Village Square Rental Application

Information
APPLICANT INFORMATION
Full Legal Name*

First NameMiddle NameLast NameSuffix
Birth Date*

MonthDayYear
Present Address
What college will you be attending?
E-mail*
Primary Phone Number*

Area CodePhone Number
Secondary Number*

Area CodePhone Number
Fax Phone Number

Area CodePhone Number
Anticipated Move-In Date*

MonthDayYear
PERSONAL REFERENCES
First Reference*

First NameLast Name
Phone Number*

Area CodePhone Number
Second Reference

First NameLast Name
Phone Number*

Area CodePhone Number
Third Reference

First NameLast Name
Phone Number

Area CodePhone Number

Additional Information (Guarantor)
Full Legal Name

First NameMiddle NameLast NameSuffix
Birth Date

MonthDayYear
License #
Social Security #
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-mail
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Signature
Signature
Should be Empty: