EMPLOYMENT HISTORY

REFERENCES & EMERGENCY CONTACTS

AGREEMENT & AUTHORIZATION

CREDIT CARD & BILLING DETAILS