RENTAL APPLICATION Desired Apartment / Rental Unit * Name * First Name Last Name Email * Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Is there another person (spouse/roommate) that will be living in this unit? Yes No Number of Children Living with You Are you a smoker? Yes No Do you own pets? Yes No Preferred move in date * MM DD YYYY Employment Status * Student Employed Social Assistance Retired Other Monthly Income * Additional Income Sources Please list any other additional income sources and the amounts. Place of occupation Please provide employer with contact info Rental History Reason for moving from current living arrangement * Current landlord name and number * How long have you been at this location? * References Reference 1 Name and Relationship to You Reference 1 - Phone Number Reference 2 Name and Relationship to You Reference 2 - Phone Number Comments / Questions Thank you!
