Click here for a printable
version of this application. Complete the printed application and
fax to University Towers (fax (734) 761-2027)
|
| UNIVERSITY
TOWERS APARTMENTS APPLICATION |
| PLEASE COMPLETE THE FOLLOWING INFORMATION:
|
| DATE: ______________ SOCIAL SECURITY NUMBER:
____/___/____ |
| DATE OF BIRTH: _______ / _______ / ________ |
| FIRST NAME:_________________ LAST NAME:_______________________
|
| E-MAIL ADDRESS::_______________________________________________
|
| CURRENT ADDRESS: (Street Address & Apartment Number): _______________
_______________________________________________________________
City:___________________ State: ____ Zip Code:
________ Country: _________________
|
| Current Phone Number:__________________ |
| PERMANENT ADDRESS:___________________________________________
________________________________________________________________
City:___________________ State: ____ Zip
Code: ________ Country: _________________ |
| Emergency Contact: Name: ________________________________
Relationship to you: ______________________________________
Telephone Number: ______________________________________ |
| CIRCLE YOUR CLASS STANDING: FRESH
SOPH JR
SR GRAD |
| WHAT IS YOUR AREA OF STUDY?:____________________________________
|
| ______________________________________________________________
APPLICANT SIGNATURE
DATE
|
______________________________________________________________
LEASING CONSULTANT SIGNATURE
DATE
|
| APARTMENT LEASED: _____________________ |