Application Application Date Desired Move-In Date Desired UnitSmall One BedroomLarge One Bedroom Phase 1Large One Bedroom Phase 2Two BedroomThree BedroomName First Last Date of Birth Your Phone NumberEmail How did you hear about our website? Future RoommateName First Last Date of Birth RelationshipResidence HistoryCurrent Residence Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current ResidenceLandlord PhoneMoved In Moved Out Landlord / Mortgage Company (Name) Monthly Rent AmountReason For Moving Previous Residence Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Previous ResidenceLandlord PhoneMoved In Moved Out Landlord / Mortgage CompanyMonthly Rent AmountReason for Moving Employment InformationCurrent EmployerEmployed Date Until Employers Address Street Address City State / Province / Region ZIP / Postal Code PhonePositionSupervisor First Last SalaryPrevious EmployerEmployers Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employed Date Until PhonePositionSupervisor First Last SalaryPet InformationDo you have a pet?YesNoIf so, what type/breed?How much does it weigh?Other InformationTotal Number of VehiclesModel / Year / Color / Plate No. / StateHave you or your co-applicant ever: Been sued for non-payment of rent? Broken a rental agreement of lease? Declared Bankruptcy? Been evicted or asked to move out? Been sued for damage to a rental property? Emergency ContactName First Last RelationshipAddress Street Address City State / Province / Region ZIP / Postal Code PhoneWork PhoneLegal... Applicant signature on application authorizes management to check references including: Credit Report, Criminal checks, Income Verification, Employment Verification, Rental Verification, and/or student verification, Previous Landlords or program participation, County Courthouse records for Small Claims filed, County Courthouse records for Money Judgments, Law Enforcement with jurisdiction over previous addresses, Others as deemed pertinent from Applicant. Iowa Code Chapter 216, Iowa’s anti-discrimination law, DOES NOT AFFECT: 216.20 “Tenancy of an individual that would constitute a direct threat to the health and safety of other individuals or tenancy that would result in substantial physical damage to the property of others.” Be advised that management will NOT: 1. Rent to person(s) who lie on their applications. 2. Continue tenancy with persons who management later learns lied. 3. Rent to persons who have recent convictions for felonies and aggravated misdemeanors including any drug-related crimes and sex offenders. 4. Continue tenancy with persons who are currently convicted for felony and aggravated misdemeanors violations. 5. Rent to, or continue tenancy, with persons who entertain guests with recent convictions for felonies and aggravated misdemeanors. 6. Rent to persons with a history/habit of poor credit. 7. Continue tenancy with persons who disregard provisions of the Rental Agreement or who cause property destruction or disturbances. Management considers felonies and aggravated misdemeanors such as this list unacceptable behavior/activity/involvement for tenants of this property: * Assault/personal injury * Prostitution * Criminal mischief/vandalism/property damage * Arson or trespass * Drug use/drug trafficking/drug manufacturing * Child molestation/endangerment/neglect/sex offenders * Domestic violence * Breaking and entering * Theft/burglary/stolen property * Illegal use of firearms/guns * Stalking/kidnapping/rape/ sexual abuse I have read over the application and filled it out to the best of my knowledge. I also understand that just because I have filled out the application, does not mean that I am automatically approved. I authorize you to contact any references that I have listed. I also authorize you to obtain my consumer credit report from your credit-reporting agency, which will appear on an inquiry on my file.* Agree Disagree By signing this application I understand that a unit will not be reserved without a reservation fee. The reservation fee is forfeit upon cancellation and refunded upon denial.* Signature