Application for Rental   
 

  Applicant Information
  Family Name: *

  Given Name (First Name as it appears on your Passport): *

  Passport Number/Country: *

  Home Country: *

  Birth Date: * MM/DD/YYYY

  Gender: * Male Female

  Email: *

 
  Is an Agent Handling Your Application?
  Agency Name:

  Name of Contact Person:

  Agent Phone #:

  Agent Fax #:

  Agent Email:

 
  Permanent (Home) Address
  Street Address: *

  City: *

  Country: *

  Zip or Country Code: *

 
  Occupants
  List names and birthdates of ALL occupants (one must be 18 years or older):
 

  Which do you prefer (Depends on availability):*
Style Feature Price
2 Bed/2 Bath W402 is a large 2 bedroom/ 2 bathroom apartment that is perfect for active students. This apartment features granite countertops in the kitchen and bathrooms, sleek black kitchen appliance package (glass-top stove, dishwasher, built-in microwave, refrigerator/freezer with automatic icemaker, two large balconies, full master bathroom with shower/bath combo and one bathroom with walk-in shower; washer/dryer is in the apartment. Rent includes furnishings and all utilities including cable television and high speed internet.Total rent on this apartment is $3000.00 US, or $750.00 per occupant with four occupants. $750 USD
  Do you currently have a roommate(s):*
Have Roommate(s) Assign Roommate(s)
  Seattle Central Community College requires that all roommates be of the same gender.

 
  Pets
  Will You Have A Pet With You? * Yes No

  Describe your pets:
 

 
  Financial Information
  Must provide bank statement to verify.
  Who is your financial sponsor?
  Name: *

  Relationship: *

  How much money will you have available monthly for support? *

 
  Emergency Contact
  Name: *

  Address: *

  Phone: * eg.800-555-5555

  Email: *

  Relationship: *
 
  Background Information
  Have you ever:
  Filed for bankruptcy:
Yes No

  Willfully or intentionally refused to pay rent when due:
Yes No

  Been evicted from a tenancy or left owing money:
Yes No

  If yes, please provide Property Name:

  Been convicted of a crime:
Yes No

  If yes, please provide Type of Offense:

 
  Vehicle Information
  Will you have a car? Parking will cost an additional $75/car.
  Vehicle #1.
  Make & Model:

  Color:

  Year:

  License No. & State: