Online Application

Which property are you applying for? BirchwoodThe ColonialHillside VillageThe Lofts at SpragueWest Campus VillageThe Willows on MichiganThe Renaissance (Battle Creek)

Date you would like to move by: *

Desired Lease Term 1 Year2 Years3 Years4 Years5 Years

First Name *

Middle Name *

Last Name *

Social Security Number *

Current Employer

Email Address *

Birth Date *

Driver’s License Number

Vehicle Type

Phone Number *     Can we text this number?

Street *

City *

State *

Zip *

Current Landlord/Lender

Current Landlord’s Email *

Current Landlord’s Phone *

Previous Address

Previous Landlord/Lender

Previous Landlord’s Email *

Previous Landlord’s Phone *

Reason for Leaving

Monthly Income

Supervisor’s Name

Supervisor’s Phone

Position

Part Time/Full Time Part TimeFull Time

Current Employer

Other Income (SSI, FIA, and Child Support, Section 8)

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name DOB Relationship

First Name Last Name Address Phone Relationship

First Name Last Name Address Phone Relationship

Bank Name * Type of Account * CheckingSavingsOther Balance *

Bank Name Type of Account CheckingSavingsOther Balance

Have you ever had a judgement * Yes No

How did you hear about our properties

Do you have any pets * Yes No(Handicapped assistance animals used for disabilities are not considered pets)The Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act of 1988, prohibits discrimination in the rental of housing based on race, color, religion, sex, handicap, familial status, or national origin. The Federal Agency, which administers compliance with this law, is the U.S. Dept. of Housing and Urban Development. Any “Yes” or “No” question left unanswered shall be considered a “yes.”

Have you ever been convicted of or pled guilty or “no contest” to any felony? * Yes No

Have you ever been convicted or pled guilty or “no contest” to any sexual offense? * Yes No

If yes, please explain, providing the location, nature and date of the offense: