Student ApplicationStep 1 of 5 - General0%RENTAL APPLICATIONDate* MM slash DD slash YYYY Desired Move In Date:* MM slash DD slash YYYY Preference* 1 2 3BedroomsPets* Yes NoHow did you hear about us?Location PreferenceHave you rented in the past?* Yes NoIf so, when?*APPLICANT INFORMATIONName* First Middle Last Social Security Number*Date of Birth* Month Day YearDriver's License No / Photo ID No*Cell Phone*Work Phone*Email* Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EMERGENCY CONTACTName of person not living with you*Relation to you*Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PREVIOUS LANDLORD(If less than 2 years at current address)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Select One Own RentMonthly PaymentHow longName of Landlord / Mortgage CompanyPhoneEMPLOYMENT INFORMATIONType of Employment Full-Time Part-Time Self-Employed Not Employed StudentCurrent EmployerHow longAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Direct SupervisorPhonePositionMonthly IncomeIf a Student - What SchoolMajorOTHER VERIFIABLE INCOMEAmountHow Often Weekly Monthly YearlyIncome SourceFinancial AidFinancial AidAre your parents one of your sources of income?How can we verify this incomePhoneBANKING INFORMATIONName of Financial InstitutionChecking Account No.Savings Account No.VEHICLE INFORMATIONMake / Model:YearColorPlateMake / Model:YearColorPlatePERSONAL REFERENCESNamePhoneYears KnownNamePhoneYears KnownNamePhoneYears KnownOTHER INFORMATIONHave you or other intended occupants everBeen evicted or asked to move out* Yes NoDeclared Bankruptcy* Yes NoBeen sued for non-payment of rent* Yes NoConvicted a crime* Yes NoSued for damage to rental property* Yes NoBeen guilty of a sexual offense* Yes NoBroken a lease or rental agreement* Yes NoBeen guilty of abuse of a child* Yes No* As part of our application process, we may run a credit check and criminal background check.Please indicate below if there is anything you would like us to know in advance of such checksPAYMENTWe accept payment by cash, check or automatic bill pay. Are you interested in scheduling your monthly rental payment to us as an automatic payment* Yes NoAUTHORIZATIONI hereby confirm that the information I have provided within this rental application is correct to thebest of my knowledge. I authorize you to contact any references that I have listed and authorize the verification and accuracy of the information I have provided in this rental application. Furthermore, I authorize you to obtain my consumer credit report from your credit-reporting agency as well as verify the employment and background information I have provided.I acknowledge this rental application will become part of the lease agreement when approved. If any information is found to be incorrect, the application will be rejected and any subsequent rental agreement becomes null and void. False and misleading statements will be sufficient reason for immediate eviction and loss of resident security deposit. I further understand that JNL Management Services LLC can reject this application without stating any reason for doing so.SignatureDate* MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.Δ
