Customer Oriented, Upscale and Affordable

Phone (740) 592-4422 · Fax (740) 594-2785


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Online Application

Full Name DOB 
Contact Phone # Email
Home Address
 
City State
Zip Home Phone
Parents Name    
Parents Address
 
City State
Zip Home Phone
Present Landlord    
Present Rent  
Current Employer How Long?
Position Supervisor Name
University Status    
REFERENCES: We require 3 references other then relatives or friends. You may use employers, landlords, ministers, or professors. Friends, roommates, banks, credit cards are not acceptable. Please provide complete mailing information and a current telephone number.
Reference #1      
Name Relationship
Address
 
City State
Zip Phone
       
Reference #2      
Name Relationship
Address
 
City State
Zip Phone
       
Reference #3      
Name Relationship
Address
 
City State
Zip Phone
Type of Unit Needed    
   
How did you hear about us?    
Comments and address of unit if known