University Towers: Rental Application


	University Towers: Rental Application

View Application

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: _____________________