Please give us as much information as you can, or are comfortable with. Skip stuff you don't know. If you have technical trouble, please call Gary 719-659-5075 for help.

Your Name: Phone: Social Security Number: (we'll get this later ) ______________________   
Email Address: Drivers License Number:

___Parent Information Name: Phone: Address Including Street, City State and Zip:

House Applied for? (street & address numbers): Expected Rent: _____________________________________________________________________________________________________________________________________________________________________________________________
Where are you living now?
Place name, Dorm, Apartment, House: Present Address: City: State: Zip:
Current Property Manager Name: Phone: How long have you lived at present address?:
_________________________________________________________________________________________________________________
If less that one year what was your previous Address with City and State?: Previous Property Manger Name: PLL Phone Number:
_________________________________________________________________________________________________________________

We like to get two references from Colorado College faculty and/or staff. Please give us two, because sometimes one might not be available.

Reference #1 Name: Phone:
Reference #2 Name: Phone:

_____________________________________________________________________________________________________________
How many people in your group?:
Names of your planned housemates. As many as you can. Skip the phone number if you don't have it.
Name: Phone: Email:
Name: Phone: Email:
Name: Phone: Email:
Name: Phone: Email:
Name: Phone: Email:
________________________________________________________________________________________________________________________

Number of Vehicles that will be parked at the property?

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