Which unit or room are you inquiring about? (Please indicate house, unit and bedroom if applicable)
              
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              If applying for an entire unit, how many people will occupy the unit?
              
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              How long is your lease term?
              
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                    School year 
                  
                    School semester 
                  
                    6-month 
                  
                    1 year 
                  
                    Summer 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Applicant Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Applicant Email (Please ensure email is accurate & entered correctly)
              
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              Applicant Date of Birth
              
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                    MM 
                   
                
                
                  
                    DD 
                   
                
                
                  
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Applicant Phone
              
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                    (###) 
                   
                
                
                  
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              Applicant's Current Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Emergency Contact Information
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Relationship to you?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Emergency Contact E-mail (Please ensure email is accurate & entered correctly)
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Emergency Contact Phone
              
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                    (###) 
                   
                
                
                  
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              Emergency Contact Home Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you currently a student or soon to be enrolled?
              
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              If you are a student, are you eligible to live Off Campus?
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If you are a student, what is your Major?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If you are not a student, are you currently employed?
              
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              If yes, what is your occupation?
              
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              If employed, what is your approximate monthly income?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What is your preferred move in date?
              
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                    MM 
                   
                
                
                  
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              Do you have any pets?
              
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              Are you a smoker?
              
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              Have you ever had any judicial/court system or received an eviction notice?
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If yes, please explain (optional):
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Where/how did you hear about Cribs Off Campus?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Terms & Conditions
              
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                I understand that this is a routine application to establish credit, employment, rental history & character. I also understand that this is not an agreement to rent and that all applications must be approved. I authorize verification of references given to the landlord. I declare that the statements above are true and correct, and I agree that the landlord may terminate my agreement entered into in reliance on any misstatement made above. I declare that I am eligible to live off campus in accordance with PSU requirements. 
Do you agree to the above Terms & Conditions?