University
Housing
T enant Information Form Name: ________________________________________________________________________________________________________________________        Lease Term (circle one):    May-May  or August-August Gender:        M  F
Local Address: _______________________________________________________________________________________________________________
Street
_______________________________________________________________________________________________________________
City State Zip Home Address: ___________________________________________________________
___________________________________________________
Street
______________________________________________________________________________________________________________
City State Zip
Cell/Local Phone: _______________________________________________ Home Phone:________________________________________ Email Address: ______________________________________________________________________________________________________________ Current Year:  FR SO JR SR Major: _______________________________________________________ Parents’ Names: _____________________________________________________________________________________________________________              Address: _____________________________________________________________________________________________________________
Street
_____________________________________________________________________________________________________________
City State Zip Father: Work Phone: ____________________________________ Home Phone: _______________________________________ Mother: Work Phone: ____________________________________ Home Phone: _______________________________________ Do you require accessibility under the Americans with Disabilities Act? Yes No
truncated formNames of Roommates: ______________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________
University Housing will need a copy of your driver’s license or passport
before a lease agreement can be signed.
Date: ______________________________

版权声明：本站内容均来自互联网，仅供演示用，请勿用于商业和其他非法用途。如果侵犯了您的权益请与我们联系QQ:729038198，我们将在24小时内删除。