University Area Housing West Ridge Park
	Online Housing Application UNIT INFORMATION Application is to rent apartment / unit / number  Located at  APPLICANT INFORMATION Full Name   Date of Birth  Current/Cell Phone   Work Phone  Emergency Contact    Pets to Occupy Unit (# and kind)  Names of Other Persons (Non-Applicants) to Occupy Unit Birth Date (If Under 18) 1.  2.  3.  APPLICANT'S RENTAL HISTORY (For the Last Three Years) Have you ever failed to pay rent when due?  Yes      No Have you ever been evicted?  Yes      No Current Address  Since  Rent $ Landlord    Phone  Previous Address  How Long?  Rent $ Landlord    Phone  APPLICANT'S EMPLOYER & INCOME Current Employer  Address  Phone  Since (date)  Monthly Pay $ Position  Previous Employer  Address  Phone  How Long?  Monthly Pay $ Position  OTHER SOURCES OF INCOME You do NOT have to reveal alimony, child support or spouse's annual income unless you want it considered for this application. Amount: Source: Confirmation Person: Phone: 1.  2.  COMMENTS Upon submitting this application I authorize University Area Housing to obtain my credit report and perform a check of my previous rental references. This is NOT a lease or rental agreement. You will be contacted and required to provide additional information in order to complete the application process.